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Efficacy of OLIF to Achieve Indirect Decompression in Degenerative Lumbar Spine Disorders – A Case Report

Kathiresan R .

Abstract


Extreme lateral interbody fusion (XLIF) has been widely used for minimally invasive anterior lumbar          interbody fusion (ALIF), for  indirect neural decompression in degenerative lumbar spine disorders, but Transpsoas approach (LLIF/XLIF) is associated with higher rates of approach related neurological complications due to injury to lumbar complex. We describe the case of a 70-year-old male presenting degenerative spondylolisthesis at L4-5 levels with lumbar canal stenosis on MRI (Schizas grade C). Minimal access OLIF surgery (using a cage and bone graft from the iliac crest) was performed at L4-5 and        posterior percutaneous fixation was done. There was no spinal nerve, major vessel, peritoneal, or urinary injury. Clinically the patient showed Macnab Grade A              improvement and postoperative radiological parameters like changes in disc height, foramen height, spinal canal area improved significantly. OLIF surgery was minimally invasive and produced good surgical results without         complications

 Key words: Degenerative spondylolisthesis, Macnab Grade, Schizas grade, XLIF, OLIF

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References


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