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Utilization of lateral anterior lumbar interbody fusion for revision of failed prior TLIF: illustrative case

Ghani Haider, Katherine E Wagner, Venita Chandra, Ivan Cheng, Martin N. Stienen & Anand Veeravagu

abstract

BACKGROUND
The use of the lateral decubitus approach for L5-S1 anterior lumbar interbody fusion (LALIF) is a recent advancement capable of facilitating single-position surgery, revision operations, and anterior column reconstruction. To the authors' knowledge, this is the first description of the use of LALIF at L5-S1 for failed prior transforaminal lumbar interbody fusion (TLIF) and anterior column reconstruction. Using an illustrative case, the authors discuss their experience using LALIF at L5-S1 for the revision of pseudoarthrosis and TLIF failure.

OBSERVATIONS
The patient had prior attempted L2 to S1 fusion with TLIF but suffered from hardware failure and pseudoarthrosis at the L5-S1 level. LALIF was used to facilitate same-position revision at L5-S1 in addition to further anterior column revision and reconstruction by lateral lumbar interbody fusion at the L1-2 level. Robotic posterior T10-S2 fusion was then added to provide stability to the construct and address the patient's scoliotic deformity. No complications were noted, and the patient was followed until 1 year after the operation with a favorable clinical and radiological result.

LESSONS
Revision of a prior failed L5-S1 TLIF with an LALIF approach has technical challenges but may be advantageous for single position anterior column reconstruction under certain conditions.
   
citation Haider G, Wagner K E, Chandra V, Cheng I, Stienen M N, Veeravagu A. Utilization of lateral anterior lumbar interbody fusion for revision of failed prior TLIF: illustrative case. J Neurosurg Case Lessons 2022; 3:CASE2296.
   
type journal paper/review (English)
date of publishing 06-06-2022
journal title J Neurosurg Case Lessons (3/23)
ISSN electronic 2694-1902
pages CASE2296
PubMed 35733821
DOI 10.3171/CASE2296