{"title":"Anterior lumbar interbody fusion","authors":"Manaf H. Younis, Eugene Y. Koh","doi":"10.1016/j.semss.2022.100975","DOIUrl":null,"url":null,"abstract":"<div><p><span>Anterior lumbar interbody fusion (ALIF) is a common technique for treating a variety of lumbar spine<span> disorders. Although used predominantly to obtain fusion, it is also excellent for restoring lumbar lordosis and can be used for indirect decompression, especially in the setting of foraminal stenosis.</span></span><span><sup>4</sup></span><span> The technique is used predominantly at L4-5 and L5-S1, but can be used at L3-4 and even L2-3. ALIF provides an excellent biomechanical environment for arthrodesis. The anterior longitudinal ligament resection allows for excellent restoration of lordosis. ALIF can be performed as an isolated procedure or combined with posterior approaches. Although there are major risks associated with the required abdominal approach, ALIF has reached popularity for its reliability and versatility. With good knowledge of anatomical hazards, the properly indicated patient has much to gain with an ALIF surgery.</span></p></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"34 3","pages":"Article 100975"},"PeriodicalIF":0.0000,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Seminars in Spine Surgery","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1040738322000569","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Anterior lumbar interbody fusion (ALIF) is a common technique for treating a variety of lumbar spine disorders. Although used predominantly to obtain fusion, it is also excellent for restoring lumbar lordosis and can be used for indirect decompression, especially in the setting of foraminal stenosis.4 The technique is used predominantly at L4-5 and L5-S1, but can be used at L3-4 and even L2-3. ALIF provides an excellent biomechanical environment for arthrodesis. The anterior longitudinal ligament resection allows for excellent restoration of lordosis. ALIF can be performed as an isolated procedure or combined with posterior approaches. Although there are major risks associated with the required abdominal approach, ALIF has reached popularity for its reliability and versatility. With good knowledge of anatomical hazards, the properly indicated patient has much to gain with an ALIF surgery.
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.
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