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Preoperative Considerations for Anterior Lumbar Interbody Fusion Revision

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Lumbar Spine Access Surgery

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Abstract

Anterior lumbar interbody fusion (ALIF) is a commonly used procedure to achieve arthrodesis and has the benefits of excellent visualization of the anterior column, thorough disc space preparation, and a large surface area for cage placement. An anterior approach also avoids extensive posterior dissection and limits the risk of injury to the neural elements. A revision surgery may be necessary in patients who experience painful pseudarthrosis, recurrent symptoms, or adjacent-level disease. This chapter will discuss the critical aspects of planning a revision anterior surgery including patient evaluation, diagnostic testing, preoperative procedures, and approach-specific considerations.

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References

  1. Martin BI, Mirza SK, Spina N, Spiker WR, Lawrence B, Brodke DS. Trends in lumbar fusion procedure rates and associated hospital costs for degenerative spinal diseases in the United States, 2004 to 2015. Spine. 2019;44:369–76.

    Article  PubMed  Google Scholar 

  2. Reisener M-J, Pumberger M, Shue J, Girardi FP, Hughes AP. Trends in lumbar spinal fusion-a literature review. J Spine Surg. 2020;6:752–61.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Lee S-H, Choi W-G, Lim S-R, Kang H-Y, Shin S-W. Minimally invasive anterior lumbar interbody fusion followed by percutaneous pedicle screw fixation for isthmic spondylolisthesis. Spine J. 2004;4:644–9.

    Article  PubMed  Google Scholar 

  4. Burkus JK, Gornet MF, Dickman CA, Zdeblick TA. Anterior lumbar interbody fusion using rhBMP-2 with tapered interbody cages. J Spinal Disord Tech. 2002;15:337–49.

    Article  PubMed  Google Scholar 

  5. Manzur M, Virk SS, Jivanelli B, Vaishnav AS, McAnany SJ, Albert TJ, Iyer S, Gang CH, Qureshi S. The rate of fusion for stand-alone anterior lumbar interbody fusion: a systematic review. Spine J. 2019;19:1294–301.

    Article  PubMed  Google Scholar 

  6. Baber Z, Erdek MA. Failed back surgery syndrome: current perspectives. J Pain Res. 2016;9:979–87.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Palumbo MA, Bianco AJ, Esmende S, Daniels AH. Wrong-site Spine Surgery. J Am Acad Orthop Surg. 2013;21:312–20.

    Article  PubMed  Google Scholar 

  8. Dowlati E, Alexander H, Voyadzis J-M. Vulnerability of the L5 nerve root during anterior lumbar interbody fusion at L5-S1: case series and review of the literature. Neurosurg Focus. 2020;49:E7.

    Article  PubMed  Google Scholar 

  9. Bosscher HA, Heavner JE. Incidence and severity of epidural fibrosis after back surgery: an endoscopic study. Pain Pract. 2010;10:18–24.

    Article  PubMed  Google Scholar 

  10. Saavedra-Pozo FM, Deusdara RAM, Benzel EC. Adjacent segment disease perspective and review of the literature. Ochsner J. 2014;14:78–83.

    PubMed  PubMed Central  Google Scholar 

  11. Raizman NM, O’Brien JR, Poehling-Monaghan KL, Yu WD. Pseudarthrosis of the spine. J Am Acad Orthop Surg. 2009;17:494–503.

    Article  PubMed  Google Scholar 

  12. Mobbs RJ, Loganathan A, Yeung V, Rao PJ. Indications for anterior lumbar interbody fusion. Orthop Surg. 2013;5:153–63.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Phan K, Lee NJ, Kothari P, Kim JS, Cho SK. Risk factors for readmissions following anterior lumbar interbody fusion. Spine. 2018;43:364–9.

    Article  PubMed  Google Scholar 

  14. Govindarajan V, Diaz A, Perez-Roman RJ, Burks SS, Wang MY, Levi AD. Osteoporosis treatment in patients undergoing spinal fusion: a systematic review and meta-analysis. Neurosurg Focus. 2021;50:E9.

    Article  PubMed  Google Scholar 

  15. Satake K, Kanemura T, Yamaguchi H, Segi N, Ouchida J. Predisposing factors for intraoperative endplate injury of extreme lateral interbody fusion. Asian Spine J. 2016;10:907–14.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Berman D, Oren JH, Bendo J, Spivak J. The effect of smoking on spinal fusion. Int J Spine Surg. 2017;11:29.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Passias PG, Bortz C, Alas H, Segreto FA, Horn SR, Ihejirika YU, Vasquez-Montes D, Pierce KE, Brown AE, Shenoy K, et al. Alcoholism as a predictor for pseudarthrosis in primary spine fusion: an analysis of risk factors and 30-day outcomes for 52,402 patients from 2005 to 2013. J Orthop. 2019;16:36–40.

    Article  PubMed  Google Scholar 

  18. Guyer RD, Patterson M, Ohnmeiss DD. Failed back surgery syndrome: diagnostic evaluation. J Am Acad Orthop Surg. 2006;14:534–43.

    Article  PubMed  Google Scholar 

  19. Porto GBF, Jeffrey Wessell DO, Alvarado A, Arnold PM, Buchholz AL. Anticoagulation and spine surgery. Global Spine J. 2020;10:53S–64S.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Lee Y-P, Sclafani J, Garfin SR. Lumbar Pseudarthrosis: diagnosis and treatment. Semin Spine Surg. 2011;23:275–81.

    Article  Google Scholar 

  21. Lockey S, Fakhre E, Mo AZ. Revision of lumbar pseudarthrosis after posterolateral fusion. Semin Spine Surg. 2022;34:100925.

    Article  Google Scholar 

  22. Bartleson JD, Maus TP. Diagnostic and therapeutic spinal interventions: epidural injections. Neurol Clin Pract. 2014;4:347–52.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. Kim BY, Concannon TA, Barboza LC, Khan TW. The role of diagnostic injections in spinal disorders: a narrative review. Diagnostics (Basel). 2021;11:11.

    Google Scholar 

  24. Urits I, Schwartz RH, Brinkman J, Foster L, Miro P, Berger AA, Kassem H, Kaye AD, Manchikanti L, Viswanath O. An evidence based review of Epidurolysis for the Management of Epidural Adhesions. Psychopharmacol Bull. 2020;50:74–90.

    PubMed  PubMed Central  Google Scholar 

  25. Capellades J, Pellisé F, Rovira A, Grivé E, Pedraza S, Villanueva C. Magnetic resonance anatomic study of Iliocava junction and left iliac vein positions related to L5–S1 disc. Spine. 2000;25:1695.

    Article  CAS  PubMed  Google Scholar 

  26. Isiklar ZU, Lindsey RW, Coburn M. Ureteral injury after anterior lumbar interbody fusion. A case report. Spine. 1996;21:2379–82.

    Article  CAS  PubMed  Google Scholar 

  27. Gumbs AA, Hanan S, Yue JJ, Shah RV, Sumpio B. Revision open anterior approaches for spine procedures. Spine J. 2007;7:280–5.

    Article  PubMed  Google Scholar 

  28. Brau S, Delamarter RB, Kropf MA, Watkins RG III, Williams LA, Schiffman ML, Bae HW. Access strategies for revision in anterior lumbar surgery. Spine. 2008;33:1662–7.

    Article  PubMed  Google Scholar 

  29. Mobbs RJ, Phan K, Daly D, Rao PJ, Lennox A. Approach-related complications of anterior lumbar interbody fusion: results of a combined spine and vascular surgical team. Global Spine J. 2016;6:147–54.

    Article  PubMed  Google Scholar 

  30. Lane JD Jr, Moore ES Jr. Transperitoneal approach to the intervertebral disc in the lumbar area. Ann Surg. 1948;127:537–51.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Laratta JL, Davis EG, Glassman SD, Dimar JR. The transperitoneal approach for anterior lumbar interbody fusion at L5- S1: a technical note. J Spine Surg. 2018;4:459.

    Article  PubMed  PubMed Central  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, University of Virginia, Charlottesville, USA

    Philip C. Nelson

  2. Division of Spine Surgery, Department of Orthopaedic Surgery, University of Virginia, Charlottesville, VA, USA

    Stephen D. Lockey

Authors
  1. Philip C. Nelson
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  2. Stephen D. Lockey
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Editor information

Editors and Affiliations

  1. Aligned Orthopaedics, Bethesda, MD, USA

    Joseph R. O'Brien

  2. Department of Orthopedic Surgery, The George Washington University, Washington, DC, USA

    Jeffrey B. Weinreb

  3. Vascular Surgery, Inova Health System, Falls Church, VA, USA

    Joseph C. Babrowicz

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Nelson, P.C., Lockey, S.D. (2023). Preoperative Considerations for Anterior Lumbar Interbody Fusion Revision. In: O'Brien, J.R., Weinreb, J.B., Babrowicz, J.C. (eds) Lumbar Spine Access Surgery. Springer, Cham. https://doi.org/10.1007/978-3-031-48034-8_26

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  • DOI: https://doi.org/10.1007/978-3-031-48034-8_26

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-48033-1

  • Online ISBN: 978-3-031-48034-8

  • eBook Packages: MedicineMedicine (R0)

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