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Research ArticleMinimally Invasive Surgery

Comparative Review of Lateral and Oblique Lumbar Interbody Fusion: Technique, Outcomes, and Complications

Jae-Young Hong and Jaewan Soh
International Journal of Spine Surgery April 2025, 19 (2) 246-260; DOI: https://doi.org/10.14444/8759
Jae-Young Hong
1 Department of Orthopedic Surgery, Korea University Ansan Hospital, Ansan-si, Gyeonggi-do, Republic of Korea
MD, PhD
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  • For correspondence: osspine@korea.ac.kr
Jaewan Soh
2 Department of Orthopedic Surgery, Hanyang University Guri Hospital, Gyeonggi-do, Republic of Korea
MD
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    Figure 1

    (a) The patient is positioned in a right lateral decubitus position, and “favorable oblique” position is achieved, which means a comfortable approach angle for surgeons. (b) A retractor is positioned over the dilators and can be anchored to the vertebral body using a pin. (c) After disc removal and sequential trialing, a contralateral annular release is performed using a blunt-tipped shaver or Cobb elevator.

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    Figure 2

    (a) A line is drawn across the L5 to S1 disc level. Subsequently, a second line is drawn from the center of the L5 to S1 disc. Finally, approximately 2 finger breadths anterior to the anterior superior iliac spine, a third line is drawn connecting the first and second lines where the incision is made. (b) Discectomy and interbody cage placement are performed in a manner similar to anterior lumbar interbody fusion.

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    Figure 3

    (a) Plain radiographs of a 70-year-old woman with multilevel lumbar spinal stenosis. (b) Preoperative magnetic resonance images show multilevel moderate-degree stenosis with bilateral foraminal narrowing. (c) Plain radiographs show increased disc height after multilevel oblique lumbar interbody fusion cage insertion. (d) Postoperative plain radiograph shows percutaneous screw fixation without direct decompression with relief of symptoms.

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    Figure 4

    (a) Plain radiographs of 63-year-old woman who was operated at L4-L5-S1 6 years ago show adjacent segment degeneration at L2-L3-L4 level. (b) Postoperative plain radiographs show restoration of disc height and lumbar lordosis with oblique lumbar interbody fusion surgery.

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International Journal of Spine Surgery
Vol. 19, Issue 2
1 Apr 2025
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Comparative Review of Lateral and Oblique Lumbar Interbody Fusion: Technique, Outcomes, and Complications
Jae-Young Hong, Jaewan Soh
International Journal of Spine Surgery Apr 2025, 19 (2) 246-260; DOI: 10.14444/8759

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Comparative Review of Lateral and Oblique Lumbar Interbody Fusion: Technique, Outcomes, and Complications
Jae-Young Hong, Jaewan Soh
International Journal of Spine Surgery Apr 2025, 19 (2) 246-260; DOI: 10.14444/8759
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Jump to section

  • Article
    • Abstract
    • Introduction
    • Data Collection Methods
    • History and Evolution of Lumbar Interbody Fusion
    • Indications/Contraindications for LLIF and OLIF
    • OLIF Techniques
    • Advantages of OLIF Over LLIF
    • Clinical Applications of Lateral Lumbar Approaches
    • Complications
    • Challenges of OLIF
    • Advanced Considerations
    • OLIF Recent Advances and Future
    • Conclusion
    • Acknowledgments
    • Footnotes
    • References
  • Figures & Data
  • Info & Metrics
  • PDF

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More in this TOC Section

  • Key Considerations in Surgical Decision-Making on the Side of Approach for Lumbar Lateral Transpsoas Interbody Fusion Techniques
  • A Spine Surgeon’s Learning Curve With the Minimally Invasive L5 to S1 Lateral ALIF Surgical Approach: Perioperative Outcomes and Technical Considerations
Show more Minimally Invasive Surgery

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Keywords

  • minimally invasive spine surgery
  • Oblique lateral lumbar interbody fusion
  • outcomes

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