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    XLIF Surgery

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    SAYALI
    The XLIF procedure is a minimally invasive spinal fusion surgery performed through small lateral incisions in the lower back. It allows surgeons to access the lumbar spine to remove discs and fuse vertebrae, offering advantages like less tissue damage, blood loss, and post-operative pain compared to traditional anterior or posterior approaches. Common conditions treated include degenerative disc disease, scoliosis, spondylolisthesis, and spinal stenosis. Risks exist but are generally low, and recovery enables many patients to walk soon after surgery due to minimal muscle cutting.

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    XLIF Surgery

    Uploaded by

    SAYALI
    37 views2 pages
    The XLIF procedure is a minimally invasive spinal fusion surgery performed through small lateral incisions in the lower back. It allows surgeons to access the lumbar spine to remove discs and fuse vertebrae, offering advantages like less tissue damage, blood loss, and post-operative pain compared to traditional anterior or posterior approaches. Common conditions treated include degenerative disc disease, scoliosis, spondylolisthesis, and spinal stenosis. Risks exist but are generally low, and recovery enables many patients to walk soon after surgery due to minimal muscle cutting.

    Original Description:

    This describes extreme Lateral Interbody Fusion surgery

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    The XLIF procedure is a minimally invasive spinal fusion surgery performed through small lateral incisions in the lower back. It allows surgeons to access the lumbar spine to remove discs and fuse vertebrae, offering advantages like less tissue damage, blood loss, and post-operative pain compared to traditional anterior or posterior approaches. Common conditions treated include degenerative disc disease, scoliosis, spondylolisthesis, and spinal stenosis. Risks exist but are generally low, and recovery enables many patients to walk soon after surgery due to minimal muscle cutting.

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    © All Rights Reserved
    Download as TXT, PDF, TXT or read online from Scribd
    Download as txt, pdf, or txt
    37 views2 pages

    XLIF Surgery

    Uploaded by

    SAYALI
    The XLIF procedure is a minimally invasive spinal fusion surgery performed through small lateral incisions in the lower back. It allows surgeons to access the lumbar spine to remove discs and fuse vertebrae, offering advantages like less tissue damage, blood loss, and post-operative pain compared to traditional anterior or posterior approaches. Common conditions treated include degenerative disc disease, scoliosis, spondylolisthesis, and spinal stenosis. Risks exist but are generally low, and recovery enables many patients to walk soon after surgery due to minimal muscle cutting.

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    © All Rights Reserved
    Download as TXT, PDF, TXT or read online from Scribd
    Download as txt, pdf, or txt
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    XLIF: Lumbar Spinal Fusion

    The XLIF (eXtreme Lateral Interbody Fusion) is an approach to spinal fusion in w


    hich the surgeon accesses the intervertebral disc space and fuses the lumbar spi
    ne (low back) using a surgical approach from the side (lateral) rather than from
    the front (anterior) or the back (posterior).
    It is a minimally invasive type of spine surgery designed to accomplish a spinal
    fusion with several advantages including:

    Minimal tissue damage

    Minimal blood loss

    Small incisions and scars

    Minimal post-operative discomfort

    Relatively quick recovery time and return to normal function.


    Because of the above factors, it is one of a number of options for spinal fusion
    that are relatively minimally invasive.
    The XLIF procedure can be used for a variety of lumbar spinal disorders that may
    be treated with spinal fusion. These conditions may include:

    Degenerative disc disease

    Degenerative scoliosis

    Low grade spondylolisthesis

    Spinal deformity

    Foraminal stenosis (a type of spinal stenosis) requiring disc height restoration

    Recurrent lumbar disc herniations

    A thoracic disc herniation


    Instances in which a patient could not have an XLIF procedure would include:

    A fusion in the disc space between the 5th lumbar and 1st sacral vertebrae (L5-S
    1) because it is below the level of the pelvic brim, which inhibits access to th
    e disc space from the side.

    For some patients with a low riding L4-L5 level, access from the side through an
    XLIF may also not be an option

    Some deformities with significant rotation

    High grade spondylolisthesis

    Bilateral retroperitoneal scarring (from a prior abscess or abdominal surgery)


    There are a series of steps performed to complete an XLIF spinal fusion:

    First, the patient will be positioned lying on his or her side. Then the surgeon
    will use X-rays to locate the disc that will be removed.

    Once the disc is located, the surgeon will mark the skin with a marker directly
    above the disc.

    Then the surgeon will make a small incision (cut) in the flank (low back region
    of the trunk) and use his or her finger to push away the peritoneum (sac coverin
    g the abdominal organs) from the abdominal wall.

    The surgeon will make a second incision directly on the side of the patient.

    The surgeon will then insert a tube-like instrument known as a dilator into this
    incision.

    The surgeon will use X-rays to make sure that this dilator is in a good position
    above the disc.

    The surgeon will then insert a probe (blunt tool) through a muscle known as the
    psoas muscle. The psoas muscle is a large muscle that runs from the lower spine,
    wrapping around the pelvic area and attaches at the hip.
    Possible risks and complications associated with the XLIF include but are not li
    mited to:

    Persistent pain/continued pain after surgery

    Failure to fuse (pseudoarthrosis, or non-union)

    Infection

    Muscle weakness

    Vascular injury (injury of the blood vessels)

    Neurologic injury (nerve or spinal cord damage)

    Urinary tract infection

    Stroke

    Pneumonia

    Deep vein thrombosis (clotting)


    Persistent pain at the site of bone graft harvest (in the hip)

    Further progression of existing spinal disease


    With an XLIF procedure, the following recovery factors are typical:

    Many patients notice a difference in their pre-operative symptoms (i.e., leg pai
    n, etc.) immediately after surgery. In other patients, pre-operative symptoms of
    ten go away gradually.

    Pain at the incision sites after surgery is normal and should be expected. This
    pain should eventually go away and should be easily controlled with oral pain me
    dication that is prescribed upon discharge from the hospital.

    Because the XLIF surgery only splits muscles (like an ALIF) but does not cut mus
    cles (like aPLIF), many patients are able to get up and walk around the night af
    ter they have had surgery.

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