Abstract
Anterior lumbar interbody fusion (ALIF) is a complex patient care collaboration between surgical and imaging experts. Proper patient evaluation hinges on careful imaging review, principally plain x-ray and magnetic resonance imaging (MRI). Metrics associated with anatomic features present on MRI facilitate case planning; skin-to-spine depth (D), retrovascular fat plain involvement (I), and vascular free window (V) comprise the DIV criteria. Attention to these patient characteristics enable access surgeons to prepare for each anatomic challenge prior to entering the operating room.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Ramirez JL, Zarkowsky DS, Sorrentino TA, et al. Antegrade common femoral artery closure device use is associated with decreased complications. J Vasc Surg. 2020;72:1610–7. e1
Siracuse JJ, Farber A, Cheng TW, et al. Common femoral artery antegrade and retrograde approaches have similar access site complications. J Vasc Surg. 2019;69:1160–6. e2
Park JY, Ahn JH, Jeon YS, Cho SG, Kim JY, Hong KC. Iliac vein stenting as a durable option for residual stenosis after catheter-directed thrombolysis and angioplasty of iliofemoral deep vein thrombosis secondary to May-Thurner syndrome. Phlebology. 2014;29:461–70.
Ishikawa E, Miyazaki S, Mukai M, et al. Femoral vascular complications after catheter ablation in the current era: the utility of computed tomography imaging. J Cardiovasc Electrophysiol. 2020;31:1385–93.
Vraney RT, Phillips FM, Wetzel FT, Brustein M. Peridiscal vascular anatomy of the lower lumbar spine. An endoscopic perspective. Spine (Phila Pa 1976). 1999;24:2183–7.
Kleeman TJ, Michael Ahn U, Clutterbuck WB, Campbell CJ, Talbot-Kleeman A. Laparoscopic anterior lumbar interbody fusion at L4-L5: an anatomic evaluation and approach classification. Spine (Phila Pa 1976). 2002;27:1390–5.
Ng JP, Scott-Young M, Chan DN, Oh JY. The feasibility of anterior spinal access: the vascular corridor at the L5-S1 level for anterior lumbar Interbody fusion. Spine (Phila Pa 1976). 2021;46:983–9.
Chung NS, Jeon CH, Lee HD, Kweon HJ. Preoperative evaluation of left common iliac vein in oblique lateral interbody fusion at L5-S1. Eur Spine J. 2017;26:2797–803.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Zarkowsky, D., Schoeff, J.E., Baheti, A. (2023). Imaging Review for Anterior Lumbar Access Surgery. 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_5
Download citation
DOI: https://doi.org/10.1007/978-3-031-48034-8_5
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-48033-1
Online ISBN: 978-3-031-48034-8
eBook Packages: MedicineMedicine (R0)