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Applied anatomy and surgical technique of the lateral single‐position L5–S1 fusion
Author(s) -
Bodon Gergely,
Kiraly Kristof,
Baksa Gabor,
Barany Laszlo,
Kiss Mate,
Hirt Bernhard,
Pussert Arndt,
Timothy Jake,
Stubbs Lenny,
Khajavi Kaveh,
Braly Brett
Publication year - 2021
Publication title -
clinical anatomy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.667
H-Index - 71
eISSN - 1098-2353
pISSN - 0897-3806
DOI - 10.1002/ca.23733
Subject(s) - medicine , surgical planning , anatomy , surgery
The latest development in the anterior lumbar interbody fusion (ALIF) procedure is its application in the lateral position to allow for simultaneous posterior percutaneous screw placement. The technical details of the lateral ALIF technique have not yet been described. To describe the surgical anatomy relevant to the lateral ALIF approach we performed a comprehensive anatomical study. In addition, the preoperative imaging, patient positioning, planning of the skin incision, positioning of the C‐arm, surgical approach, and surgical technique are discussed in detail. The technique described led to the successful use of the lateral ALIF technique in our clinical cases. No lateral ALIF procedure needed to be aborted during these cases. Our present work gives detailed anatomical background and technical details for the lateral ALIF approach. This teaching article can provide readers with sufficient technical and anatomical knowledge to assist them in performing their first lateral ALIF procedure.