Applied anatomy and surgical technique of the lateral single-position L5-S1 fusion

April 29, 2021

doi: 10.1002/ca.23733.

Online ahead of print.

Gergely Bodon^{1

2

3}, Kristof Kiraly², Gabor Baksa², Laszlo Barany², Mate Kiss¹, Bernhard Hirt³, Arndt Pussert¹, Jake Timothy⁴, Lenny Stubbs⁵, Kaveh Khajavi⁶, Brett Braly⁷

Affiliations

¹ Department of Orthopaedic Surgery and Traumatology, Klinikum Esslingen, Esslingen am Neckar, Germany.
² Laboratory for Applied and Clinical Anatomy, Department of Anatomy, Histology and Embriology, Semmelweis University, Budapest, Hungary.
³ Clinical Anatomy Tübingen, University of Tübingen, Germany.
⁴ Department of Neurosurgery, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
⁵ Oklahoma Heart Hospital, Oklahoma City, Oklahoma, USA.
⁶ Georgia Spine & Neurosurgery Center, Atlanta, Georgia, USA.
⁷ The Spine Clinic of Oklahoma City, Oklahoma City, Oklahoma, USA.

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Gergely Bodon et al.

Clin Anat.

2021.

doi: 10.1002/ca.23733.

Online ahead of print.

Authors

Gergely Bodon^{1

2

3}, Kristof Kiraly², Gabor Baksa², Laszlo Barany², Mate Kiss¹, Bernhard Hirt³, Arndt Pussert¹, Jake Timothy⁴, Lenny Stubbs⁵, Kaveh Khajavi⁶, Brett Braly⁷

Affiliations

¹ Department of Orthopaedic Surgery and Traumatology, Klinikum Esslingen, Esslingen am Neckar, Germany.
² Laboratory for Applied and Clinical Anatomy, Department of Anatomy, Histology and Embriology, Semmelweis University, Budapest, Hungary.
³ Clinical Anatomy Tübingen, University of Tübingen, Germany.
⁴ Department of Neurosurgery, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
⁵ Oklahoma Heart Hospital, Oklahoma City, Oklahoma, USA.
⁶ Georgia Spine & Neurosurgery Center, Atlanta, Georgia, USA.
⁷ The Spine Clinic of Oklahoma City, Oklahoma City, Oklahoma, USA.

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Abstract

The latest development in the anterior lumbar interbody fusion (ALIF) procedure is its application in the lateral position to allow for simultaneous posterior percutaneous screw placement. The technical details of the lateral ALIF technique have not yet been described. To describe the surgical anatomy relevant to the lateral ALIF approach we performed a comprehensive anatomical study. In addition, the preoperative imaging, patient positioning, planning of the skin incision, positioning of the C-arm, surgical approach and surgical technique are discussed in detail. The technique described led to the successful use of the lateral ALIF technique in our clinical cases. No lateral ALIF procedure needed to be aborted during these cases. Our present work gives detailed anatomical background and technical details for the lateral ALIF approach. This teaching article can provide readers with sufficient technical and anatomical knowledge to assist them in performing their first lateral ALIF procedure. This article is protected by copyright. All rights reserved.

Keywords:

ALIF; lateral single-position surgery; lumbosacral junction; retroperitoneal approach.

Applied anatomy and surgical technique of the lateral single-position L5-S1 fusion

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