Oblique Lumbar Interbody Fusion With Stereotactic Navigation: Technical Note

Global Spine Journal
Winward ChoyDean Chou

Abstract

Surgical technical note. Describe the preoperative evaluation, approach, and technical considerations for an oblique lumbar interbody fusion using neuronavigation. A thorough review of previous technical and anatomic descriptions for pre- and transpsoas interbody techniques was performed and incorporated into the technical considerations warranting discussion for a navigated oblique lateral interbody fusion. The prepsoas technique, also known as an oblique lumbar interbody fusion (OLIF), is an alternative approach for lumbar interbody fusion that utilizes a retroperitoneal corridor between the aorta/inferior vena cava. This corridor is devoid of neurovascular structures and obviates the need for real time electromyography monitoring. This approach spares the psoas and provides direct visualization of key structures and minimizes risk of injury to the great vessels, ureter, and lumbar plexus. A navigated prepsoas retroperitoneal approach is an effective minimally invasive technique for lumbar interbody fusion that may help mitigate some of the vascular and neurologic complications present with anterior lumbar interbody fusion or lateral lumbar interbody fusion and minimize radiation exposure to the surgeon.

References

Sep 10, 2013·The Spine Journal : Official Journal of the North American Spine Society·Marios G LykissasFederico P Girardi
Oct 10, 2015·Journal of Neurosurgery. Spine·Diana M MolinaresDaniel A Fung
Mar 18, 2016·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Roger HärtlRobert A McGuire
Jun 29, 2016·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Kevin PhanRalph J Mobbs
Oct 26, 2016·World Neurosurgery·Jia Xi Julian LiRalph Mobbs

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