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
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
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
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