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Defining a safe working zone for lateral lumbar interbody fusion: a radiographic, cross-sectional study.

Bhavuk GargNishank MehtaVivek VijayakumarAnupam Gupta
Published in: European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society (2020)
A detailed study of preoperative MRI scans should be carried out in patients planned for LLIF-particularly, at L4-L5 level and in females. A left-sided trans-psoas approach is safer to perform compared to the right side-a right-sided approach should be avoided at L4-L5 considering the narrow SWZ at that level.
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