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  • 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, 04:58 PM.
    29 years old Female
    45 Degrees Lumbar Scoliosis T12-L4

  • #2
    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

    Comment


    • #3
      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

      Comment


      • #4
        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

        Comment


        • #5
          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. --Twain
          ---------------------------------------------------------------------------------------------------------------------------------------------------
          Surgery 2/10/93 A/P fusion T4-L3
          Surgery 1/20/11 A/P fusion L2-sacrum w/pelvic fixation

          Comment


          • #6
            how can that be enough for patients with large curves....?

            jess

            Comment


            • #7
              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. --Twain
              ---------------------------------------------------------------------------------------------------------------------------------------------------
              Surgery 2/10/93 A/P fusion T4-L3
              Surgery 1/20/11 A/P fusion L2-sacrum w/pelvic fixation

              Comment


              • #8
                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 63, the new 64...
                Pre surgery curves T70,L70
                ALIF/PSA 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

                Comment


                • #9
                  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

                  Comment


                  • #10
                    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

                    Comment


                    • #11
                      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. --Twain
                      ---------------------------------------------------------------------------------------------------------------------------------------------------
                      Surgery 2/10/93 A/P fusion T4-L3
                      Surgery 1/20/11 A/P fusion L2-sacrum w/pelvic fixation

                      Comment


                      • #12
                        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

                        Comment


                        • #13
                          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. --Twain
                          ---------------------------------------------------------------------------------------------------------------------------------------------------
                          Surgery 2/10/93 A/P fusion T4-L3
                          Surgery 1/20/11 A/P fusion L2-sacrum w/pelvic fixation

                          Comment


                          • #14
                            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

                            Comment


                            • #15
                              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. --Twain
                              ---------------------------------------------------------------------------------------------------------------------------------------------------
                              Surgery 2/10/93 A/P fusion T4-L3
                              Surgery 1/20/11 A/P fusion L2-sacrum w/pelvic fixation

                              Comment

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