Review of early clinical results and complications associated with oblique lumbar interbody fusion (OLIF)

Phan, Kevin; Maharaj, Monish; Assem, Yusuf; Mobbs, Ralph J.

doi:10.1016/j.jocn.2016.02.030

Cited by 120 publications

(88 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These two kinds of interspace between left psoas muscle and major artery seemingly offer a compact and severe OLIF working corridor, especially for young surgeons who are in the early stages of the learning curve of OLIF approach [16]. On the contrary, patients in zone IIR and IIa provide a wider natural working corridor and theoretically decrease the rate of approach-related intraoperative complication [12,18,22]. Only at the L4 to L5 level, gender difference had a significant correlation with the zone of the left tangential line of the major artery.…”

Section: Discussionmentioning

confidence: 99%

The OLIF working corridor based on magnetic resonance imaging: a retrospective research

Wang

Liu

et al. 2020

J Orthop Surg Res

View full text Add to dashboard Cite

Objective: To provide an anatomical basis for the development of oblique lumbar interbody fusion (OLIF) in Chinese patients. Methods: Between November 2018 and June 2019, 300 patients' lumbar MRI data were reviewed. According to the Moro system and zone method described by us, the axial view was vertically divided into 6 zones (A, I II, III, IV, P) and was horizontally divided into 4 zones (R, a, b, c, L). The locations of left psoas muscle and the major artery at L2/3, L3/4, and L4/5 levels were evaluated by the grid system. The aortic bifurcation segments will also be evaluated at the level of the vertebral body or the disc. Results: At the L2/3 level, left psoas muscle and the major artery in zone Ib were found in 28.0% of subjects, in zone IIb in 20.3%, and in zone Ic in 20.0%; at the L3/4 level, in zone Ab in 20.7% of subjects, in zone Ac in 26.0%, and in zone Ic in 11.0%; and at the L4/5 level, areas in zone Ab in 31.0% of subjects, in zone Ac in 26.0%, and in zone Ib in 11.7%. The aortic bifurcation segments were mainly at the L4 level. The zone of the left psoas muscle at all levels, the zone of the major artery at L4/5 level, and the zone of the aortic bifurcation segments had significant correlation with gender difference (P < 0.05). Conclusion: The left-sided OLIF at L2-L5 disc levels can be a feasible type of surgery for lumbar interbody fusion in the majority of Chinese patients. Before the operation, in order to screen out the appropriate surgical approach, routine lumbar magnetic resonance imaging is recommended to analyze the patient's local anatomical features.

show abstract

Section: Discussionmentioning

confidence: 99%

The OLIF working corridor based on magnetic resonance imaging: a retrospective research

Wang

Liu

et al. 2020

J Orthop Surg Res

View full text Add to dashboard Cite

show abstract

“…4,7,12,15 This approach was first described by Mayer in 1997. 6 Some surgeons favor this prepsoas approach because it offers the advantages of the transpsoas approach while avoiding the risks associated with traversing through the psoas muscle itself.…”

Section: Neurosurg Focus 43 (2):e14 2017mentioning

confidence: 99%

Stereotactic navigation for the prepsoas oblique lateral lumbar interbody fusion: technical note and case series

DiGiorgio

Edwards

Virk³

et al. 2017

Neurosurgical Focus

View full text Add to dashboard Cite

The prepsoas retroperitoneal approach is a minimally invasive technique used for anterior lumbar interbody fusion. The approach may have a more favorable risk profile than the transpsoas approach, decreasing the risks that come with dissecting through the psoas muscle. However, the oblique angle of the spine in the prepsoas approach can be disorienting and challenging. This technical report provides an overview of the use of navigation in prepsoas oblique lateral lumbar interbody fusion in a series of 49 patients.

show abstract

“…The technique has been described by Seex (2,11), Aghayev (9), and Kanno (10). The proposed advantages of the oblique approach allow for discectomy and cage insertion through the oblique corridor with lesser manipulation required of the major vessels and important anatomical structures (26,27). This corridor is bound by the psoas muscle laterally and aorta and inferior cava or common iliac vessels medially.…”

Section: Discussionmentioning

confidence: 99%

Morphometric anatomy of the lumbar sympathetic trunk with respect to the anterolateral approach to lumbar interbody fusion: a cadaver study

Rutter¹,

Phan²,

Smith³

et al. 2017

J. Spine Surg.

Self Cite

View full text Add to dashboard Cite

Background: An approach to lateral lumbar interbody fusion (LLIF) utilizing an oblique corridor anterior to the psoas muscle was first described by Mayer in 1997 and subsequently by other authors. The only consistent structure of note in this corridor is the lumbar sympathetic trunk (LST), which at times must be mobilized in order to perform a discectomy and interbody fusion, thereby placing the LST at risk. This study was designed to describe the morphometric anatomy of the LST in relation to surgically relevant landmarks for the anterolateral approach to the lumbar spine at L3/L4 to L5/S1.Methods: Twenty-four embalmed cadavers (13 males, 11 females, age range, 50-89) were dissected to expose the LST. Bilateral measurements were recorded using a calliper under direct visualization, using the midsagittal plane of the lumbar spine as the reference landmark. The points were then marked with radioopaque needles, and 14 cadavers were scanned with CT to validate the measurements.Results: Of 48 LSTs, there was minimal difference in the direction of its course between sides; 14/24 specimens had concordant directions. The majority (n=28) had a medial to lateral cephalocaudal course. If osteophytes were present at the L4/L5 level, the majority of LSTs (n=7, of 8) were displaced lateral to the osteophyte. At the L5/S1 level, half of the cases with osteophytes (n=3, of 6) stretched the LST over the top of the osteophyte. The LST was adherent to the L4/L5 disc space bilaterally in 93% of cases.Conclusions: With the development of lumbar fusion techniques which utilize an oblique corridor and the retraction of psoas muscle, LST has become an important neural structure to define, protect and mobilize.In our morphometric analysis of 24 specimens, the position has been identified and quantified, and this paper notes variations, particularly distortions caused by degenerative processes. In this study, the LST ran in a medial to lateral direction from L3 to S1, and osteophytes typically displace and adhere to the LST.

show abstract

Review of early clinical results and complications associated with oblique lumbar interbody fusion (OLIF)

Cited by 120 publications

References 31 publications

The OLIF working corridor based on magnetic resonance imaging: a retrospective research

The OLIF working corridor based on magnetic resonance imaging: a retrospective research

Stereotactic navigation for the prepsoas oblique lateral lumbar interbody fusion: technical note and case series

Morphometric anatomy of the lumbar sympathetic trunk with respect to the anterolateral approach to lumbar interbody fusion: a cadaver study

Contact Info

Product

Resources

About