L2/3, L3/4 and L4/5 oblique lumbar interbody fusion/anterior to psoas: Anatomical and technical considerations

Q4 Medicine

Seminars in Spine Surgery Pub Date : 2025-03-01 DOI:10.1016/j.semss.2025.101162

Prashanth J Rao , Nipun Shreshtha , Gayani Petersingham , Andrew J Berg , Kevin Seex

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引用次数: 0

Abstract

Background

Degenerative disc and facet joint disease are prevalent conditions in the aging population, often leading to disability. Oblique lumbar interbody fusion (OLIF) /anterior to psoas (ATP) surgeries provide effective treatment by stabilizing the affected segment, offering indirect decompression of neural elements, and correcting coronal and sagittal deformities. Other indications include instability, infection, tumour and revision surgery. This review aims to assess the anatomical and technical considerations essential for performing OLIF/ATP surgeries between L2-L5 .

Methods

The surgical techniques and anatomical and technical considerations for lumbar interbody fusion using OLIF/ATP at the L2/3, L3/4, and L4/5 levels were examined.

Results

This review outlines anatomical and technical considerations for a successful ATP/OLIF procedure L2-L5.

Conclusion

This study thoroughly reviews the literature on OLIF/ATP and provides recommendations and guidelines on anatomical and technical considerations for ATP/OLIF procedures at L2/3, L3/4 and L4/5.

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l3 /3、L3/4和L4/5斜腰椎间融合/腰肌前路：解剖学和技术考虑

椎间盘退行性疾病和关节突是老年人的常见病，常导致残疾。斜腰椎椎体间融合术(OLIF) /腰前肌（ATP）手术通过稳定受影响的节段、提供神经元素的间接减压和纠正冠状和矢状畸形提供了有效的治疗。其他适应症包括不稳定、感染、肿瘤和翻修手术。本综述旨在评估在L2-L5之间进行OLIF/ATP手术的解剖学和技术考虑。方法研究了在L2/3、L3/4和L4/5节段使用OLIF/ATP进行腰椎体间融合术的手术技术和解剖学和技术考虑。结果本综述概述了成功的ATP/OLIF手术L2-L5的解剖学和技术考虑。本研究全面回顾了有关OLIF/ATP的文献，并就l3 /3、L3/4和L4/5的ATP/OLIF手术的解剖学和技术考虑提供了建议和指南。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Seminars in Spine Surgery Medicine-Surgery

CiteScore

0.50

自引率

0.00%

发文量

审稿时长

2 days

期刊介绍： Seminars in Spine Surgery is a continuing source of current, clinical information for practicing surgeons. Under the direction of a specially selected guest editor, each issue addresses a single topic in the management and care of patients. Topics covered in each issue include basic anatomy, pathophysiology, clinical presentation, management options and follow-up of the condition under consideration. The journal also features "Spinescope," a special section providing summaries of articles from other journals that are of relevance to the understanding of ongoing research related to the treatment of spinal disorders.