Introduction: The Extreme Lateral Interbody Fusion (XLIF) technique has become increasingly recognized for its versatility and efficacy in addressing complex spinal conditions, particularly in revision surgeries. This review investigates the novel application of XLIF in removing foreign bodies from the spine, including subsided cages, failed hardware, and other implants.
Methods: A comprehensive literature review was conducted using keywords related to XLIF, revision surgery, and foreign body removal. Studies were selected based on inclusion criteria that emphasized clinical data, patient outcomes, and procedural details relevant to using XLIF in foreign body retrieval.
Results: XLIF demonstrates advantages such as reduced operative time, minimized blood loss, and shorter recovery periods, making it a valuable option in spinal revision surgery. The lateral approach of XLIF allows for safer navigation around scar tissue and critical neurovascular structures, addressing challenges typically encountered with traditional anterior and posterior methods. However, XLIF is not without challenges, as nerve and vascular complications can arise, necessitating careful patient selection and surgical expertise.
Conclusion : XLIF presents itself as a promising and effective alternative for the removal of foreign bodies in spinal revision surgeries, potentially offering a safer approach compared to conventional methods. Further research is needed to validate these findings and to refine XLIF techniques for broader clinical application
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