Anterior lumbar interbody fusion (ALIF) has emerged as one of the most common surgical approaches for the management of degenerative pathology of the lower lumbar spine. Through an anterior retroperitoneal approach, wide exposure of the ventral surfaces of the L4-5 and L5-S1 disks can be achieved. Near-complete disk removal can be achieved, and large interbody structural grafts or cages can be placed for reconstruction of the lower lumbar spine.Quick Tips