{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,4,5]],"date-time":"2024-04-05T04:31:58Z","timestamp":1712291518193},"reference-count":16,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,3,9]],"date-time":"2017-03-09T00:00:00Z","timestamp":1489017600000},"content-version":"vor","delay-in-days":36,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2017,2]]},"abstract":"<jats:p>Spinal fusion via anterior lumbar interbody fusion (<jats:styled-content style=\"fixed-case\">ALIF<\/jats:styled-content>) can offer symptomatic relief to patients that suffer severe low back pain, radiculopathy, and claudication. However, a detailed working knowledge of the thoracic, abdominal, and lumbar anatomy, particularly of the vasculature, is vital. We report the case of a 68\u2010year\u2010old man who presented with radiculopathy and progressively worsening low back pain despite 9 months of unsuccessful conservative therapy and pain management. Preoperative computed tomography and magnetic resonance imaging revealed a rare anatomical variation, with an anomalous left\u2010sided inferior vena cava and anomalous aorta. The patient was surgically treated with <jats:styled-content style=\"fixed-case\">ALIF<\/jats:styled-content> at L<jats:sub>4,5<\/jats:sub> and L<jats:sub>5<\/jats:sub>S<jats:sub>1<\/jats:sub> via an altered surgical window. Given the anomalous anatomy of the patient, instead of performing the procedure after mobilizing both of the transposed abdominal great vessels, the inferior vena cava and the abdominal aorta, the <jats:styled-content style=\"fixed-case\">ALIF<\/jats:styled-content> was uneventfully performed in the window between these vessels. There were no perioperative or postoperative complications. At 12\u2010week postoperative follow\u2010up, X\u2010ray imaging demonstrated successful implantation of <jats:styled-content style=\"fixed-case\">ALIF<\/jats:styled-content> cages with no recurrence of symptoms. A detailed working knowledge of anatomy is important, particularly if anatomical variations are present. This has implications for preoperative surgical planning, which is integral to the safety and the success of procedures.<\/jats:p>","DOI":"10.1111\/os.12306","type":"journal-article","created":{"date-parts":[[2017,3,9]],"date-time":"2017-03-09T11:08:20Z","timestamp":1489057700000},"page":"133-135","source":"Crossref","is-referenced-by-count":4,"title":["Anterior Lumbar Interbody Fusion in Left\u2010sided Inferior Vena Cava and Right\u2010sided Aortic Arch"],"prefix":"10.1111","volume":"9","author":[{"given":"Kevin","family":"Phan","sequence":"first","affiliation":[{"name":"NeuroSpineClinic, Department of Neurosurgery Prince of Wales Private Hospital  Randwick New South Wales Australia"},{"name":"Department of Neurosurgery, NeuroSpine Surgery Research Group (NSURG)  Sydney New South Wales Australia"},{"name":"Department of Neurosurgery, Prince of Wales Private Hospital  Randwick New South Wales Australia"},{"name":"Faculty of Medicine, University of New South Wales (UNSW)  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernard A M","family":"Fang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, NeuroSpine Surgery Research Group (NSURG)  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monish M","family":"Maharaj","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, NeuroSpine Surgery Research Group (NSURG)  Sydney New South Wales Australia"},{"name":"Department of Neurosurgery, Prince of Wales Private Hospital  Randwick New South Wales Australia"},{"name":"Faculty of Medicine, University of New South Wales (UNSW)  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew F","family":"Lennox","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Prince of Wales Private Hospital  Randwick New South Wales Australia"},{"name":"Faculty of Medicine, University of New South Wales (UNSW)  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ralph J","family":"Mobbs","sequence":"additional","affiliation":[{"name":"NeuroSpineClinic, Department of Neurosurgery Prince of Wales Private Hospital  Randwick New South Wales Australia"},{"name":"Department of Neurosurgery, NeuroSpine Surgery Research Group (NSURG)  Sydney New South Wales Australia"},{"name":"Department of Neurosurgery, Prince of Wales Private Hospital  Randwick New South Wales Australia"},{"name":"Faculty of Medicine, University of New South Wales (UNSW)  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,3,9]]},"reference":[{"key":"e_1_2_4_2_1","first-page":"2","article-title":"Lumbar interbody fusion: techniques, indications and comparison of interbody fusion options including PLIF, TLIF, MI\u2010TLIF, OLIF\/ATP, LLIF and 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