Scribd Logo
Upload

Welcome to Scribd!

  • OLIF L2-L5 and L5-S1: Technique Differences and Vascular Considerations

    Uploaded by

    gabiruman
    40 views26 pages
    This document discusses the technique differences and vascular considerations between OLIF procedures at L2-L5 and L5-S1 levels. For L2-L5, the lateral approach is anterior to the psoas muscle and lateral to the iliac artery or aorta on the left side. The abdominal muscles are split along their fibers and a true AP and lateral view can be obtained with the C-arm at 0 or 90 degrees. For L5-S1, the procedure is different and more similar to an ALIF, with the patient in lateral decubitus position and slight hip flexion to allow for gravity assistance. The left iliac vein needs to be identified and retracted laterally during

    Original Description:

    Original Title

    L25 vs L51

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document discusses the technique differences and vascular considerations between OLIF procedures at L2-L5 and L5-S1 levels. For L2-L5, the lateral approach is anterior to the psoas muscle and lateral to the iliac artery or aorta on the left side. The abdominal muscles are split along their fibers and a true AP and lateral view can be obtained with the C-arm at 0 or 90 degrees. For L5-S1, the procedure is different and more similar to an ALIF, with the patient in lateral decubitus position and slight hip flexion to allow for gravity assistance. The left iliac vein needs to be identified and retracted laterally during

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    40 views26 pages

    OLIF L2-L5 and L5-S1: Technique Differences and Vascular Considerations

    Uploaded by

    gabiruman
    This document discusses the technique differences and vascular considerations between OLIF procedures at L2-L5 and L5-S1 levels. For L2-L5, the lateral approach is anterior to the psoas muscle and lateral to the iliac artery or aorta on the left side. The abdominal muscles are split along their fibers and a true AP and lateral view can be obtained with the C-arm at 0 or 90 degrees. For L5-S1, the procedure is different and more similar to an ALIF, with the patient in lateral decubitus position and slight hip flexion to allow for gravity assistance. The left iliac vein needs to be identified and retracted laterally during

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 26

    OLIF L2-L5 and L5-S1

    Technique differences
    and vascular considerations
    OLIF L2-5

    • Lateral approach

    • Anterior to the Psoas

    • lateral to Iliac artery or aorta

    • Left side approach


    OLIF L2-5

    • Safe spot

    • Only place with no muscles or


    nerves in 360 degrees

    • Abdominal muscles are split


    along fibers
    Lateral decubitus
    Minimal flex if any
    Positioning

    • True AP and Lat view

    • C- Arm at 0 or 90 degrees
    Approach

    • Muscle split along fibres

    • External oblique

    • Internal Oblique

    • Transverse

    • Retroperitoneum
    • Serial Tube Dilation

    • Retractor placed

    • In line with Disc

    • Closed blades
    • Pin placement after
    exploration

    • Cephalic blade

    • Look for vessels

    • Left Ilio Lumbar vein

    • Left common Iliac Artery


    • May need to move Iliac Artery

    • Vein must be medial to the


    Artery

    • Vascular variations on
    Transitional levels
    Cage
    Placement
    Orthogonal maneuver
    Long cage apophyseal ring
    Disc distraction
    Indirect decompression
    Anterior placement
    Restore lordosis
    OLIF L5-S1

    • Different from L2-L5

    • More like and ALIF on lateral decubitus


    Positioning

    • Lateral decubitus

    • Gravity Helps

    • Slight hip flexion


    Skin Marks

    • Disc Orientation

    • Vertical Line

    • In line with disc


    Vessels

    • Left Iliac Vein Position

    • Vein morphology

    • Midle Sacral

    • Retract Left IV lateral

    You might also like