Table 1.
Characteristics | Posterior approach | Anterior approach | Lateral approach | |||||
---|---|---|---|---|---|---|---|---|
PLIF | MI PLIF | TLIF | MI TLIF | ALIF | MI ALIF | XLIF | OLIF | |
Advantages | ||||||||
Direct neural decompression | ○ | ○ | ○ | ○ | × | × | × | × |
Area of fusion site | ○ | ○ | ▵ | ▵ | ◎ | ◎ | ◎ | ◎ |
Disc height restoration | ○ | ○ | ○ | ○ | ◎ | ◎ | ◎ | ◎ |
Alignment correction | ○ | ○ | ▵ | ▵ | ◎ | ◎ | ◎ | ◎ |
Disadvantages | ||||||||
Invasiveness | ○ | ▵ | ○ | ▵ | ◎ | ▵ | ▵ | ▵ |
Risk of neural tissue traction | ○ | ○ | ▵ | ▵ | × | × | ▵ | × |
Risk of vascular injury | ▵ | ▵ | ▵ | ▵ | ○ | ○ | ○ | ○ |
Back muscle damage | ○ | ▵ | ○ | ▵ | × | × | × | × |
◎: more compatible, ○: compatible, ▵: less compatible, ×: not compatible. ALIF: anterior LIF, LIF: lumbar interbody fusion, MI: minimally invasive, OLIF: oblique LIF, PLIF: posterior LIF, TLIF: transforaminal LIF, XLIF: extreme lateral LIF.