extreMe lateral and direCt lateral Fusion teChniques
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Risks of Colon Injuries in Extreme Lateral Approaches to the Lumbar Spine: An Anatomical Study
Introduction The extreme lateral interbody fusion technique (XLIF) is a modification of the retroperitoneal approach to the lumbar spine. This is a minimally invasive technique allowing direct access to the disc space without peritoneal or posterior paraspinal musculature damage. Nevertheless, the retroperitoneal part of the colon can be injured in this operative technique. To our knowledge, a...
متن کاملAdult Degenerative Scoliosis with Spinal Stenosis Treated with Stand-Alone Cage via an Extreme Lateral Transpsoas Approach; a Case Report and Literature Review
We report the case of a 73-year-old female with severe degenerative scoliosis and back and leg pain that wassuccessfully treated with stand- alone cages via an extreme lateral transpsoas approach. This patient had declinedopen surgery and instrumentation due to her advanced age concerns about potential side effects.
متن کاملA cadaveric radiographic analysis on the effect of extreme lateral interbody fusion cage placement with supplementary internal fixation on indirect spine decompression.
STUDY DESIGN Cadaveric Biomechanical and Radiographic Analysis. OBJECTIVE The purpose of this study was to quantify the changes in intervertebral height and lateral and central recess areas afforded by lateral interbody fusion cages with 2 supplemental forms of internal fixation in cadaveric specimens. BACKGROUND DATA When conservative treatment for symptomatic lumbar stenosis fails, tradit...
متن کاملBiomechanical Comparison of Anterior and Direct Lateral Interbody Fusion with Supplemental Instrumentation
INTRODUCTION: Direct lateral interbody fusion (DLIF) is less invasive than traditional methods, such as anterior lumbar interbody fusion (ALIF). While the direct lateral approach is safer for a variety of clinical reasons, immobilization of motion segments is crucial for complete bony union, regardless of approach. Therefore, biomechanical assessment is necessary to determine if the DLIF approa...
متن کاملCase report: incisional hernia as a complication of extreme lateral interbody fusion.
BACKGROUND CONTEXT Minimal access surgery is becoming more popular for spinal fusion because of a lower theoretical risk of complications and shorter postoperative recovery period, compared with the traditional open approach. The lateral approach uses retroperitoneal transpsoas access to the vertebra, obviating the need for an approach surgeon and minimizing muscular disruption, thus allowing a...
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