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Anterior lumbar interbody fusion (ALIF) is a widely accepted approach for spine surgery. Vascular surgeons are increasingly being used for preoperative planning and to obtain intraoperative exposure. Many complications related to this anterior approach are vascular in nature; however, risk factors to identify these patients are poorly defined in the current literature.
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Methods. A multicenter retrospective study analyzed lumbar interbody fusion for low-grade ISPL performed between March 2016 and March 2019. Techniques comprised: circumferential fusion on a posterior or a transforaminal approach (PLIF, TLIF: n = 57), combined anterior (ALIF) + posterolateral fusion (ALIF + PLF: n = 60), and ALIF + percutaneous posterior fixation (ALIF + PPF: n = 55).
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Radiographic analyses of fusion by plain films and CT scans. Procedures performed were circumferential fusion (67%), ALIF (17%) and TLIF (16%). Followup radiographic data was analyzed to establish arthrodesis versus failure (pseudarthrosis), number of months until achievement of fusion, and possible.
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Anterior lumbar interbody fusion is an important staple in the armamentarium of spine surgeons. The benefits of an anterior lumbar approach include broad exposure of the disk space allowing for thorough diskectomy, effective endplate preparation, appropriate sizing and placement of an optimal interbody graft, and anterior fixation if necessary.
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Anterior Lumbar Interbody Fusion (ALIF) Anterior Lumbar Interbody Fusion is an innovative technique utilized to remove a degenerative discs in your lumbar spine. Using a minimally invasive approach this procedure is done from the front of the spine and creates a solid bridge between at least two vertebrae. The goal of this surgical technique is.
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1 Anterior lumbar interbody fusion (ALIF) This is performed through an incision in the tummy. The abdominal contents lay inside a large sack (peritoneum) that can be retracted (moved to the side), allowing the surgeon access to the front of the spine without entering the abdomen. The large vessels (aorta, common iliac artery and vena cava) that.
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Anterior lumbar interbody fusion (ALIF) is a spinal fusion procedure in which surgeons navigate through the abdomen to access the front of the spine and fuse two or more vertebrae in the lower back together. The procedure involves an "approach" surgeon (who provides access to the spine) and a spine surgeon, working together.
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The procedure of anterior lumbar interbody fusion ( ALIF) is commonly performed on patients suffering from pain and/or neurological symptoms associated with disorders of the lumbar spine caused by disc degeneration and trauma. Surgery is indicated when prolonged conservative management proves ineffective.
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According to the National Center for Health Statistics, more than 650 000 spinal fusion surgeries are performed annually. 1 The success of arthrodesis in spine surgery depends on multiple factors; however, an important component to success depends on the bone graft and graft substitutes used in surgery.
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Intraoperative neurophysiological monitoring was used in 44.5% of surgeries. Transpedicular instrumentation was performed in conjunction with ALIF in the same operation in 9 patients, with stand-alone ALIF L5-S1 being performed in 51 patients. The most common combination of multiple levels intervened via ALIF was L4-L5-S1, happening in 15 patients.
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Agreeingly, multilevel ALIF has been shown to have no significant effect on amount of blood loss when compared to single-level ALIF procedures [19]. However, higher number of levels fused and a combined approach (with posterior or lateral) performed in the same setting has been associated with a greater complication rate, although our analysis.
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The overall quality (strength) of evidence of effectiveness and safety of allogenic stem cells products for lumbar and cervical arthrodesis was very low, meaning that we have very little confidence that the effects seen are reflective of the true effects. Keywords: fusion, allogenic cells, stem cells, systematic review Go to: Introduction
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The use of stand-alone interbody devices for ALIF has been met with mixed clinical success. As a result, many supplement ALIF with posterior spinal fixation with or without posterior intertransverse fusion (360ยฐ or circumferential fusion) to increase stabilization, enhance arthrodesis, and ideally improve clinical outcomes (Fig. 28.2a, b ).
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An Anterior Lumbar Interbody Fusion (ALIF) surgery is a type of spinal fusion performed to stabilize a painful motion segment in the lower back, commonly caused by lumbar degenerative disc disease and/or spondylolisthesis. The surgical approach is via the abdomen, to access the front-or the "anterior"-of the spine, where the disc is located.
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Maximizing Safety and Outcomes in ALIF Procedures: The Importance of Autotransfusion (Cell Saver) Autotransfusion, also known as cell saver or cell salvage, is a commonly used technique in spine procedures, particularly in Anterior Lumbar Interbody Fusion (ALIF) surgeries.
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First described in 1932 by Capener, anterior lumbar interbody fusion (ALIF) is another technique for treating the degenerative and isthmic forms of spondylolisthesis [1], [2], [3], [4], [5]. The chief advantage of ALIF is excellent exposure, which permits thorough discectomy and placement of a large, wedge-shaped, lordotic device [3], [4].
