Abstract
Oblique lumbar interbody fusion (OLIF) may be used effectively and safely for up to three levels from L2 to L5 using a “sliding window” approach. The technique described here is associated with a risk of complications similar to that reported for traditional anterior approaches, with the advantage of decreasing the risk of abdominal wall weakness or herniation. For selected cases, it can also be performed at L1–L2 and L5–S1, although another approach might be preferred at L5–S1 due to the risks associated with mobilization of the iliac vessels and to the presence of the iliac wing. Because of the new design of implants and development of this technique, the risk of contralateral compression of dural sac and nerve roots during insertion of interbody devices becomes quite rare; and the procedure is now quite safe. Thus, OLIF can be applied to other procedures besides discectomy and interbody fusion.
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
Similar content being viewed by others
References
Bederman SS, Kreder HJ, Weller I, et al. The who, what and when of surgery for the degenerative lumbar spine: a population-based study of surgeon factors, surgical procedures, recent trends and reoperation rates. Can J Surg. 2009;52:283–90.
Deyo RA, Nachemson A, Mirza SK. Spinal-fusion surgery – the case for restraint. N Engl J Med. 2004;350:722–6.
Weinstein JN, Lurie JD, Olson PR, et al. United States’ trends and regional variations in lumbar spine surgery: 1992–2003. Spine. 2006;31:2707–14.
Sasso RC, Best NM, Mummaneni PV, et al. Analysis of operative complications in a series of 471 anterior lumbar interbody fusion procedures. Spine. 2005;30:670–4.
Mummaneni PV, Haid RW, Rodts GE. Lumbar interbody fusion: state-of-the-art technical advances. J Neurosurg Spine. 2004;1:24–30.
Eck JC, Hodges S, Humphreys SC. Minimally invasive lumbar spinal fusion. J Am Acad Orthop Surg. 2007;15:321–9.
Shen FH, Samartzis D, Khanna AJ, et al. Minimally invasive techniques for lumbar interbody fusions. Orthop Clin North Am. 2007;38:373–86.
Regan JJ, Hansen Y, McAfee PC. Laparoscopic fusion of the spine: minimally invasive spine surgery: a prospective multicenter study evaluating open and laparoscopic lumbar fusion. Spine. 1999;24:402–11.
Chung SK, Lee SH, Lim SR, et al. Comparative study of laparoscopic L5–S1 fusion versus open mini-ALIF, with a minimum 2-year follow-up. Eur Spine J. 2003;12:613–7.
Zdeblick TA, David SM. A prospective comparison of surgical approach for anterior L4–5 fusion. Laparoscopic versus mini anterior lumbar interbody fusion. Spine. 2000;25:2682–7.
Kaiser MG, Haid Jr RW, Subach BR, et al. Comparison of the mini-open versus laparoscopic approach for anterior lumbar interbody fusion: a retrospective review. Neurosurgery. 2002;51:97–105.
Mayer HM. A new microsurgical technique for minimally invasive anterior lumbar interbody fusion. Spine. 1997;22:691–9.
Saraph V, Lerch C, Walochnik N, et al. Comparison of conventional versus minimally invasive extraperitoneal approach for anterior lumbar interbody fusion. Eur Spine J. 2004;13:425–31.
Brau SA. Mini-open approach to the spine for anterior lumbar interbody fusion: description of the procédure, results and complications. Spine J. 2002;2:216–23.
Silvestre C, Mac Thiong JM, Hilmi R, Roussouly P. Minimally invasive anterior oblique lumbar interbody fusion (OLIF). Description of the technique and complications on 179 patients. Asian Spine J. 2012 Jun;6(2):89–97. doi: 10.4184/asj.2012.6.2.89. Epub 2012 May 31
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Silvestre, C., Roussouly, P. (2016). Oblique Lumbar Interbody Fusion. In: Pinheiro-Franco, J., Vaccaro, A., Benzel, E., Mayer, H. (eds) Advanced Concepts in Lumbar Degenerative Disk Disease. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-47756-4_30
Download citation
DOI: https://doi.org/10.1007/978-3-662-47756-4_30
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-47755-7
Online ISBN: 978-3-662-47756-4
eBook Packages: MedicineMedicine (R0)