Download as PDF, PPTX
More Related Content
Similar to Anterior / lateral lumbar interbody Fusion
Anterior / lateral lumbar interbody Fusion
- 1. Dr.Shrijith MB MS(Ortho),DNB Fellow ,SpineSurgery All India Institute of Medical Sciences ,New Delhi
- 2. WHY ANTERIORAPPROACH ? ADVANTAGES - BIOMECHANICAL - FUSION OUTCOMES - SAGGITAL PROFILE
- 3. SURGICAL ANATOMY ANT VS POST BIOMECHANICAL SAFETY PROFILE CHALLENGES IN APPROACH APPROACHES : Indications ALIF Surgical route OLIF Unique challenges LLIF Bail out options XLIF Case example World literature on each Approach and what the future lies ahead
- 4. SURGICALANATOMY : ANT VSPOST APPROACH : 1 . APPROACH ROAD DESTRUCTIVE VS PHYSIOLOGICAL
- 5. a) FUSIONAREA
- 6. A Neuro vascularchallenges
- 7.
- 9. Retroperitoneal approach Position Expected Complication Critical Step
- 11. RATIONAL : Wolf’s Law 1.Weight bearing axis 2. Fusion area and vascularity INDICATIONS
- 12. 1 Retrograde Ejaculation Blunt dissection Peanutvs Cautery 2 Bleeding Microscope Vascular clips and proximal and distal control 3 Visceral injury Back upVascular /Urology Surgeon
- 14. RATIONAL Retroperitoneal Anterior to Psos Major No lumbar plexus injury No need for Neuromonitoring Decompression (Indirect) + Stabilization + Deformity Correction No Spinal canal entry Torsional stability Height restoration No dural injury Fusion rates Larger Cage INDICATION
- 15. Retroperitoneal Anteriorto Psos Major No lumbar plexus injury No need for Neuromonitoring
- 16. Bare areaof disk CT Angio
- 19.
- 20. 1 .Retro peritonealapproach 2 . Position 3. Approach 4 .Expected Complication 5.Absolute Pre requiste
- 22. Femoral nerve Cage subsidence StandaloneXLIF
- 23. Footprint of thecages
- 27.