Lumbar Interbody Fusions

Description

Authored by experienced surgeons and key innovators in the fast-moving field of LIF surgery, Lumbar Interbody Fusions provides an in-depth, focused approach to recent advances in surgical techniques and technology. Covering both minimally invasive and open procedures, this comprehensive reference provides step-by-step details for proven techniques, including extreme lateral, oblique lateral, and direct lateral approaches; intertransverse approaches; axial approaches; and endoscopic approaches. View more > Lumbar Interbody Fusions......Page 2 Copyright......Page 3 Preface......Page 4 List of Contributors......Page 5 Acknowledgments......Page 8 Dedication......Page 9 Background......Page 11 Interbody Fusion: A Primer and Recent Literature......Page 12 Tenets of Interbody Fusion......Page 13 Complications Following Lumbar Interbody Fusion Surgery......Page 18 Techniques and Technologies in Lumbar Interbody Fusion Surgery......Page 19 Conclusions......Page 20 Nerve Root Injury......Page 23 Vascular Injury......Page 24 Neurologic Complications......Page 25 EXtreme Lateral Interbody Fusion (XLIF: Direct Lateral Approach)......Page 26 Conclusion......Page 27 Introduction......Page 29 Conclusion......Page 33 Large Vessels of the Retroperitoneum......Page 36 Arterial Supply to the Spine......Page 38 Venous Drainage of the Spine......Page 39 Neural Anatomy......Page 40 Defining a Safe Corridor......Page 41 Conclusion......Page 43 Stereotactic Navigation......Page 45 Interbody Cage Placement......Page 46 Pedicle Screw Placement......Page 47 Conclusion......Page 49 Limitations......Page 51 Anesthesia and Positioning......Page 52 Steps of the Surgical Procedure......Page 53 Exposure of the L4-5 Level......Page 54 Diskectomy and Endplate Preparation......Page 55 Retractor Removal and Closure......Page 56 Conclusion......Page 57 Open Technique......Page 58 Minimally Invasive Technique......Page 62 Outcomes and Complications of PLIF......Page 63 Conclusion......Page 64 Technique......Page 65 Postoperative Care......Page 67 Conclusion......Page 69 Limitations......Page 70 Surgical Technique......Page 71 Percutaneous Pedicle Screws......Page 72 Tubular Access and Decompression......Page 73 Disk Space Preparation and Interbody Grafting......Page 75 Pedicle Screw Instrumentation......Page 76 Complications......Page 77 Conclusion......Page 82 Surgical Technique......Page 84 Outcomes......Page 91 Conclusion......Page 92 Limitations......Page 94 Step 1: Required Equipment......Page 95 Step 2: Positioning......Page 96 Step 3: Flouroscopy Setup and Incision Planning......Page 97 Step 4: Retroperitoneal Access......Page 98 Step 7: Interbody Graft Placement......Page 99 Postoperative Care......Page 102 Complications......Page 103 Outcomes......Page 104 Conclusions......Page 105 Landmarks......Page 106 Positioning......Page 107 Procedure......Page 110 Closure......Page 111 Neuromuscular Injuries and Lumbar Plexopathies......Page 112 Outcomes......Page 115 Conclusion......Page 116 Introduction......Page 118 ?Surgical Technique (Videos 13.1 and 13.2)......Page 119 Closure......Page 124 Postoperative Care......Page 125 Conclusion......Page 126 Operative Technique......Page 128 Complications......Page 132 Preliminary Results......Page 133 Conclusions......Page 134 Limitations......Page 135 Skin Incision......Page 136 Working Port Placement......Page 137 Closure and Postoperative Care......Page 138 Outcomes......Page 139 Complications/Side-effects......Page 140 Conclusion......Page 142 Implant Subsidence......Page 144 Hollow versus Solid Cages......Page 145 Polymer Cages......Page 146 Axial LIF Cages......Page 147 Conclusions......Page 148 Allograft......Page 149 Bone Morphogenetic Proteins......Page 150 Conclusion......Page 152 SynFix-LR......Page 154 Stalif......Page 157 Other Integrated ALIF Devices......Page 158 Integrated Lateral Devices (Fig. 18.2)......Page 159 Conclusion......Page 160 Operative Technique......Page 162 Clinical Utility......Page 168 Spire......Page 169 Affix......Page 170 Conclusions......Page 171 Indications......Page 173 Limitations......Page 174 Tips and Tricks......Page 175 Minimally Invasive Surgery (MIS) Pedicle Screws......Page 176 Design Evolution of Minimally Invasive Surgery (MIS) Pedicle Screws......Page 177 Technique......Page 178 MIS Spinal Deformity......Page 179 Biomechanical Testing......Page 180 Image Guidance and Robotics......Page 181 Conclusion......Page 182 Lateral Lumbar Interbody Fusion......Page 184 Surgical Indications......Page 186 Lateral Approaches......Page 188 Conclusion......Page 189 Deformity......Page 191 Postoperative Care......Page 192 Complications......Page 193 Lumbosacral Overlap Disease......Page 195 Conclusion......Page 200 Increased Rate of Fusion......Page 202 Biomechanical Principles of Interbody Grafts......Page 204 Interbody Graft Composition......Page 205 Alternative Approaches......Page 206 Conclusion......Page 208