Anterior Lumbar Interbody Fusion in Spondylolisthesis

Shivam Upadhyaya, Jeffrey L. Gum, Grant O. Schmidt, John R. Dimar, Jacob M. Buchowski

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


Anterior lumbar interbody fusion (ALIF) was first reported in 1906 and is currently an acceptable option for surgical treatment of spondylolisthesis. A careful preoperative evaluation is critical, as most complications are approach related. Both retroperitoneal and transperitoneal approaches are utilized for exposing the lower lumbar levels most commonly associated with spondylolisthesis. A wide variety of options are available for the interbody graft, including autogenous bone grafts and titanium cages, as well as graft adjuncts such as bone morphogenetic protein (rhBMP-2). Both radiographic results and health-related quality of life (HRQOL) studies have established ALIF as a reliable procedure for the treatment of spondylolisthesis. Known complications of ALIF include vascular damage, injury to peritoneal viscera, ileus, and retrograde ejaculation.

Original languageEnglish
Title of host publicationSpondylolisthesis
Subtitle of host publicationDiagnosis, Non-Surgical Management, and Surgical Techniques: Second Edition
PublisherSpringer International Publishing
Number of pages14
ISBN (Electronic)9783031272530
ISBN (Print)9783031272523
StatePublished - Jan 1 2023


  • Anterior lumbar interbody fusion
  • Retrograde ejaculation
  • Spondylolisthesis treatment
  • Surgical technique


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