{"id":995,"date":"2026-10-24T17:17:25","date_gmt":"2026-10-24T17:17:25","guid":{"rendered":"https:\/\/vitolavanga.it\/?page_id=995"},"modified":"2026-10-24T19:27:17","modified_gmt":"2026-10-24T19:27:17","slug":"artrodesi-lombare-tlif-xlif-alif","status":"publish","type":"page","link":"https:\/\/vitolavanga.it\/en\/artrodesi-lombare-tlif-xlif-alif\/","title":{"rendered":"Lumbar spinal fusion (arthrodesis): TLIF, XLIF, ALIF"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"995\" class=\"elementor elementor-995\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2b95b3db elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2b95b3db\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column 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img{border-radius:17px}.vlp-phone--lg{width:146px}\n.vlp-phones .vlp-phone:nth-child(3){display:none}\n.vlp-feat{grid-template-columns:1fr 1fr;gap:18px 12px}.vlp-feat .vlp-phone{width:100%;max-width:170px}.vlp-feat figcaption h3{font-size:17px}.vlp-feat figcaption p{font-size:13.5px}\n}\n.page-header{display:none!important}.page-content>.vlp-scope,.elementor-widget-html .vlp-scope{margin-top:0}\n\n.vlp-scope{max-width:100%;overflow-wrap:break-word}.vlp-scope img{max-width:100%;height:auto}.vlp-scope .vlp-tbl{max-width:100%;overflow-x:auto}.vlp-scope h2[id],.vlp-scope section[id]{scroll-margin-top:90px}\n@media (max-width:420px){.vlp-article{padding:0 14px 32px}.vlp-article h1{font-size:30px}.vlp-cta__btns a{width:100%;text-align:center}.vlp-patnav__pn{grid-template-columns:1fr}.vlp-patnav__pn .vlp-next{text-align:left}}\n<\/style><\/p>\n<div class=\"vlp-scope\"><nav class=\"vlp-patnav vlp-patnav--top\" aria-label=\"Menu patologie\">\n<div class=\"vlp-patnav__row\"><span class=\"vlp-patnav__label\">Patologie e interventi<\/span><details class=\"vlp-dd\">\n<summary aria-label=\"Apri il menu Patologie e interventi\">Elenco <span class=\"vlp-dd__chev\" aria-hidden=\"true\">\u25be<\/span><\/summary>\n<div class=\"vlp-dd__panel\">\n<div>\n<p class=\"vlp-dd__group\">Patologie della colonna<\/p>\n<ul>\n<li><a href=\"https:\/\/vitolavanga.it\/ernia-del-disco\/\">Ernia del disco<small>Sciatica, formicolio, microdiscectomia<\/small><\/a><\/li>\n<li><a href=\"https:\/\/vitolavanga.it\/stenosi-lombare\/\">Stenosi lombare<small>Gambe pesanti camminando<\/small><\/a><\/li>\n<li><a href=\"https:\/\/vitolavanga.it\/spondilolistesi\/\">Spondilolistesi<small>Vertebra che scivola<\/small><\/a><\/li>\n<li><a href=\"https:\/\/vitolavanga.it\/scoliosi\/\">Scoliosi<small>Ragazzi e adulti<\/small><\/a><\/li>\n<li><a href=\"https:\/\/vitolavanga.it\/cervicobrachialgia\/\">Cervicobrachialgia<small>Dal collo al braccio, mielopatia<\/small><\/a><\/li>\n<li><a href=\"https:\/\/vitolavanga.it\/discopatia\/\">Discopatia<small>Il disco che si consuma, collo e schiena<\/small><\/a><\/li>\n<li><a href=\"https:\/\/vitolavanga.it\/fratture-vertebrali-osteoporosi\/\">Fratture e osteoporosi<small>MOC, cura dell&#8217;osso<\/small><\/a><\/li>\n<\/ul>\n<\/div>\n<div>\n<p class=\"vlp-dd__group\">Interventi<\/p>\n<ul>\n<li><a href=\"https:\/\/vitolavanga.it\/endoscopia-vertebrale-biportale\/\">Endoscopia vertebrale<small>Biportale, due piccoli accessi<\/small><\/a><\/li>\n<li><a href=\"https:\/\/vitolavanga.it\/artrodesi-lombare-tlif-xlif-alif\/\" aria-current=\"page\">Artrodesi lombare<small>TLIF, XLIF, ALIF<\/small><\/a><\/li>\n<li><a href=\"https:\/\/vitolavanga.it\/artrodesi-cervicale-anteriore-acdf\/\">Artrodesi cervicale<small>ACDF al microscopio<\/small><\/a><\/li>\n<li><a href=\"https:\/\/vitolavanga.it\/fratture-vertebrali-osteoporosi\/#vertebroplastica\">Vertebroplastica<small>Fratture vertebrali da osteoporosi<\/small><\/a><\/li>\n<\/ul>\n<\/div>\n<p class=\"vlp-dd__all\"><a href=\"https:\/\/vitolavanga.it\/patologie\/\">Tutte le patologie \u2192<\/a> \u00b7 <a href=\"https:\/\/vitolavanga.it\/interventi\/\">Tutti gli interventi \u2192<\/a><\/p>\n<\/div>\n<\/details>\n<div class=\"vlp-pills\"><a href=\"https:\/\/vitolavanga.it\/ernia-del-disco\/\">Ernia del disco<\/a><a href=\"https:\/\/vitolavanga.it\/stenosi-lombare\/\">Stenosi lombare<\/a><a href=\"https:\/\/vitolavanga.it\/spondilolistesi\/\">Spondilolistesi<\/a><a href=\"https:\/\/vitolavanga.it\/scoliosi\/\">Scoliosi<\/a><a href=\"https:\/\/vitolavanga.it\/cervicobrachialgia\/\">Cervicobrachialgia<\/a><a href=\"https:\/\/vitolavanga.it\/discopatia\/\">Discopatia<\/a><a href=\"https:\/\/vitolavanga.it\/fratture-vertebrali-osteoporosi\/\">Fratture e osteoporosi<\/a><a href=\"https:\/\/vitolavanga.it\/endoscopia-vertebrale-biportale\/\">Endoscopia vertebrale<\/a><a href=\"https:\/\/vitolavanga.it\/artrodesi-lombare-tlif-xlif-alif\/\" aria-current=\"page\">Artrodesi lombare<\/a><a href=\"https:\/\/vitolavanga.it\/artrodesi-cervicale-anteriore-acdf\/\">Artrodesi cervicale<\/a><a href=\"https:\/\/vitolavanga.it\/fratture-vertebrali-osteoporosi\/#vertebroplastica\">Vertebroplastica<\/a><\/div>\n<\/div>\n<\/nav>\n<article class=\"vlp-article\">\n<p class=\"vlp-kicker\">Patologie \u00b7 Chirurgia vertebrale \u00b7 Lainate<\/p>\n<h1>Artrodesi lombare: TLIF, XLIF e ALIF spiegate passo dopo passo<\/h1>\n<!-- ===== LETTURA-VOCE: SEGNAPOSTO (audio non ancora registrato) =====\n     File atteso: https:\/\/orthonext.it\/wp-content\/uploads\/lettura-voce\/lettura-vl-artrodesi-lombare-tlif-xlif-alif.mp3\n     Voce Software ElevenLabs IfQg3KBhLf9wRClzw5VR, modello eleven_multilingual_v2, testo = questa pagina.\n     Quando il file risponde 200: togliere SOLO le due righe di commento \"LV-OFF\" qui sotto e il tasto compare.\n-->\n<div class=\"lv-voce\" data-src=\"https:\/\/orthonext.it\/wp-content\/uploads\/lettura-voce\/lettura-vl-artrodesi-lombare-tlif-xlif-alif.mp3\" data-titolo=\"Artrodesi lombare (TLIF, XLIF, ALIF)\">\n  <button type=\"button\" class=\"lv-voce__btn\" aria-pressed=\"false\" aria-label=\"Senti la lettura con la mia voce: Artrodesi lombare (TLIF, XLIF, ALIF)\">\n    <span class=\"lv-voce__ico\" aria-hidden=\"true\">\n      <svg class=\"lv-voce__play\" viewBox=\"0 0 24 24\" width=\"34\" height=\"34\"><path fill=\"currentColor\" d=\"M3 9v6h4l5 5V4L7 9H3z\"\/><path fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" d=\"M15.5 8.5a5 5 0 0 1 0 7M18.5 5.5a9 9 0 0 1 0 13\"\/><\/svg>\n      <svg class=\"lv-voce__pause\" viewBox=\"0 0 24 24\" width=\"34\" height=\"34\"><rect x=\"6\" y=\"4\" width=\"4\" height=\"16\" rx=\"1\" fill=\"currentColor\"\/><rect x=\"14\" y=\"4\" width=\"4\" height=\"16\" rx=\"1\" fill=\"currentColor\"\/><\/svg>\n    <\/span>\n    <span class=\"lv-voce__lbl\">Senti la lettura con la mia voce<\/span>\n  <\/button>\n  <div class=\"lv-voce__bar\" role=\"progressbar\" aria-label=\"Avanzamento della lettura\" aria-valuemin=\"0\" aria-valuemax=\"100\" aria-valuenow=\"0\"><span><\/span><\/div>\n  <div class=\"lv-voce__info\" aria-live=\"polite\">Letta dal Dr. Vito Lavanga<\/div>\n<\/div>\n <style>\n.lv-voce{max-width:640px;margin:18px 0 26px;font-family:inherit}\n.lv-voce .lv-voce__btn{display:flex;align-items:center;gap:16px;width:100%;min-height:72px;padding:14px 22px;border:3px solid #0b1d36;border-radius:16px;background:#f5c400;color:#0b1d36;font-size:22px;font-weight:800;line-height:1.25;text-align:left;cursor:pointer;font-family:inherit;text-transform:none;letter-spacing:normal;white-space:normal;overflow-wrap:anywhere;word-break:normal;height:auto;text-decoration:none;box-shadow:0 4px 0 #0b1d36;transition:transform .08s,box-shadow .08s}\n.lv-voce .lv-voce__btn:hover,.lv-voce 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linear}\n.lv-voce .lv-voce__info{font-size:18px;color:#0b1d36;padding-left:2px}\n@media (max-width:480px){.lv-voce .lv-voce__btn{font-size:20px;padding:12px 16px;gap:12px}.lv-voce .lv-voce__ico{flex-basis:46px;height:46px}}\n@media (prefers-reduced-motion:reduce){.lv-voce__btn,.lv-voce__bar span{transition:none}}\n<\/style> <script>\n(function(){\n  if(window.lvVoceInit) {window.lvVoceInit();return;}\n  function t(s){s=Math.max(0,Math.floor(s||0));return Math.floor(s\/60)+':'+('0'+s%60).slice(-2);}\n  var tutti=[];\n  function init(){\n    document.querySelectorAll('.lv-voce:not([data-pronto])').forEach(function(box){\n      box.setAttribute('data-pronto','1');\n      var btn=box.querySelector('.lv-voce__btn'),lbl=box.querySelector('.lv-voce__lbl'),\n          bar=box.querySelector('.lv-voce__bar'),fill=bar.querySelector('span'),info=box.querySelector('.lv-voce__info'),\n          tit=box.getAttribute('data-titolo')||'',a=null;\n      function stato(){\n        var on=a&&!a.paused&&!a.ended;\n        box.classList.toggle('is-playing',!!on);\n        btn.setAttribute('aria-pressed',on?'true':'false');\n        lbl.textContent=on?'Metti in pausa':(a&&a.currentTime>0&&!a.ended?'Riprendi la lettura':'Senti la lettura con la mia voce');\n        btn.setAttribute('aria-label',lbl.textContent+(tit?': '+tit:''));\n      }\n      function avanzamento(){\n        if(!a||!a.duration)return;\n        var p=Math.round(a.currentTime\/a.duration*100);\n        fill.style.width=p+'%';bar.setAttribute('aria-valuenow',p);\n        info.textContent=t(a.currentTime)+' \/ '+t(a.duration)+' \u00b7 voce del Dr. Vito Lavanga';\n      }\n      btn.addEventListener('click',function(){\n        if(!a){\n          a=new Audio();a.preload='none';a.src=box.getAttribute('data-src');tutti.push(a);\n          ['play','pause','ended'].forEach(function(e){a.addEventListener(e,stato);});\n          a.addEventListener('timeupdate',avanzamento);a.addEventListener('loadedmetadata',avanzamento);\n          a.addEventListener('waiting',function(){info.textContent='Caricamento\u2026';});\n          a.addEventListener('ended',function(){info.textContent='Lettura terminata. Premi di nuovo per riascoltare.';fill.style.width='100%';});\n          a.addEventListener('error',function(){info.textContent='Audio non disponibile in questo momento.';stato();});\n        }\n        if(a.paused||a.ended){\n          tutti.forEach(function(x){if(x!==a&&!x.paused)x.pause();});\n          if(a.ended)a.currentTime=0;\n          info.textContent='Caricamento\u2026';\n          var p=a.play();if(p&&p.catch)p.catch(function(){info.textContent='Audio non disponibile in questo momento.';stato();});\n        } else a.pause();\n        stato();\n      });\n    });\n  }\n  window.lvVoceInit=init;\n  if(document.readyState==='loading')document.addEventListener('DOMContentLoaded',init);else init();\n})();\n<\/script>\n<p class=\"vlp-lead\">L&#8217;artrodesi vertebrale favorisce la fusione di due o pi\u00f9 vertebre. \u00c8 indicata in casi selezionati di spondilolistesi, mobilit\u00e0 anomala del segmento, deformit\u00e0 o discopatie degenerative, dopo un&#8217;attenta valutazione specialistica.<\/p>\n<figure class=\"vlp-hero\"><img decoding=\"async\" src=\"https:\/\/orthonext.it\/wp-content\/uploads\/2026\/10\/vlp-pat-tlif.jpg\" alt=\"Rendering 3D della TLIF\" \/><\/figure>\n<nav class=\"vlp-toc\" aria-label=\"Indice\"><strong>In questa pagina<\/strong>\n<ol>\n<li><a href=\"#vlp-s1\">Perch\u00e9 si fa<\/a><\/li>\n<li><a href=\"#vlp-s2\">I tre tempi dell&#8217;intervento (esempio: TLIF)<\/a><\/li>\n<li><a href=\"#vlp-s3\">TLIF o PLIF?<\/a><\/li>\n<li><a href=\"#vlp-s4\">Le vie laterale (XLIF) e anteriore (ALIF)<\/a><\/li>\n<li><a href=\"#vlp-s5\">Quando si valuta<\/a><\/li>\n<li><a href=\"#vlp-s6\">Dopo l&#8217;intervento<\/a><\/li>\n<li><a href=\"#vlp-video\">Video del Dott. Lavanga<\/a><\/li>\n<li><a href=\"#vlp-refs\">Riferimenti<\/a><\/li>\n<\/ol>\n<\/nav>\n<section id=\"vlp-s1\" class=\"vlp-sec\">\n<h2>Perch\u00e9 si fa<\/h2>\n<p>Quando il disco si consuma, una vertebra scivola sull\u2019altra o legamenti e articolazioni si ispessiscono, i <strong>forami di coniugazione<\/strong> da cui escono le radici nervose si restringono e il nervo viene compresso: dolore alla schiena e alla gamba, formicolio, debolezza e fatica a camminare. L\u2019artrodesi permette di <strong>decomprimere i nervi<\/strong>, <strong>ricostruire l\u2019altezza del disco<\/strong> e <strong>bloccare il segmento<\/strong> finch\u00e9 l\u2019osso si salda <a class=\"vlp-cite\" title=\"Mobbs 2015 \u2013 PMID 27683674\" href=\"#vlp-ref-1\">[1]<\/a>.<\/p>\n<\/section>\n<section id=\"vlp-s2\" class=\"vlp-sec\">\n<h2>I tre tempi dell&#8217;intervento (esempio: TLIF)<\/h2>\n<ol>\n<li><strong>Laminectomia e foraminotomia:<\/strong> si rimuovono la lamina e, dal lato di accesso, la faccetta articolare, liberando la radice nervosa.<\/li>\n<li><strong>Gabbia intersomatica:<\/strong> si rimuove il disco degenerato e si inserisce una gabbia (cage) in titanio riempita di osso, che ripristina l\u2019altezza del disco e mantiene aperto il forame.<\/li>\n<li><strong>Viti peduncolari e barre:<\/strong> le viti, inserite attraverso il peduncolo fino al corpo vertebrale, vengono collegate da due barre: un telaio che tiene ferme le vertebre mentre si fondono.<\/li>\n<\/ol>\n<\/section>\n<section id=\"vlp-s3\" class=\"vlp-sec\">\n<h2>TLIF o PLIF?<\/h2>\n<p>La PLIF (via posteriore) \u00e8 la tecnica \u201csorella\u201d della TLIF. Nella spondilolistesi lombare una meta-analisi ha trovato risultati clinici paragonabili, ma con la TLIF <strong>meno complicanze<\/strong>, in particolare meno lesioni durali e nervose, con tempi operatori e perdite di sangue pi\u00f9 contenuti <a class=\"vlp-cite\" title=\"Cole 2009 \u2013 PMID 19468868\" href=\"#vlp-ref-2\">[2]<\/a><a class=\"vlp-cite\" title=\"de Kunder 2017 \u2013 PMID 28647584\" href=\"#vlp-ref-3\">[3]<\/a>.<\/p>\n<\/section>\n<section id=\"vlp-s4\" class=\"vlp-sec\">\n<h2>Le vie laterale (XLIF) e anteriore (ALIF)<\/h2>\n<p>Nella <strong>XLIF<\/strong> si raggiunge il disco dal fianco, attraverso il muscolo psoas, con un accesso mini-invasivo che permette di inserire una gabbia ampia e ottenere una decompressione indiretta dei nervi <a class=\"vlp-cite\" title=\"Ozgur 2006 \u2013 PMID 16825052\" href=\"#vlp-ref-4\">[4]<\/a>. In una serie prospettica di 600 casi le complicanze perioperatorie sono state del 6,2%, con degenza media di circa un giorno <a class=\"vlp-cite\" title=\"Rodgers 2011 \u2013 PMID 21192221\" href=\"#vlp-ref-5\">[5]<\/a>. Nella <strong>ALIF<\/strong> si arriva al disco dal davanti, attraverso l\u2019addome, senza toccare i muscoli della schiena: \u00e8 particolarmente adatta al livello L5-S1. Le vie si possono combinare con le viti posteriori percutanee.<\/p>\n<\/section>\n<section id=\"vlp-s5\" class=\"vlp-sec\">\n<h2>Quando si valuta<\/h2>\n<ul>\n<li><a href=\"https:\/\/vitolavanga.it\/spondilolistesi\/\">Spondilolistesi<\/a> degenerativa o istmica con dolore e sintomi alle gambe.<\/li>\n<li><a href=\"https:\/\/vitolavanga.it\/stenosi-lombare\/\">Stenosi<\/a> del canale o dei forami associata a mobilit\u00e0 anomala del segmento.<\/li>\n<li>Ernie del disco recidive o discopatie degenerative selezionate.<\/li>\n<li>Deformit\u00e0 come la <a href=\"https:\/\/vitolavanga.it\/scoliosi\/\">scoliosi dell\u2019adulto<\/a>.<\/li>\n<li>Sintomi che persistono nonostante fisioterapia, farmaci e infiltrazioni.<\/li>\n<\/ul>\n<p>Non tutti i mal di schiena richiedono un intervento: la chirurgia si propone dopo una visita accurata, la risonanza e le radiografie dinamiche, quando i benefici attesi superano chiaramente i rischi.<\/p>\n<\/section>\n<section id=\"vlp-s6\" class=\"vlp-sec\">\n<h2>Dopo l&#8217;intervento<\/h2>\n<p>In genere ci si alza gi\u00e0 nei primi giorni. Seguono una riabilitazione graduale e controlli radiografici che verificano nel tempo la fusione tra le vertebre. Tempi e indicazioni sono sempre personalizzati.<\/p>\n<\/section>\n<section id=\"vlp-video\" class=\"vlp-videos\">\n<h2>Video del Dott. Lavanga<\/h2>\n<div class=\"vlp-vgrid\">\n<div class=\"vlp-yt\" data-title=\"TLIF: come liberiamo la radice nervosa ed eseguiamo l'artrodesi\" data-yt=\"QBGf1acjeCk\"><button class=\"vlp-yt__btn\" type=\"button\" aria-label=\"Riproduci il video: TLIF: come liberiamo la radice nervosa ed eseguiamo l'artrodesi\"><img fetchpriority=\"high\" decoding=\"async\" src=\"https:\/\/orthonext.it\/wp-content\/uploads\/2026\/10\/vlp-yt-qbgf1acjeck.jpg\" alt=\"\" width=\"480\" height=\"360\" \/><\/button>\n<p class=\"vlp-yt__title\">TLIF: come liberiamo la radice nervosa ed eseguiamo l&#8217;artrodesi<\/p>\n<\/div>\n<div class=\"vlp-yt\" data-title=\"Dentro l'intervento chirurgico in 3 step\" data-yt=\"Z1qaYCRDe2U\"><button class=\"vlp-yt__btn\" type=\"button\" aria-label=\"Riproduci il video: Dentro l'intervento chirurgico in 3 step\"><img decoding=\"async\" src=\"https:\/\/orthonext.it\/wp-content\/uploads\/2026\/10\/vlp-yt-z1qaycrde2u.jpg\" alt=\"\" width=\"480\" height=\"360\" \/><span class=\"vlp-yt__dur\">2:44<\/span><\/button>\n<p class=\"vlp-yt__title\">Dentro l&#8217;intervento chirurgico in 3 step<\/p>\n<\/div>\n<div class=\"vlp-yt\" data-title=\"Artrodesi lombare anteriore e posteriore: due mesi dopo\" data-yt=\"Q9aHmxH3lWU\"><button class=\"vlp-yt__btn\" type=\"button\" aria-label=\"Riproduci il video: Artrodesi lombare anteriore e posteriore: due mesi dopo\"><img decoding=\"async\" src=\"https:\/\/orthonext.it\/wp-content\/uploads\/2026\/10\/vlp-yt-q9ahmxh3lwu.jpg\" alt=\"\" width=\"480\" height=\"360\" \/><span class=\"vlp-yt__dur\">2:28<\/span><\/button>\n<p class=\"vlp-yt__title\">Artrodesi lombare anteriore e posteriore: due mesi dopo<\/p>\n<\/div>\n<div class=\"vlp-yt vlp-yt--ext\"><a class=\"vlp-yt__btn\" href=\"https:\/\/www.youtube.com\/watch?v=zXcaDIhCkxY\" target=\"_blank\" rel=\"noopener\" aria-label=\"Video su YouTube: Artrodesi lombare per via laterale (XLIF): il punto di vista del chirurgo (immagini chirurgiche)\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/orthonext.it\/wp-content\/uploads\/2026\/10\/vlp-yt-zxcadihckxy.jpg\" alt=\"\" width=\"480\" height=\"360\" \/><span class=\"vlp-yt__ext\">Video su YouTube \u2197<small>Immagini chirurgiche<\/small><\/span><span class=\"vlp-yt__dur\">0:56<\/span><\/a>\n<p class=\"vlp-yt__title\">Artrodesi lombare per via laterale (XLIF): il punto di vista del chirurgo<\/p>\n<\/div>\n<div class=\"vlp-yt vlp-yt--ext\"><a class=\"vlp-yt__btn\" href=\"https:\/\/www.youtube.com\/watch?v=Is4l6HVg4TM\" target=\"_blank\" rel=\"noopener\" aria-label=\"Video su YouTube: Accesso anteriore tipo ALIF per la discopatia L5-S1 (immagini chirurgiche)\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/orthonext.it\/wp-content\/uploads\/2026\/10\/vlp-yt-is4l6hvg4tm.jpg\" alt=\"\" width=\"480\" height=\"360\" \/><span class=\"vlp-yt__ext\">Video su YouTube \u2197<small>Immagini chirurgiche<\/small><\/span><span class=\"vlp-yt__dur\">1:43<\/span><\/a>\n<p class=\"vlp-yt__title\">Accesso anteriore tipo ALIF per la discopatia L5-S1<\/p>\n<\/div>\n<\/div>\n<p class=\"vlp-yt__note\">I video si caricano da YouTube (youtube-nocookie.com) solo quando si preme \u25b6.<\/p>\n<\/section>\n<aside class=\"vlp-cta\">\n<div>\n<h2>Prenoti una visita con il Dott. Vito Lavanga<\/h2>\n<p>Ortho-Next, Viale Rimembranze 43, Lainate (MI), anche in videoconsulto. Ci scriva su WhatsApp al <strong>392 39 91 841<\/strong>.<\/p>\n<\/div>\n<div class=\"vlp-cta__btns\"><a class=\"vlp-btn vlp-btn--y\" href=\"https:\/\/wa.me\/393923991841?text=Buongiorno%2C%20vorrei%20prenotare%20una%20visita%20con%20il%20Dott.%20Lavanga\" target=\"_blank\" rel=\"noopener\">WhatsApp 392 39 91 841<\/a><a class=\"vlp-btn vlp-btn--w\" href=\"https:\/\/vitolavanga.it\/contatti\/\">Prenoti dal sito<\/a><a class=\"vlp-btn vlp-btn--w\" href=\"https:\/\/wa.me\/393315032553?text=GUIDA\" target=\"_blank\" rel=\"noopener\">Guida gratuita: scriva GUIDA<\/a><a class=\"vlp-cta__mail\" href=\"mailto:lavanga@orthonext.it\">lavanga@orthonext.it<\/a><\/div>\n<\/aside>\n<div class=\"vlp-author\">\n<div class=\"vlp-author__ico\" aria-hidden=\"true\">VL<\/div>\n<div><strong>Dott. Vito Lavanga<\/strong>, ortopedico e chirurgo della colonna vertebrale, oltre 2.300 interventi. Riceve a Ortho-Next, Lainate, e nelle altre sedi in cui opera.<\/div>\n<\/div>\n<h2 style=\"font-size: 24px;\">Approfondimenti correlati<\/h2>\n<div class=\"vlp-related\"><a href=\"https:\/\/vitolavanga.it\/spondilolistesi\/\">Spondilolistesi<small>Vertebra che scivola<\/small><\/a><a href=\"https:\/\/vitolavanga.it\/stenosi-lombare\/\">Stenosi lombare<small>Gambe pesanti camminando<\/small><\/a><a href=\"https:\/\/vitolavanga.it\/artrodesi-cervicale-anteriore-acdf\/\">Artrodesi cervicale<small>ACDF al microscopio<\/small><\/a><\/div>\n<section id=\"vlp-refs\" class=\"vlp-refs\">\n<h2>Riferimenti scientifici (PubMed)<\/h2>\n<ol>\n<li id=\"vlp-ref-1\">Mobbs RJ et al. Lumbar interbody fusion: techniques, indications and comparison of interbody fusion options including PLIF, TLIF, MI-TLIF, OLIF\/ATP, LLIF and ALIF. J Spine Surg. 2015. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27683674\/\" target=\"_blank\" rel=\"noopener\">PMID 27683674<\/a><\/li>\n<li id=\"vlp-ref-2\">Cole CD et al. Comparison of low back fusion techniques: transforaminal lumbar interbody fusion (TLIF) or posterior lumbar interbody fusion (PLIF) approaches. Curr Rev Musculoskelet Med. 2009. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/19468868\/\" target=\"_blank\" rel=\"noopener\">PMID 19468868<\/a><\/li>\n<li id=\"vlp-ref-3\">de Kunder SL et al. Transforaminal lumbar interbody fusion (TLIF) versus posterior lumbar interbody fusion (PLIF) in lumbar spondylolisthesis: a systematic review and meta-analysis. Spine J. 2017. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28647584\/\" target=\"_blank\" rel=\"noopener\">PMID 28647584<\/a><\/li>\n<li id=\"vlp-ref-4\">Ozgur BM et al. Extreme Lateral Interbody Fusion (XLIF): a novel surgical technique for anterior lumbar interbody fusion. Spine J. 2006. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/16825052\/\" target=\"_blank\" rel=\"noopener\">PMID 16825052<\/a><\/li>\n<li id=\"vlp-ref-5\">Rodgers WB et al. Intraoperative and early postoperative complications in extreme lateral interbody fusion: an analysis of 600 cases. Spine (Phila Pa 1976). 2011. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/21192221\/\" target=\"_blank\" rel=\"noopener\">PMID 21192221<\/a><\/li>\n<\/ol>\n<p class=\"vlp-disclaimer\">Contenuto informativo: non sostituisce la visita medica, la diagnosi o una terapia personalizzata.<\/p>\n<\/section>\n<\/article>\n<nav class=\"vlp-patnav vlp-patnav--bottom\" aria-label=\"Altre patologie\">\n<p class=\"vlp-patnav__title\">Continua a leggere<\/p>\n<div class=\"vlp-patnav__row\"><span class=\"vlp-patnav__label\">Patologie e interventi<\/span><details class=\"vlp-dd vlp-dd--up\">\n<summary aria-label=\"Apri il menu Patologie e interventi\">Elenco <span class=\"vlp-dd__chev\" aria-hidden=\"true\">\u25be<\/span><\/summary>\n<div class=\"vlp-dd__panel\">\n<div>\n<p class=\"vlp-dd__group\">Patologie della colonna<\/p>\n<ul>\n<li><a href=\"https:\/\/vitolavanga.it\/ernia-del-disco\/\">Ernia del disco<small>Sciatica, formicolio, microdiscectomia<\/small><\/a><\/li>\n<li><a href=\"https:\/\/vitolavanga.it\/stenosi-lombare\/\">Stenosi lombare<small>Gambe pesanti camminando<\/small><\/a><\/li>\n<li><a href=\"https:\/\/vitolavanga.it\/spondilolistesi\/\">Spondilolistesi<small>Vertebra che scivola<\/small><\/a><\/li>\n<li><a href=\"https:\/\/vitolavanga.it\/scoliosi\/\">Scoliosi<small>Ragazzi e adulti<\/small><\/a><\/li>\n<li><a href=\"https:\/\/vitolavanga.it\/cervicobrachialgia\/\">Cervicobrachialgia<small>Dal collo al braccio, mielopatia<\/small><\/a><\/li>\n<li><a href=\"https:\/\/vitolavanga.it\/discopatia\/\">Discopatia<small>Il disco che si consuma, collo e schiena<\/small><\/a><\/li>\n<li><a href=\"https:\/\/vitolavanga.it\/fratture-vertebrali-osteoporosi\/\">Fratture e osteoporosi<small>MOC, cura dell&#8217;osso<\/small><\/a><\/li>\n<\/ul>\n<\/div>\n<div>\n<p class=\"vlp-dd__group\">Interventi<\/p>\n<ul>\n<li><a href=\"https:\/\/vitolavanga.it\/endoscopia-vertebrale-biportale\/\">Endoscopia vertebrale<small>Biportale, due piccoli accessi<\/small><\/a><\/li>\n<li><a href=\"https:\/\/vitolavanga.it\/artrodesi-lombare-tlif-xlif-alif\/\" aria-current=\"page\">Artrodesi lombare<small>TLIF, XLIF, ALIF<\/small><\/a><\/li>\n<li><a href=\"https:\/\/vitolavanga.it\/artrodesi-cervicale-anteriore-acdf\/\">Artrodesi cervicale<small>ACDF al microscopio<\/small><\/a><\/li>\n<li><a href=\"https:\/\/vitolavanga.it\/fratture-vertebrali-osteoporosi\/#vertebroplastica\">Vertebroplastica<small>Fratture vertebrali da osteoporosi<\/small><\/a><\/li>\n<\/ul>\n<\/div>\n<p class=\"vlp-dd__all\"><a href=\"https:\/\/vitolavanga.it\/patologie\/\">Tutte le patologie \u2192<\/a> \u00b7 <a href=\"https:\/\/vitolavanga.it\/interventi\/\">Tutti gli interventi \u2192<\/a><\/p>\n<\/div>\n<\/details>\n<div class=\"vlp-pills\"><a href=\"https:\/\/vitolavanga.it\/ernia-del-disco\/\">Ernia del disco<\/a><a href=\"https:\/\/vitolavanga.it\/stenosi-lombare\/\">Stenosi lombare<\/a><a href=\"https:\/\/vitolavanga.it\/spondilolistesi\/\">Spondilolistesi<\/a><a href=\"https:\/\/vitolavanga.it\/scoliosi\/\">Scoliosi<\/a><a href=\"https:\/\/vitolavanga.it\/cervicobrachialgia\/\">Cervicobrachialgia<\/a><a href=\"https:\/\/vitolavanga.it\/discopatia\/\">Discopatia<\/a><a href=\"https:\/\/vitolavanga.it\/fratture-vertebrali-osteoporosi\/\">Fratture e osteoporosi<\/a><a href=\"https:\/\/vitolavanga.it\/endoscopia-vertebrale-biportale\/\">Endoscopia vertebrale<\/a><a href=\"https:\/\/vitolavanga.it\/artrodesi-lombare-tlif-xlif-alif\/\" aria-current=\"page\">Artrodesi lombare<\/a><a href=\"https:\/\/vitolavanga.it\/artrodesi-cervicale-anteriore-acdf\/\">Artrodesi cervicale<\/a><a href=\"https:\/\/vitolavanga.it\/fratture-vertebrali-osteoporosi\/#vertebroplastica\">Vertebroplastica<\/a><\/div>\n<\/div>\n<div class=\"vlp-patnav__pn\"><a href=\"https:\/\/vitolavanga.it\/endoscopia-vertebrale-biportale\/\"><small>\u2039 Precedente<\/small>Endoscopia vertebrale<\/a><a class=\"vlp-next\" href=\"https:\/\/vitolavanga.it\/artrodesi-cervicale-anteriore-acdf\/\"><small>Successiva \u203a<\/small>Artrodesi cervicale<\/a><\/div>\n<\/nav><\/div>\n<p><script>\n\n\/* vitolavanga.it - menu patologie + video YouTube a caricamento su clic (youtube-nocookie) *\/\n(function(){\n  if(window.__vlpInit)return;window.__vlpInit=1;\n  function closeAll(except){document.querySelectorAll('details.vlp-dd[open]').forEach(function(d){if(d!==except)d.removeAttribute('open');});}\n  document.addEventListener('toggle',function(e){var d=e.target;if(d.matches&&d.matches('details.vlp-dd')&&d.open)closeAll(d);},true);\n  document.addEventListener('click',function(e){if(!e.target.closest('details.vlp-dd'))closeAll(null);\n    var b=e.target.closest('.vlp-yt__btn');if(!b)return;var box=b.closest('.vlp-yt');var id=box.getAttribute('data-yt');\n    var f=document.createElement('iframe');f.src='https:\/\/www.youtube-nocookie.com\/embed\/'+encodeURIComponent(id)+'?autoplay=1&rel=0&modestbranding=1';\n    f.title=box.getAttribute('data-title')||'Video YouTube';f.allow='accelerometer; 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