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KEY FACTS
Terminology
Pre-Procedure
Outcomes
TERMINOLOGY
Abbreviations
- Axial lumbar interbody fusion (axial LIF)
Synonyms
- AxiaLIF
Definitions
- Minimally invasive approach through presacral space allowing access to lower lumbar disc spaces via vertical route though S1 body
Advantages
- The hope: Access to disc space without risks of direct anterior approach
- ↓ risk of major vascular injury
- ↓ risk of sympathetic plexus injury
- ↓ risk of posterior muscle injury (when combined with minimally invasive pedicle screw fixation)
- ↓ blood loss, hospital stay, operation time
- The hope: Access to disc space without risks of direct anterior approach
PRE-PROCEDURE
Indications
Contraindications
Pre-Procedure Imaging
PROCEDURE
Procedure Steps
POST-PROCEDURE
Expected Outcome
Things to Do
OUTCOMES
Complications
Selected References
- Epstein NE: Pros, cons, and costs of INFUSE in spinal surgery. Surg Neurol Int. 2:10, 2011
- Li XM et al: The relevant anatomy of the approach for axial lumbar interbody fusion. Spine (Phila Pa 1976). Epub ahead of print, 2011
- Lindley EM et al: Complications of axial lumbar interbody fusion. J Neurosurg Spine. 15(3):273-9, 2011
- Strube P et al: Stand-alone anterior versus anteroposterior lumbar interbody single-level fusion after a mean follow-up of 41 months. J Spinal Disord Tech. Epub ahead of print, 2011
- Tobler WD et al: Minimally invasive axial presacral L5-s1 interbody fusion: two-year clinical and radiographic outcomes. Spine (Phila Pa 1976). 36(20):E1296-301, 2011
- Tobler WD et al: The presacral retroperitoneal approach for axial lumbar interbody fusion: a prospective study of clinical outcomes, complications and fusion rates at a follow-up of two years in 26 patients. J Bone Joint Surg Br. 93(7):955-60, 2011
- Botolin S et al: High rectal injury during trans-1 axial lumbar interbody fusion L5-S1 fixation: a case report. Spine (Phila Pa 1976). 35(4):E144-8, 2010
- Patil SS et al: Clinical and radiological outcomes of axial lumbar interbody fusion. Orthopedics. 33(12):883, 2010
- Smoljanovic T et al: Six-year outcomes of anterior lumbar interbody arthrodesis with use of interbody fusion cages and recombinant human bone morphogenetic protein-2. J Bone Joint Surg Am. 92(15):2614-5; author reply 2615-6, 2010
- Erkan S et al: Biomechanical evaluation of a new AxiaLIF technique for two-level lumbar fusion. Eur Spine J. 18(6):807-14, 2009
- Aryan HE et al: Percutaneous axial lumbar interbody fusion (AxiaLIF) of the L5-S1 segment: initial clinical and radiographic experience. Minim Invasive Neurosurg. 51(4):225-30, 2008
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Pre-Procedure
Outcomes
TERMINOLOGY
Abbreviations
- Axial lumbar interbody fusion (axial LIF)
Synonyms
- AxiaLIF
Definitions
- Minimally invasive approach through presacral space allowing access to lower lumbar disc spaces via vertical route though S1 body
Advantages
- The hope: Access to disc space without risks of direct anterior approach
- ↓ risk of major vascular injury
- ↓ risk of sympathetic plexus injury
- ↓ risk of posterior muscle injury (when combined with minimally invasive pedicle screw fixation)
- ↓ blood loss, hospital stay, operation time
- The hope: Access to disc space without risks of direct anterior approach
PRE-PROCEDURE
Indications
Contraindications
Pre-Procedure Imaging
PROCEDURE
Procedure Steps
POST-PROCEDURE
Expected Outcome
Things to Do
OUTCOMES
Complications
Selected References
- Epstein NE: Pros, cons, and costs of INFUSE in spinal surgery. Surg Neurol Int. 2:10, 2011
- Li XM et al: The relevant anatomy of the approach for axial lumbar interbody fusion. Spine (Phila Pa 1976). Epub ahead of print, 2011
- Lindley EM et al: Complications of axial lumbar interbody fusion. J Neurosurg Spine. 15(3):273-9, 2011
- Strube P et al: Stand-alone anterior versus anteroposterior lumbar interbody single-level fusion after a mean follow-up of 41 months. J Spinal Disord Tech. Epub ahead of print, 2011
- Tobler WD et al: Minimally invasive axial presacral L5-s1 interbody fusion: two-year clinical and radiographic outcomes. Spine (Phila Pa 1976). 36(20):E1296-301, 2011
- Tobler WD et al: The presacral retroperitoneal approach for axial lumbar interbody fusion: a prospective study of clinical outcomes, complications and fusion rates at a follow-up of two years in 26 patients. J Bone Joint Surg Br. 93(7):955-60, 2011
- Botolin S et al: High rectal injury during trans-1 axial lumbar interbody fusion L5-S1 fixation: a case report. Spine (Phila Pa 1976). 35(4):E144-8, 2010
- Patil SS et al: Clinical and radiological outcomes of axial lumbar interbody fusion. Orthopedics. 33(12):883, 2010
- Smoljanovic T et al: Six-year outcomes of anterior lumbar interbody arthrodesis with use of interbody fusion cages and recombinant human bone morphogenetic protein-2. J Bone Joint Surg Am. 92(15):2614-5; author reply 2615-6, 2010
- Erkan S et al: Biomechanical evaluation of a new AxiaLIF technique for two-level lumbar fusion. Eur Spine J. 18(6):807-14, 2009
- Aryan HE et al: Percutaneous axial lumbar interbody fusion (AxiaLIF) of the L5-S1 segment: initial clinical and radiographic experience. Minim Invasive Neurosurg. 51(4):225-30, 2008
