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Lumbar lateral interbody fusion: step-by-step surgical technique and clinical experience
Lateral lumbar interbody fusion (LLIF) is a minimally invasive surgical approach used to treat a variety of degenerative and deformity conditions of the lumbar spine such as advanced degenerative disease, degenerative scoliosis, foraminal and central stenosis. It has emerged as an alternative to the...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
AME Publishing Company
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10570643/ https://www.ncbi.nlm.nih.gov/pubmed/37841793 http://dx.doi.org/10.21037/jss-23-54 |
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author | Camino-Willhuber, Gaston Tani, Soji Shue, Jennifer Zelenty, William D. Sokunbi, Gbolabo Lebl, Darren R. Cammisa, Frank P. Girardi, Federico P. Hughes, Alexander P. Sama, Andrew A. |
author_facet | Camino-Willhuber, Gaston Tani, Soji Shue, Jennifer Zelenty, William D. Sokunbi, Gbolabo Lebl, Darren R. Cammisa, Frank P. Girardi, Federico P. Hughes, Alexander P. Sama, Andrew A. |
author_sort | Camino-Willhuber, Gaston |
collection | PubMed |
description | Lateral lumbar interbody fusion (LLIF) is a minimally invasive surgical approach used to treat a variety of degenerative and deformity conditions of the lumbar spine such as advanced degenerative disease, degenerative scoliosis, foraminal and central stenosis. It has emerged as an alternative to the traditional posterior and anterior lumbar approaches with some potential benefits such as lower blood loss and shorter hospital stay. In this article, we provide our single institutional surgical experience including main indications and contraindications, a step-by-step surgical technique description, a detailed preoperative imaging assessment with a focus on magnetic resonance imaging (MRI) psoas anatomy, operative room (OR) setup and patient positioning. A descriptive surgical technical note of the following steps is provided: positioning and fluoroscopic confirmation, incision and intraoperative level confirmation, discectomy and endplate preparation, implant size selection and insertion and final fluoroscopic control, hemostasis check and wound closure along with an instructional surgical video with tips and pearls, postoperative patient care recommendations, common approach-related complications, along with our historical clinical institutional group experience. Finally, we summarize our research experience in this surgical approach with a focus on LLIF as a standalone procedure. Based on our experience, LLIF can be considered an effective surgical technique to treat degenerative lumbar spine conditions. Proper patient selection is mandatory to achieve good outcomes. Our institutional experience shows higher fusion rates with good clinical outcomes and a relatively low rate of complications. |
format | Online Article Text |
id | pubmed-10570643 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | AME Publishing Company |
record_format | MEDLINE/PubMed |
spelling | pubmed-105706432023-10-14 Lumbar lateral interbody fusion: step-by-step surgical technique and clinical experience Camino-Willhuber, Gaston Tani, Soji Shue, Jennifer Zelenty, William D. Sokunbi, Gbolabo Lebl, Darren R. Cammisa, Frank P. Girardi, Federico P. Hughes, Alexander P. Sama, Andrew A. J Spine Surg Surgical Technique Lateral lumbar interbody fusion (LLIF) is a minimally invasive surgical approach used to treat a variety of degenerative and deformity conditions of the lumbar spine such as advanced degenerative disease, degenerative scoliosis, foraminal and central stenosis. It has emerged as an alternative to the traditional posterior and anterior lumbar approaches with some potential benefits such as lower blood loss and shorter hospital stay. In this article, we provide our single institutional surgical experience including main indications and contraindications, a step-by-step surgical technique description, a detailed preoperative imaging assessment with a focus on magnetic resonance imaging (MRI) psoas anatomy, operative room (OR) setup and patient positioning. A descriptive surgical technical note of the following steps is provided: positioning and fluoroscopic confirmation, incision and intraoperative level confirmation, discectomy and endplate preparation, implant size selection and insertion and final fluoroscopic control, hemostasis check and wound closure along with an instructional surgical video with tips and pearls, postoperative patient care recommendations, common approach-related complications, along with our historical clinical institutional group experience. Finally, we summarize our research experience in this surgical approach with a focus on LLIF as a standalone procedure. Based on our experience, LLIF can be considered an effective surgical technique to treat degenerative lumbar spine conditions. Proper patient selection is mandatory to achieve good outcomes. Our institutional experience shows higher fusion rates with good clinical outcomes and a relatively low rate of complications. AME Publishing Company 2023-09-12 2023-09-22 /pmc/articles/PMC10570643/ /pubmed/37841793 http://dx.doi.org/10.21037/jss-23-54 Text en 2023 Journal of Spine Surgery. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) . |
spellingShingle | Surgical Technique Camino-Willhuber, Gaston Tani, Soji Shue, Jennifer Zelenty, William D. Sokunbi, Gbolabo Lebl, Darren R. Cammisa, Frank P. Girardi, Federico P. Hughes, Alexander P. Sama, Andrew A. Lumbar lateral interbody fusion: step-by-step surgical technique and clinical experience |
title | Lumbar lateral interbody fusion: step-by-step surgical technique and clinical experience |
title_full | Lumbar lateral interbody fusion: step-by-step surgical technique and clinical experience |
title_fullStr | Lumbar lateral interbody fusion: step-by-step surgical technique and clinical experience |
title_full_unstemmed | Lumbar lateral interbody fusion: step-by-step surgical technique and clinical experience |
title_short | Lumbar lateral interbody fusion: step-by-step surgical technique and clinical experience |
title_sort | lumbar lateral interbody fusion: step-by-step surgical technique and clinical experience |
topic | Surgical Technique |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10570643/ https://www.ncbi.nlm.nih.gov/pubmed/37841793 http://dx.doi.org/10.21037/jss-23-54 |
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