<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0864-215X</journal-id>
<journal-title><![CDATA[Revista Cubana de Ortopedia y Traumatología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Ortop Traumatol]]></abbrev-journal-title>
<issn>0864-215X</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0864-215X2023000200007</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Comparing perioperative and postoperative outcomes and complications of ALIF and LLIF]]></article-title>
<article-title xml:lang="es"><![CDATA[Comparación de resultados y complicaciones perioperatorias y postoperatorias de ALIF y LLIF]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Musa]]></surname>
<given-names><![CDATA[Gerald]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barrientos Castillo]]></surname>
<given-names><![CDATA[Rossi Evelyn]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tchouatang Keri Dimitri]]></surname>
<given-names><![CDATA[Ndandja]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chmutin]]></surname>
<given-names><![CDATA[Gennady]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Antonov]]></surname>
<given-names><![CDATA[Gennady E]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hovrin]]></surname>
<given-names><![CDATA[Dmitri V]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Peoples' Friendship University of Russia (RUDN University)  ]]></institution>
<addr-line><![CDATA[ Moscow]]></addr-line>
<country>Russia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Central Military Clinical Hospital named after A  ]]></institution>
<addr-line><![CDATA[ Moscow]]></addr-line>
<country>Russia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,City Clinical Hospital named after C  ]]></institution>
<addr-line><![CDATA[ Moscow]]></addr-line>
<country>Russia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<volume>37</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0864-215X2023000200007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0864-215X2023000200007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0864-215X2023000200007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Purpose: This paper compares anterior lumbar intercorporeal fusion (ALIF) and lateral lumbar intercorporeal fusion (LLIF). LLIF is an approach through the lateral retroperitoneal corridor, transpsoas. ALIF is a described alternative to interbody fusion with approach variations described as retroperitoneal, transperitoneal, open, and laparoscopic. Our objective is to compare complications can occur in both approaches the ALIF and the LLIF, to see what the advantages and disadvantages are during the perioperative and postoperative.  Method: This is a literature review article. A MEDLINE search was conducted through PubMed, google scholar, science direct, and Cochrane to identify articles that reported the differences between ALIF, LLIF and other lumbar interbody fusion approaches focusing the complications, cost and length of surgery, length of hospitalization, narcotic use, sagittal balance and surgical technique.  Result: There was no overall significant difference in the postoperative narcotic use, fusion rate, and disc height. However, ALIF was seen to have better postoperative sagittal balance. Although long-term complication rates between ALIF and LLIF are not statistically even though the procedures have procedure-specific complications. Intraoperative blood loss and operative time were relatively higher in ALIF than in LLIF. The risk of injury to the lumbar plexus and iliac vessels is relatively higher than ALIF.  Conclusion: ALIF and LLIF they are considered safe, effective and non-invasive. Both procedures present their pearls and pitfalls, but LLIF is associated with more complications than ALIF, although they do not present great differences of clinical outcomes. There is a need more extensive research to determine the best approach.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Propósito: Este trabajo compara la fusión intercorpórea lumbar anterior (ALIF, por sus siglas en inglés) y la fusión intercorpórea lumbar lateral (LLIF, por sus siglas en inglés). LLIF es una aproximación a través del corredor retroperitoneal lateral, con transpsoas. La ALIF es una alternativa a la fusión intercorporal con variaciones de abordaje descritas como retroperitoneal, transperitoneal, abierta y laparoscópica. Nuestro objetivo es comparar las complicaciones que pueden ocurrir en ambos abordajes de la ALIF y la LLIF, para ver cuáles son las ventajas y desventajas durante los procesos perioperatorio y postoperatorio.  Método: Este es un artículo de revisión de literatura. Se realizó una búsqueda MEDLINE a través de PubMed, Google Scholar, Science Direct y Cochrane para identificar artículos que reportaron las diferencias entre ALIF, LLIF y otros enfoques de fusión intercorporal lumbar enfocándose en las complicaciones, el costo y la duración de la cirugía, duración de la hospitalización, uso de estupefacientes, equilibrio sagital y técnica quirúrgica.  Resultado: No hubo diferencia significativa general en el uso posoperatorio de narcóticos, la tasa de fusión y la altura del disco. Sin embargo, se observó que la ALIF tenía un mejor equilibrio sagital postoperatorio. Aunque las tasas de complicaciones a largo plazo entre ALIF y LLIF no son estadísticamente significativas a pesar de que los procedimientos tienen complicaciones específicas del procedimiento. La pérdida de sangre intraoperatoria y el tiempo operativo fueron relativamente más altos en ALIF que en LLIF. El riesgo de lesión en el plexo lumbar y los vasos ilíacos es relativamente mayor que la ALIF.  Conclusiones: ALIF y LLIF se consideran métodos seguros, eficaces y no invasivos. Ambos procedimientos presentan aciertos y desaciertos, pero el LLIF se asocia a más complicaciones que el ALIF, aunque no presentan grandes diferencias en los resultados clínicos. Se necesita una investigación más amplia para determinar el mejor enfoque.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[anterior lumbar interbody fusion]]></kwd>
<kwd lng="en"><![CDATA[ALIF vs LLIF]]></kwd>
<kwd lng="en"><![CDATA[lumbar interbody]]></kwd>
<kwd lng="es"><![CDATA[fusión intercorporal lumbar anterior]]></kwd>
<kwd lng="es"><![CDATA[ALIF vs LLIF]]></kwd>
<kwd lng="es"><![CDATA[lumbar intercorporal]]></kwd>
</kwd-group>
</article-meta>
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