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Investigators provide procedural checklist for successful MIS-LIF
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To minimize procedural morbidity following retroperitoneal transpsoas minimally invasive lateral interbody fusion, investigators said surgeons should follow a system approach that includes preoperative assessments, attention to the surgical technique and intraoperative neuromonitoring and extensive postoperative evaluation.
Juan S. Uribe, MD, and colleagues discussed their point of view on retroperitoneal transpsoas minimally invasive lateral interbody fusion (MIS-LIF) and the related surgical techniques, as well as techniques used to avoid complications.
They presented the techniques in a stepwise fashion according to an experienced lateral approach surgeon’s practice. The first step was preoperative imaging, which included flexion and extension views, standing scoliosis radiographs with lateral bending films, MRIs, CT scans and X-ray absorptiometry scans. The next steps they discussed included OR setup and proper patient positioning. The investigators prefer to use a single lateral incision vs. the traditional two-incision approach for the MIS-LIF, they noted. Following surgery, postoperative evaluations should include vital signs, abdominal and vascular assessments and neurological assessments.
According to the researchers, postoperative radiographs should be obtained to assess end plate violation, vertebral body fractures and hardware failures. In each case, investigators used a procedural checklist specific to MIS-LIF. ‒ by Monica Jaramillo
Disclosures: Yen reports no relevant financial disclosures. Please see the full study for a list of all other authors’ relevant financial disclosures.
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