Last edit by Alaric Steinmetz on
An ALIF involves stabilization of at least two vertebral bodies from the anterior aspect of the vertebral body.
The approach is retroperitoneal, usually through an abdominal Pfannenstiel incision.
The approach primarily carries the risk of retrograde ejaculation in men, as well as vascular injuries. Due to the vascular anatomy, ALIF is best suited at the L5\/S1 level [^1] [^2].
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Article created on · Alaric Steinmetz
LIFs
Illustration of the various LIF approaches. Figure adapted from Mobbs, Ralph J., et al. Lumbar interbody fusion: techniques, indications and comparison of interbody fusion options including PLIF, TLIF, MI-TLIF, OLIF/ATP, LLIF and ALIF. Journal of Spine Surgery 1.1 (2015): 2, under the CC BY-NC-ND 4.0 license.
ALIF intraoperatively
Intraoperative image of an ALIF at the L5/S1 level. Figure adapted from Mobbs, Ralph J., et al. Lumbar interbody fusion: techniques, indications and comparison of interbody fusion options including PLIF, TLIF, MI-TLIF, OLIF\/ATP, LLIF and ALIF. Journal of spine surgery 1.1 (2015): 2. under the CC BY-NC-ND 4.0 license.