The procedure is performed through the patients side, avoiding the major muscles of the back. Jan 30, 2015 oblique lateral lumbar interbody fusion overview duration. Overview lateral interbody fusion in the lumbar spine for. Far lateral lumbar spine fusions direct lateral interbody. Xlif is simply a term given to an interbody fusion procedure where the spine is accessed from the patients side laterally. Extreme lateral interbody fusion xlif radiology reference. Sep 22, 2016 pros of xrayct documentation of indirect decompression with extreme lateral interbody fusion. Early complications of extreme lateral interbody fusion in. In the presence of intact vertebral bodies direct lateral transpsoas lumbar interbody fusion has become the authors procedure of choice for anterior column support. For example, a surgeon can access the spine through incisions in the lower back or through incisions in the front of the body.
Coding xlif l34 and l45 with facet fusion l34 and l4. Extreme lateral interbody fusion xlif is a relatively new technique whereby access to the disc space is achieved through a minimally invasive lateral, retroperitoneal, transpsoas approach. Jul 24, 2016 many different names including extreme lateral interbody fusion xlif, direct lateral interbody fusion dlif, or oblique lumbar interbody fusion olif. Posterior lumbar interbody fusion is an approved and effective method for fusing the lumbar spine. Extreme lateral interbody fusion for the treatment of adult. The xlif extreme lateral interbody fusion what is lateral access surgery. A transforaminal lumbar interbody fusion tlif is performed to remove a portion of a disc that is the source of back or leg pain. The xlif extreme lateral interbody fusion spine clinic. Extreme lateral interbody fusion xlif ortho pedicny. Overview lateral interbody fusion in the lumbar spine. Xlif extreme lateral interbody fusion welcome to navaladi.
Spine surgeons are always seeking new ways to perform spine surgery in a safe, effective way that will make your recovery less painful and more rapid. Oblique lateral lumbar interbody fusion overview duration. An incision is made though the skin down to your abdominal muscles. This is in contrast to the more conventional anterior from the front, and posterior from the back approach. Xlif provides a safe approach that does not include the risk of abdominal and vascular complications that exists with the anterior approach. An extreme lateral interbody fusion xlif is a stateoftheart, minimally invasive surgical procedure to relieve the pain and inflammation that is caused by disc degeneration.
Spinal fusion surgery refers to operations that are performed on the bones, discs and soft tissues of the spine. This video gives a clear picture of how an interbody spine fusion surgery works. An extreme lumbar interbody fusion xlif is a minimally invasive procedure that is used to treat a variety of spinal disorders including. After surgery youll wake up in the recovery room, where your vital signs will be monitored and your immediate postoperative condition will be carefully. Extreme lateral interbody fusion xlif spine surgery virginia. It uses two threaded titanium cylinders to hold the vertebrae in proper position while the spine fusion occurs. Almost all fusion surgery is performed on the lumbar spine lower back and a lateral lumbar interbody fusion operation is a common and increasingly utilized method to. Lumbar transforaminal lumbar interbody fusion tlif. Disc material is removed and a fusion graft is placed into the disc space. Like the plif posterior lumbar interbody fusion procedure, bone graft is used to fuse the spinal vertebrae after the disc is removed. How to fix forward head posture 3 easy exercises from a chiropractor. A lateral retroperitoneal, transpsoas approach to the anterior disc space allows for complete discectomy, distraction, and interbody fusion without the need for an approach surgeon.
Extreme lateral interbody fusion xlif is a minimally invasive procedure for reducing longterm neck or back pain, generally caused by degenerative disc disease. Aug 04, 2015 while youre preparing to talk to your physician more about your procedure, here is some general information about what to expect after an extreme lateral interbody fusion xlif procedure. Xlif is generally recommended to treat back and leg pain that may be caused by degenerative disc disease or a bulging or herniated disc. A lateral retroperitoneal, transpsoas approach to the anterior disc space allows for complete discectomy, distraction, and. Using the extreme lateral interbody fusion xlif technique, we now access the spine of the low back t5l5 from the patients side. This is a minimally invasive technique where the surgeon makes a lateral incision and performs the surgery from the lateral side. Lateral lumbar interbody fusion xlif is a minimallyinvasive procedure used to treat leg or back pain generally caused by degenerative disc disease. Extreme lateral interbody fusion xlif san antonio, tx. Anterior alif and lateral llif lumbar interbody fusion techniques combined with pedicle screw and rod fixation psf are widely accepted surgical strategies to treat pain, deformity, and. In a lateral lumbar interbody fusion, the surgeon takes a side. Lateral interbody fusion in the lumbar spine for low back pain.
Unlike an alif, an xlif is performed from a lateral transpsoas approach and does not require retroperitoneal or intraperitoneal dissection. Fusion rate following extreme lateral lumbar interbody fusion article pdf available in european spine journal 24s3 april 2015 with 4 reads how we measure reads. It is often called the transpsoas approach because in the lumbar spine, it requires traversing the psoas muscle. In an interbody spinal fusion, the damaged intervertebral disk is removed and replaced with bone graft material. As a result continue reading xlif extreme lateral interbody fusion. Avoid lying down, standing or sitting for long periods during the day. It can be performed at multiple lumbar levels although. Extreme lateral interbody fusion xlif is a form of lumbar surgical spinal fusion developed in 2001 to be a safer alternative to the older anterior lumbar interbody fusion alif developed in the 1950s 1,2. One of the incisions will be made on your side this is the incision from which most of the surgery will. A lateral approach is made safe with the use of nerve. Extreme lateral interbody fusion request a consultation call 9493834182 extreme lateral interbody fusion xlif is a minimally invasive procedure performed through the side of the body to access the spinal disorders, rather than from the front or back and sparing major back muscles, bones and ligaments.
Learn what is involved in a minimally invasive lateral interbody fusion lif of the lower back. Lateral access is a safe and reproducible means of addressing certain spine disorders with an approach from the side of the patient, as opposed to an approach from the back posterior or the front anterior. An interbody fusion can be performed using a variety of different approaches. Instrumentation is used to provide space for placing the grafts and to help stabilize the. Xlif is a blessing for patients that require fusion on their spinal joints. Extreme lateral interbody fusion xlif spine surgery. Caring for myself after extreme lateral lumbar spinal fusion 5 change your positions often. Inspired spine ollif procedure animation short duration. Extreme lateral interbody fusion xlif is a surgical procedure in which the front part of the lumbar spine is fused from the side. The nerves of the lumbar plexus reside within the psoas, and the technique is dependent upon realtime electromyographic monitoring.
The advantage of llif over traditional anterior approaches is that it avoids exposing the abdominal viscera, large vessels, and sympathetic plexus. In an anterior lumbar interbody fusion alif, the surgeon accesses the spine through an incision in the front, rather than the back. The xlif extreme lateral interbody fusion is an approach to spinal fusion in which the surgeon accesses the intervertebral disc space and fuses the lumbar spine low back using a surgical approach from the side lateral rather than from the front anterior or the back posterior. Xlif extreme lateral interbody fusion mis extreme lateral interbody fusion procedure is a minimally disruptive surgical technique in which the surgeon approaches the spine from the side of the patients body, rather than the front or back as in traditional spine surgeries. Extreme lateral interbody fusion xlif texas back institute. If you do any activity that increases your pain, stop it immediately. The surgeon makes an incision in the side between the lower ribs and the pelvis. Lateral approaches to interbody fusion musculoskeletal key. The patient is supine, instrumentation and implants go through the anterior of the body and directly into the anterior vertebral column. The lateral lumbar interbody fusion llif technique has shown encouraging results in patients with degenerative conditions of the lumbar spine 1,2.
Pros of xrayct documentation of indirect decompression with extreme lateral interbody fusion. If you have a lot of discomfort in your back, you can use ice to help. Postoperative xrays and computed tomography ct studies documented that mis xlif with or without posterior instrumentation provided increased maximal disc removalend plate availability for interbody fusion while affording indirect decompression of the spinal canal degenerative stenosis or. Fusion rate following extreme lateral lumbar interbody fusion. The lateral approach can also be used to access thoracic spine as well. To our knowledge, this analysis of 30 patients and 127 disc levels is the largest radiographic study to date of scoliosis patients treated with any form of lateral lumbar interbody fusion, including xlif, direct lateral interbody fusion medtronic sofamor danek, memphis, tn, usa or lateral lumbar interbody fusion globus medical, inc. Minimally disruptive approaches to the anterior lumbar spine continue to evolve in a quest to reduce approachrelated morbidity. This is a much gentler less invasive and quick recovery surgical technique that is lauded the world over. Xlif extreme lateral interbody fusion mis beverly hills. Whereas traditional spinal fusions involved invasive procedures with lengthy hospital stays and prolonged recovery times, a minimally invasive xlif can offer a divergent alternative. You will be positioned on your side on the surgical table and two small incisions will be made. Extreme lateral interbody fusion xlif back in control. Extreme lumbar interbody fusion new york city spine.
The extreme lateral interbody fusion xlif is a useful procedure for a number of conditions that require fusion of the lumbar spine such as degenerative conditions, instability, and deformity of the lumbar spine. Xlif or extreme lateral interbody fusion surgery is a type of spinal fusion performed by which the surgeon accesses the intervertebral disc space from the side, lateral approach. Lateral approaches include xlif extreme lateral interbody fusion and dlif direct lateral interbody fusion. Extreme lateral interbody fusion xlif you will be positioned on either your right or left side after you have had your general anesthesia. Minimally invasive surgery mis consisting of extreme lateral interbody fusion procedures xlif were devised to afford maximal disc excision and end plate availability for interbody fusion, while providing indirect decompression of the neural elements. Anterior lumbar interbody fusion in san francisco alif. Extreme lateral interbody fusion xlif is a minimally invasive procedure performed through the side of the body to treat spinal disorders and reduce longterm back or leg pain that has not responded to other treatments, such as steroid injections, physical therapy and pain medication. Like any other surgical approach to the spine there are advantages, limitations and risks to an xlif procedure. Tim yoon definition lateral approach to interbody fusion many different names including extreme lateral interbody fusion xlif, direct lateral interbody fusion dlif, or oblique lumbar interbody fusion olif. Caring for myself after extreme lateral lumbar spinal fusion. Coding xlif l34 and l45 with facet fusion l34 and l45. Story time just got better with prime book box, a subscription that delivers editorially handpicked childrens books every 1, 2, or 3 months at 40% off list price. Feb 16, 2012 oblique lateral lumbar interbody fusion overview duration.
It is called a posterior procedure because the spine is approached through an incision on the back. What to expect after an xlif procedure the better way back. The nerves of the lumbar plexus reside within the psoas, and the technique. A posterior lumbar interbody fusion plif is performed to remove a disc that is the source of back or leg pain and fuse spinal vertebrae with bone grafts. In a lateral lumbar interbody fusion, the surgeon takes a side approach and centers the incision over the patients flank. Review of risks and complications of extreme lateral. Alif anterior lumber interbody fusion is clearly anterior approach. The goal of surgery is to decrease pain, correct spinal deformity, and improve stability. Interbody spine fusion is designed to be a less invasive way of obtaining a spinal fusion. Extreme lateral interbody fusion for the treatment of. Lateral lumbar interbody fusion xlif circle health. While youre preparing to talk to your physician more about your procedure, here is some general information about what to expect after an extreme lateral interbody fusion xlif procedure. It can be performed at multiple lumbar levels although in most patients it is performed only at one or two levels.
Evidencebased recommendations on lateral interbody fusion in the lumbar spine for low back pain in adults. Extreme lateral interbody fusions xlifs and minimally invasive mis xlif were devised to reduce the vascular injuries seen with anterior lumbar interbody fusions alif, and limit the muscularsoft tissue trauma seen with transforaminal lumbar interbody fusion tlif, posterior lumbar interbody fusion plif, and posterolateral lumbar fusion plf. This guidance replaces nice interventional procedures guidance on lateral including extreme, extra and direct lateral interbody fusion in the lumbar spine ipg321. This incision may be directly over the level of your spine, which needs to be fused. This involves removing the damaged disc and fixing parts of the spine together, to relieve pain. Extreme lateral interbody fusion request a consultation call 9493834182 extreme lateral interbody fusion xlif is a minimally invasive procedure performed through the side of the body to access the spinal disorders, rather than from the front or back and sparing major back muscles, bones and. The procedure is performed through two small incisions in the patients side, avoiding and sparing the major muscles of the back, as well as ligaments and bones. Coding xlif l34 and l45 with facet fusion l34 and l45 with allograft. Lumbar spinal fusion pcs approaches healthcare resource. Extreme lateral interbody fusion xlif the spine hospital. A minimally invasive lif is a procedure in which two or more vertebrae in the low back are fused together to create a solid bridge of bone between the vertebrae and across the disc space. Anterior lumbar interbody fusion alif anterior lumbar interbody fusion is a way of fusing joining together several lumbar vertebrae, usually in the lower part of the lumbar spine from l3 down to s1, though occasionally l12 and l23 fusions are done. A technique called minimally invasive lateral lumbar interbody fusion llif is a relatively new minimally invasive technique designed to achieve these goals. However, the tlif procedure places a single bone graft between.
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