A small incision is made on the buttock and a tube is inserted to reach the spine. Complications after an axial LIF procedure may include perforation of the bowel and injury to blood vessels andor nerves as well as infection Shen 2007.
Figure 2 From Axial Lumbar Interbody Fusion Axialif Approach For Adult Scoliosis Semantic Scholar
The AxiaLIF procedure has the potential to decrease patient recovery time length of hospital stay and overall occurrence of surgical complications.

Axial lumbar interbody fusion. The presacral retroperitoneal approach to axial lumbar interbody fusion ALIF is a minimally invasive technique that uses a new access corridor for interbody fusion at L5-S1. Besides being one of the least invasive fusion procedures there are several other benefits of AxiaLIF. This indicates that the load transfer across the.
Through a small para-coccygeal incision a pre-sacral corridor is percutaneously created for access to the anterior lumbosacral body and subsequently to the L5 - S1 intervertebral space. An alternative minimally invasive lumbar fusion device the Axial Lumbar Interbody Fusion AxiaLIF System TranS1 Wilmington North Carolina uses a small paracoccygeal incision and a presacral approach to the L5-S1 intervertebral space which is a distinctly different anatomic pathway compared with any other surgical approach. J Am Acad Orthop Surg Glob Res Rev 210e067 23 Oct 2018.
Digital image correlation DIC and straingauge SG analyses measured respectively. Of all the methods available to surgeons for lumbar fusion there seems to be an increased number of lumbar interbody fusions over the past 5 years. Use of axial lumbar interbody fusion is limited to anterior supplemental fixation of the lumbar spine at L4-S1 or L5-S1 in conjunction with legally marketed facet or pedicle screw systems.
A new technique uses the advantages of minimally invasive axial access. Axial Lumbosacral Interbody Fusion Axial lumbosacral interbody fusion LIF. Anand N Alayan A Cohen J Cohen R Khandehroo B.
Various methods of lumbar fusion have been proposed in order to relieve axial low back pain. Thirty-two patients 91 had radiographic evidence of stable L5-S1 interbody cage placement and fusion at the last follow-up. The axial lumbar interbody fusion AxiaLIF system TranS1 Inc Wilmington NC combines a minimally invasive technique with a novel corridor approach.
When back and leg pain result from injury or degenerative changes in the spine AxiaLIF surgery may be recommended Fig. The fusion rate of axial lumbar interbody fusion patients in the present study is also similar to those reported for transforaminal lumbar interbody fusion 97 and posterior lumbar interbody fusion 100. Interbody fusion increases the chance of fu-sion and also has a biomechanical advantage.
Clinical and Radiologic Fate of the Lumbosacral Junction After Anterior Lumbar Interbody Fusion Versus Axial Lumbar Interbody Fusion at the Bottom of a Long Construct in CMIS Treatment of Adult Spinal Deformity. By making use of this approach the surgeon can avoid the morbidity usually associated with anterior or posterior approaches including damage. In such situations minimally invasive surgery is preferred and axial lumbar interbody fusion AxiaLIF is now the preferred procedure.
Axial Lumbar Interbody Fusion. 33 34 In this procedure the L5-S1 interspace and disc is accessed percutaneously by development of the fatty plane of the presacral space. When back and leg pain result from injury or degenerative changes in the spine AxiaLIF surgery may be recommended Fig.
This approach allows access to the disk space axially through the body of S1. This technique uses the presacral space for percutaneous access to the anterior sacrum. Interbody cages adjacent to PSO level and supplementary accessory rods.
Fusion stabilizes the spine and prevents painful motion. The common indications for AxiaLIF include low back pain due to spondylolisthesis degenerative disc disease trauma to the spine instability of the spine following laminectomy and the recurrent herniated discs. Yet little has been reported about the clinical effectiveness of this approach especially in long-term follow-up.
12 12 In the present study we found that disk space height decreased nonsignificantly from 1303 to 1290 mm by the time fusion took. A small incision is made on the buttock and a tube is inserted to reach the spine. Axial lumbar interbody fusion AXIALIF is a relatively new minimally invasive approach to fusion of L5S1 and L4L5.
A technique called axial lumbar interbody fusion AxiaLIFa minimally invasive approach to traditional lumbar fusion proceduresis designed to achieve these goals for certain spine conditions. Percutaneous paracoccygeal axial fluoroscopically-guided interbody fusion axiaLIF combines the interventional concepts of remote access image guidance and advanced implant technology. Unfavorable anatomy precluded access to the L5-S1 disc space during open lumbar interbody fusion in 2 patients who subsequently underwent axiaLIF at this level as part of a large construct.
AxiaLIF stands for axial lumbar interbody fusion. Supplemental accessory rods considerably reduced the posterior rod strains only with interbody cages but the ventral strains were unaffected. Axial lumbar interbody fusion AxiaLIF is a novel minimally invasive approach for fusion of L4-5 and L5-S1.
The common indications for AxiaLIF include low back pain due to spondylolisthesis degenerative disc disease trauma to the spine instability of the spine following laminectomy and the recurrent herniated discs. Lumbar spine segments were loaded in vitro under exionextension lateral bending and torsion using an established spine tester. Also called presacral transsacral or paracoccygeal interbody fusion is a minimally invasive technique designed to provide anterior access to the L4-S1 disc spaces for interbody fusion while minimizing damage to muscular ligamentous neural and vascular structures.
Fusion stabilizes the spine and prevents painful motion. AxiaLIF stands for axial lumbar interbody fusion. In such situations minimally invasive surgery is preferred and axial lumbar interbody fusion AxiaLIF is now the preferred procedure.
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