Abstract
In recent years, the lateral approach to lumbar interbody fusion has become increasingly adapted by spine surgeons due to its benefits in approach (avoiding dissection through spinal canal and neural foramina), biomechanics (wide interbody cage spanning the dense apophyseal ring), and minimally invasive technique. LLIF is a safe and reproducible surgery that can be performed as a standalone procedure or with circumferential fusion. Complications related to LLIF remain an area of concern, particularly at the L4-5 segment, as lasting approach related neurological deficits have been noted to occur. The approach is also limited by the inability to treat the L5-S1 segment. In indicated patients, LLIF is an effective minimally invasive procedure to address diseases of the spine, but the technique has its own set of complications. The objective of this chapter is to review the advantages and complications of the LLIF technique.
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