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Related Experiment Video

Updated: Oct 23, 2025

Multilevel Oblique Lumbar Interbody Fusion in Degenerative Lumbar Disc Disease with Instability
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Oblique Lumbar Interbody Fusion From L2 to S1: 2-Dimensional Operative Video.

Gregory A Kuzmik1, Thomas A Wozny1, Simon Ammanuel2

  • 1Department of Neurological Surgery, School of Medicine, University of California San Francisco, San Francisco, California, USA.

Operative Neurosurgery (Hagerstown, Md.)
|August 19, 2021
PubMed
Summary

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This video showcases the oblique lumbar interbody fusion (OLIF) technique for lumbar spine fusion from L2-L5 and L5-S1. It highlights minimally invasive surgical approaches, disc space preparation, and implant selection for spinal fusion.

Area of Science:

  • Spine Surgery
  • Minimally Invasive Procedures
  • Orthopedic Surgery

Background:

  • Degenerative lumbar spine conditions often require surgical intervention.
  • Traditional fusion techniques can involve significant muscle dissection and potential complications.
  • Oblique Lumbar Interbody Fusion (OLIF) offers a minimally invasive alternative.

Purpose of the Study:

  • To demonstrate the surgical technique of oblique lumbar interbody fusion (OLIF) from L2 to L5.
  • To illustrate an oblique approach for L5-S1 fusion, avoiding the lumbar plexus.
  • To highlight key technical aspects and pearls for successful OLIF procedures.

Main Methods:

  • The video details a minimally invasive approach involving blunt dissection through abdominal musculature.
Keywords:
AntepsoasMinimally invasiveNavigationOLIFOblique lumbar interbody fusionSpine

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  • It emphasizes retroperitoneal fat mobilization, positioning the dissection anterior to the psoas muscle.
  • For L5-S1, a lateral position with an oblique approach via the iliac bifurcation is shown, performed by a vascular surgeon.

    • Main Results:

    • The procedure focuses on disc space release for height restoration and deformity correction.
    • Proper endplate preparation is crucial for enhancing arthrodesis (bone fusion).
    • Appropriate implant sizing is critical for achieving stable interbody fusion.

    Conclusions:

    • The oblique lumbar interbody fusion (OLIF) provides a viable, minimally invasive surgical option for lumbar spine fusion.
    • The technique, particularly the anterior to psoas approach, aims to minimize neurological risks.
    • Careful attention to disc space preparation, endplate management, and implant selection is essential for successful outcomes.