Abstract
The OLIF technique developed in Europe in the 1990s from access variations of anterior lumbar interbody fusion. The scalability of the approach allows fusion procedures, vertebral body replacement, disc replacement and revision procedures. Analogous to the ALIF technique (Anterior Lumbar Interbody Fusion), decompression of the spinal canal (as in the cervical spine) is possible. In contrast to ALIF, retroperitoneal access is facilitated by gravity retraction of the peritoneal sac. The anterior longitudinal ligament and annulus are accessible for complete ventral release. As with ALIF, a variety of implant systems are available to treat degenerative, traumatic, neoplastic, and inflammatory conditions of the lumbar spine. In preparation for the procedure, CT angiography has proven useful. Intraoperative assistance by a vascular surgeon is essential at the beginning of the learning curve. A suitable retractor system and instruments as well as good illumination of the surgical field are required for safe and time-efficient performance of the OLIF. The access dimensions limit the role of the surgical assis tant.
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Scheufler, KM. (2023). OLIF Technique (Oblique Lumbar Interbody Fusion). In: Jerosch, J. (eds) Minimally Invasive Spine Intervention. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-63814-9_22
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DOI: https://doi.org/10.1007/978-3-662-63814-9_22
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