In cases of advanced degenerative disk disease, the lumbar spine can start to deform in the front / coronal plane. This age-dependent deformity of the spine is known as degenerative scoliosis.
Both an instability of the lumbar spine (a.k.a. spondylolisthesis) and degenerative scoliosis can lead to chronic low back pain and/or radiating pain into one or both legs.
Degenerative scoliosis and instabilities of the lumbar spine are complex deformities with a deviation in the front / coronal and/or side / sagittal plane.
Advanced surgical techniques are required to correct these kind of deformities, like anterior interbody fusion (ALIF) and OLIF, as only these surgical techniques allow to place implants with a wide and deformity correcting surface.
Video showing a case of an anterior and oblique-lateral approach of a 53 years-old patient that was only able to walk with the help of a stick because of strong low back pain. The patient was able to start walking without pain 12 hours after surgery and hospital discharge in less than 48 hours after surgery.
OLIF is an advanced spine surgery that allows to place implants with a big footprint into a lumbar disk, thus allowing to correct deformities such as degenerative scoliosis and/or lumbar spine instabilities.
OLIF is a minimally invasive spine surgery with a skin incision of only 4-5 cm on one side of the belly and a very fast post-operative patient recovery. The patient is walking just a few hours after surgery and hospital discharge in less than 24 hours.
The benefits of OLIF surgery in comparison to other spine surgery techniques, like extreme lateral interbody fusion (XLIF) are that OLIF surgery preserves the psoas muscule as the surgical approach is anterior to the psoas (ATP) muscle. hence, OLIF surgery protects nerves and neurol structures like the femoral and genitofemoral nerve, as well as the lumbar plexus. OLIF surgery does NOT cause postoperative pain, nor dysesthesia, tinkling paresthesia and numbness in the leg, nor muscle weakness (problems which are frequently observed after XLIF surgery).