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Anterior Lumbar Interbody Fusion
The anterior lumbar interbody technique for fusion of the lower lumbar spine is being performed with increasing frequency. As surgeons become more familiar and more comfortable with this approach, more clinical scenarios traditionally approached via a posterior surgical technique may be handled with an anterior procedure. Lumbar levels from L2 to the sacrum can be accessed via a single retroperitoneal approach in most instances. The anterior lumbar approach presents significant advantages in long deformity constructs, which extend down to the sacrum or pelvis.