Page 1 of 2 12 LastLast
Results 1 to 15 of 26

Thread: Minimally invasive Surgery Xlif.. Help

  1. #1
    Join Date
    Feb 2012
    Location
    USA
    Posts
    29

    Minimally invasive Surgery Xlif.. Help

    My Doctor wants to perform Minimally invasive Surgery using the Xlif Technique for my Lumbar scoliosis 45 degrees L1-L4. He said I am young and healthy and most likely a good outcome.
    I know it is still new technique and maybe many of you did not hear about it yet, but anyone that does have experience.. I would love to hear, anything would help, any link, thoughts.. etc

    Also, Any case studies out there comparing minimally invasive approach to the traditional open back approach?

    Here is the link that describes the technique http://www.youtube.com/watch?v=Z5nkVaduSSg
    Last edited by YB1125; 02-17-2012 at 05:58 PM.

  2. #2
    Join Date
    May 2009
    Posts
    3,745
    Dr Anand in LA is a big proponent of minimally invasive surgery for lumbar....
    the procedure is not new for thoracic, but is newer for lumbar....
    you can check out Dr Anand's website...he has a video of the procedure...without any blood or gore...
    minimally invasive has been discussed on this forum before...
    if you do a search, you will find the topic discussed on this forum...
    there are several surgeons who use the procedure by now...

    jess

  3. #3
    Join Date
    Jan 2008
    Location
    Oregon
    Posts
    1,162

    can XLIF alone straighten a curve?

    Hi there,

    I just had XLIF's done at L2/3 and L3/4 along with a posterior revision for broken rods, so I can tell you all you want to know about what an XLIF is like.

    However, first I am wondering if your doctor is proposing XLIF's alone, is he saying it will give any correction of your curve, or just fuse it in place? My understanding is that it would not be able to correct a curve at all as a stand-alone procedure. That would be important to know.

    Let me know what other questions you have and I will gladly answer them.
    Gayle, age 50
    Oct 2010 fusion T8-sacrum w/ pelvic fixation
    Feb 2012 lumbar revision for broken rods @ L2-3-4
    Sept 2015 major lumbar A/P revision for broken rods @ L5-S1


    mom of Leah, 15 y/o, Diagnosed '08 with 26* T JIS (age 6)
    2010 VBS Dr Luhmann Shriners St Louis
    2017 curves stable/skeletely mature

    also mom of Torrey, 12 y/o son, 16* T, stable

  4. #4
    Join Date
    May 2009
    Posts
    3,745
    there are different minimally invasive approaches...PLIF, AXILF, etc...
    the minimal approach can be from the back, side, etc..
    all you have to do is google it...
    or any of the surgeons who use it....
    Dr Lonner offered me "partial" minially invasive...and i need rods, plus discs repaired...

    jess

  5. #5
    Join Date
    Sep 2003
    Location
    Northern California
    Posts
    6,801
    Gayle...

    We've seen a lot of patients whose curve gets significantly better with just the XLIF, although it is usually followed by a PSF. I think there may be some surgeons doing standalone XLIFs.

    --Lind
    Never argue with an idiot. They always drag you down to their level, and then they beat you with experience. --Dilbert
    I'm sarcastic... what's your super power? --Unknown
    ---------------------------------------------------------------------------------------------------------------------------------------------------
    Surgery 2/10/93 A/P fusion T4-L3
    Surgery 1/20/11 A/P fusion L2-sacrum w/pelvic fixation
    ---------------------------------------------------------------------------------------------------------------------------------------------------
    If you've signed up and are having trouble posting, please check your spam folder. An email was sent to the email address which you subscribed. You have to follow the instructions in that email. Done that and still having trouble posting? Contact Joe O'Brien at jpobrien@scoliosis.org.

  6. #6
    Join Date
    May 2009
    Posts
    3,745
    how can that be enough for patients with large curves....?

    jess

  7. #7
    Join Date
    Sep 2003
    Location
    Northern California
    Posts
    6,801
    Quote Originally Posted by jrnyc View Post
    how can that be enough for patients with large curves....?

    jess
    Well, no one said it was possible for "large" curves.

    If you look at Dr. Deviren's presentation from our Scoliosis Multidisciplinary conference last December:

    http://orthosurg.ucsf.edu/sites/defa...ry_Deviren.pdf

    Check out page 32 (titled eXtreme Lateral Interbody Fusion (XLIF). The X-ray on the left is prep, and the X-ray on the right is after XLIFs.

    On page 45 of that presentation, you can see that the XLIF gave the patient a huge correction in the fractional curve at the very bottom of the spine.
    Never argue with an idiot. They always drag you down to their level, and then they beat you with experience. --Dilbert
    I'm sarcastic... what's your super power? --Unknown
    ---------------------------------------------------------------------------------------------------------------------------------------------------
    Surgery 2/10/93 A/P fusion T4-L3
    Surgery 1/20/11 A/P fusion L2-sacrum w/pelvic fixation
    ---------------------------------------------------------------------------------------------------------------------------------------------------
    If you've signed up and are having trouble posting, please check your spam folder. An email was sent to the email address which you subscribed. You have to follow the instructions in that email. Done that and still having trouble posting? Contact Joe O'Brien at jpobrien@scoliosis.org.

  8. #8
    Join Date
    May 2008
    Location
    reno,nevada
    Posts
    3,555
    Hard to believe that the perfect correction on the right x-ray is before hardware...this person had quite the release with her anterior. (xlif)

    Of course, next comes the hardware.
    Ed
    49 yr old male, now 58, the new 53...
    Pre surgery curves C12,T70,L70
    ALIF/PLIF T2-Pelvis 01/29/08, 01/31/08 7" pelvic anchors BMP
    Dr Brett Menmuir St Marys Hospital Reno,Nevada

    Bending and twisting pics after full fusion
    http://www.scoliosis.org/forum/showt...on.&highlight=

    My x-rays
    http://www.scoliosis.org/forum/attac...2&d=1228779214

    http://www.scoliosis.org/forum/attac...3&d=1228779258

  9. #9
    Join Date
    Feb 2012
    Location
    USA
    Posts
    29

    Thank you for the info..

    Jess- Thank you, I have looked into Dr Anand before and spoke to his assistant, unfortunately he does not take my health Insurance.

    leahdragonfly-
    HTML Code:
    I just had XLIF's done at L2/3 and L3/4 along with a posterior revision for broken rods, so I can tell you all you want to know about what an XLIF is like. 
    
    However, first I am wondering if your doctor is proposing XLIF's alone, is he saying it will give any correction of your curve, or just fuse it in place? My understanding is that it would not be able to correct a curve at all as a stand-alone procedure. That would be important to know.
    
    Let me know what other questions you have and I will gladly answer them.
    The Xlif was proposing also 2 shorter rods and 4 screws. Do you not have rods in your back?
    and thank you, please tell me all about it.. Is the recovery really that fast? Do you have flexibility with your spine? any pain afterwards? ..etc
    29 years old Female
    45 Degrees Lumbar Scoliosis T12-L4

  10. #10
    Join Date
    Feb 2012
    Location
    USA
    Posts
    29
    LindaRacine-
    Did you mean Xlif without rods? .. or just the material they put between the vertebrates to make it straight? Does it perform without rods?
    Also when I clicked the link I could not find any info about eXtreme Lateral Interbody Fusion by Dr. Deviren.
    29 years old Female
    45 Degrees Lumbar Scoliosis T12-L4

  11. #11
    Join Date
    Sep 2003
    Location
    Northern California
    Posts
    6,801
    Quote Originally Posted by YB1125 View Post
    LindaRacine-
    Did you mean Xlif without rods? .. or just the material they put between the vertebrates to make it straight? Does it perform without rods?
    Also when I clicked the link I could not find any info about eXtreme Lateral Interbody Fusion by Dr. Deviren.
    Not sure why you can't see the images I mentioned above. I'm able to click on the link, which opens the PDF. Then, I scroll down to the 32nd slide. The X-ray on the left is pre-op, and the x-ray on the right is post-op. You'll see that the patient had a lot of correction without rods and screws.
    Never argue with an idiot. They always drag you down to their level, and then they beat you with experience. --Dilbert
    I'm sarcastic... what's your super power? --Unknown
    ---------------------------------------------------------------------------------------------------------------------------------------------------
    Surgery 2/10/93 A/P fusion T4-L3
    Surgery 1/20/11 A/P fusion L2-sacrum w/pelvic fixation
    ---------------------------------------------------------------------------------------------------------------------------------------------------
    If you've signed up and are having trouble posting, please check your spam folder. An email was sent to the email address which you subscribed. You have to follow the instructions in that email. Done that and still having trouble posting? Contact Joe O'Brien at jpobrien@scoliosis.org.

  12. #12
    Join Date
    May 2009
    Posts
    3,745
    is that page 32 you are referring to?? or is there a slide number?
    i see all of it...pretty large on my screen, actually...

    are there requirements that rule people in or out of having this form
    of scoli surgery? what is the largest size curve it can address...?

    jess

  13. #13
    Join Date
    Sep 2003
    Location
    Northern California
    Posts
    6,801
    Quote Originally Posted by jrnyc View Post
    is that page 32 you are referring to?? or is there a slide number?
    i see all of it...pretty large on my screen, actually...

    are there requirements that rule people in or out of having this form
    of scoli surgery? what is the largest size curve it can address...?

    jess
    As far as I can tell, there are no slide numbers on the actual slides. But, if you look at the header information in Acrobat or Preview, you can see that there are 69 slides. The title of the slide is eXtreme Lateral Interbody Fusion (XLIF). Not sure why I'm not able to describe this so people can find it.

    I don't know which patients might get away with only an XLIF, but I'm guessing it's pretty unusual. You might be able to get a lot more information here:

    http://www.thebetterwayback.org/
    Never argue with an idiot. They always drag you down to their level, and then they beat you with experience. --Dilbert
    I'm sarcastic... what's your super power? --Unknown
    ---------------------------------------------------------------------------------------------------------------------------------------------------
    Surgery 2/10/93 A/P fusion T4-L3
    Surgery 1/20/11 A/P fusion L2-sacrum w/pelvic fixation
    ---------------------------------------------------------------------------------------------------------------------------------------------------
    If you've signed up and are having trouble posting, please check your spam folder. An email was sent to the email address which you subscribed. You have to follow the instructions in that email. Done that and still having trouble posting? Contact Joe O'Brien at jpobrien@scoliosis.org.

  14. #14
    Join Date
    May 2009
    Posts
    3,745
    thanks Linda...for that link....
    but when i looked for doctors affiliated with it, i found a lot of names i
    never saw before...none i recognized when i searched for Manhattan...
    i wonder what the "usual" well known surgeons think of it...
    ???

    jess

  15. #15
    Join Date
    Sep 2003
    Location
    Northern California
    Posts
    6,801
    Quote Originally Posted by jrnyc View Post
    thanks Linda...for that link....
    but when i looked for doctors affiliated with it, i found a lot of names i
    never saw before...none i recognized when i searched for Manhattan...
    i wonder what the "usual" well known surgeons think of it...
    ???

    jess
    As well as being used in scoliosis surgeries, the XLIF is also used for non-deformity surgeries, so it's no surprise that you don't recognize most of the names. As has been said many times before, surgeons have their own preference for implants and approach. I haven't looked, but I'm guessing that only one of the UCSF surgeons is listed on BetterWayBack, but there are at least 2-3 other surgeons who use the XLIF, but have not become members of SOLAS (probably just due to lack of time).
    Never argue with an idiot. They always drag you down to their level, and then they beat you with experience. --Dilbert
    I'm sarcastic... what's your super power? --Unknown
    ---------------------------------------------------------------------------------------------------------------------------------------------------
    Surgery 2/10/93 A/P fusion T4-L3
    Surgery 1/20/11 A/P fusion L2-sacrum w/pelvic fixation
    ---------------------------------------------------------------------------------------------------------------------------------------------------
    If you've signed up and are having trouble posting, please check your spam folder. An email was sent to the email address which you subscribed. You have to follow the instructions in that email. Done that and still having trouble posting? Contact Joe O'Brien at jpobrien@scoliosis.org.

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •