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Lateral Lumbar Interbody Fusion (XLIF)

XLIF surgery is a surgical treatment of adult degenerative scoliosis (DS). It is a complex multilevel surgery by traditional approach. It can become more complex since the patients may have serveral comorbitities with age. Hence, It is important to take safety measures. It is done through a small incision on the side of the belly. In this procedure surgeon chooses the access to lumber spine directly from the side (XLIF).

It is another minimally invasive lumbar fusion technique. L2-3 and L3-4 are the lumbar levels most easily accessed by this technique, which is close to nerves on the spinal column. In order to prevent nerve damage, electromyography or EMG is used for nerve monitoring, which provides surgeons the information about the the postion of nervs and surgical instruments durign the surgery.

In order to prevent nerve damage, electromyography or EMG is used for nerve monitoring, which provides surgeons the information about the the postion of nervs and surgical instruments durign the surgery.

The procedure is performed under general anasthesia. Using X-ray surgeon locates the disc and marks on the skin. An incision is made and instrument is passed to the spine and second incision is made for removing the herniated disc. On the side of vertebrae, tubular dialtors instruments are inserted through the muscles on the side of vertrae. Above them the tissue retractors are placed which has an opeing for light and instruments for accessing the disc space. The spinal disc is viewed and the disc is removed. An implant filled with bone graft for fusion is inserted into the hollow space of removed disc. Using X-ray the correctness of the postion of implant is ensured, retractors are removed and incisions are stitched and closed with dressing.