. 2021 Aug 19;opab283.
doi: 10.1093/ons/opab283.
Online ahead of print.
Affiliations
Affiliations
- 1 Department of Neurological Surgery, School of Medicine, University of California San Francisco, San Francisco, California, USA.
- 2 School of Medicine, University of California San Francisco, San Francisco, California, USA.
- 3 Division of Vascular Surgery, Department of Surgery, School of Medicine, University of California San Francisco, San Francisco, California, USA.
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Gregory A Kuzmik et al.
Oper Neurosurg (Hagerstown).
.
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. 2021 Aug 19;opab283.
doi: 10.1093/ons/opab283.
Online ahead of print.
Affiliations
- 1 Department of Neurological Surgery, School of Medicine, University of California San Francisco, San Francisco, California, USA.
- 2 School of Medicine, University of California San Francisco, San Francisco, California, USA.
- 3 Division of Vascular Surgery, Department of Surgery, School of Medicine, University of California San Francisco, San Francisco, California, USA.
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Abstract
This surgical video demonstrates the technique of an oblique lumbar interbody fusion (OLIF) in the lumbar spine from L2 to L5 as well as an oblique approach to the L5-S1 level. It demonstrates the surgical approach, technical nuances of OLIF, and pearls of the surgery. The video discusses the importance of the release of the disc space to allow for height restoration and deformity correction, endplate preparation to enhance arthrodesis, and appropriate implant sizing. The concept of the approach is the minimally invasive blunt dissection through the abdominal wall musculature and mobilization of the retroperitoneal fat. Unlike the transpsoas approach, the surgery is performed anterior to the psoas, avoiding the lumbar plexus.1 For L5-S1, the approach is still performed in the lateral position but with an oblique approach. A vascular surgeon performs the L5-S1 approach, and the disc space is accessed through the iliac bifurcation.2 The discectomy and interbody fusion are performed similarly to a standard anterior lumbar interbody fusion (ALIF), but in a lateral position and at an oblique angle. The patient consented to this procedure and for filming a video of this case.
Keywords:
Antepsoas; Minimally invasive; Navigation; OLIF; Oblique lumbar interbody fusion; Spine.
© Congress of Neurological Surgeons 2021.
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