Oblique Lumbar Interbody Fusion from the Right-Side Approach in the Treatment of a Patient with Left-Sided Inferior Vena Cava

Oblique lumbar interbody fusion (OLIF) can achieve better reconstruction of the spine via anatomic corridor between psoas muscle and great vessels. Despite OLIF is considered as an effective relatively safer procedure, congenital anomalies main vessels surrounding oblique may pose higher risk vascular damage, which should bear in mind deciding to use procedure. We presented a case anomalous left-sided inferior vena cava (IVC) who underwent procedure alternatively through larger aorta right muscle. The sympathetic trunk (LST) could be observed subsequently protected at medial border