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Anterior Lumbar Interbody Fusion - ALIF
Anterior Lumbar Interbody Fusion - ALIF

What is an ALIF?

An ALIF is a spinal operation that is approached through from the abdomen rather than from the back. This procedure requires the vascular surgeon and spinal surgeon to work as team.
The anterior approach to spinal surgery has been practised for many years, however now through advanced technology and clinical research the technique has significantly improved. This drastically reduces the incision size in the abdomen and provides a far greater outcome with fewer complications.

Role of the Vascular Surgeon

ALIF surgery is divided into three stages.
  • Exposure of the spine by the Vascular Surgeon
  • Spinal Surgery by the Spine Surgeon
  • Closure of the abdomen by the vascular surgeon
The vascular surgeon starts the ALIF procedure by making a small incision at the vertebral level into the abdomen. The abdominal muscles are moved aside so that there is no need to cut them. Behind the abdominal muscles lies the peritoneal sac which contains the bowel and other abdominal organs.
The peritoneal sac is such a thin structure it is almost transparent. This is carefully separated from the abdominal wall and moved from left to right to allow access to the retroperitoneal space at the back. Here the main arteries and veins of the legs are carefully freed and retracted to expose the spine ready for the spinal surgeon to perform the spinal fusion.
Once the spinal surgeon has completed the spinal procedure, the Vascular surgeon ensures there are no injuries to any of the major blood vessels and proceeds to close the abdomen.

Preoperative Consult with Dr McGlade

Once you have seen your spinal surgeon, they will refer you to Dr McGlade’s rooms. Prior to being seen by Dr McGlade you will have a CT scan organised and potentially blood tests. This allows Dr McGlade to assess your blood vessels and their suitability for mobilisation which will allow access to the spine. After a thorough history and examination he will also take the time to discuss with you the exposure procedure, its risks and benefits and answer any questions you may have. You will then be asked to sign a consent form specifically for the exposure part of the operation.
Following the consultation Dr McGlade, your neurosurgeon and yourself will arrange a suitable date for your surgery to be performed.
There are some instances when an ALIF approach may not be suitable for a patient. These instances can only be determined by consulting with both surgeons. These may include:
  • Previous Vascular surgeries with the use of grafts or stents
  • Aneurysms in the iliac arteries or aorta
  • Previous surgery in the retroperitoneal space
  • Severely calcified vessels
  • Morbid Obesity

Treatments

Meet Our Doctor

Dr Daniel McGlade

Endovascular & Vascular Surgeon
MBBS, FRACS (Vasc)
Specialist Vascular Surgeon caring for people across the Sunshine Coast.
From all surrounding areas including Narangba, Bribie Island, Caloundra, Maleny, Nambour , Pomona, Noosa and Gympie.
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