{"title":"Oblique lateral interbody fusion: The fundamentals for practice","authors":"Clare E. Griffis , Christopher P. Carroll","doi":"10.1016/j.semss.2022.100973","DOIUrl":null,"url":null,"abstract":"<div><p>With the avoidance of dissection through the psoas, the oblique lateral interbody fusion (OLIF) offers the spine surgeon a safe option of indirect decompression of the lumbar spine<span>. Described in 1997, the OLIF technique continues to expand its surgical indications with the advent of navigation and robotic technology. This paper will discuss the indications and contraindications of the OLIF procedure while highlighting anatomic considerations, technical aspects, outcomes and complications. From degenerative spondylosis<span>, to sagittal and coronal deformity, the pathology that can be addressed with the OLIF continues to evolve with the aging population. Endplate fracture and subsidence and transient neuropraxias are the most common complications, with an overall rate less than that of transforaminal lumbar interbody fusion (TLIF) or posterolateral interbody fusion (PLIF) with the added benefit of a shorter hospital stay.</span></span></p></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"34 3","pages":"Article 100973"},"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/S1040738322000545","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
With the avoidance of dissection through the psoas, the oblique lateral interbody fusion (OLIF) offers the spine surgeon a safe option of indirect decompression of the lumbar spine. Described in 1997, the OLIF technique continues to expand its surgical indications with the advent of navigation and robotic technology. This paper will discuss the indications and contraindications of the OLIF procedure while highlighting anatomic considerations, technical aspects, outcomes and complications. From degenerative spondylosis, to sagittal and coronal deformity, the pathology that can be addressed with the OLIF continues to evolve with the aging population. Endplate fracture and subsidence and transient neuropraxias are the most common complications, with an overall rate less than that of transforaminal lumbar interbody fusion (TLIF) or posterolateral interbody fusion (PLIF) with the added benefit of a shorter hospital stay.
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.