ABSTRACT
Prior to the 1980s, laparoscopic procedures were mainly used in the fields of gynecology and urology. Technically, the use of gas insufflation in laparoscopic anterior lumbar interbody fusion (ALIF) surgery prevented large tissue removal or the use of large instruments due to pressure decompression of the abdominal cavity. Preoperative planning should include standard plain films and advanced imaging studies detailing the level or levels of pathology magnetic resonance imaging with or without computed tomography. The technique most commonly described involves the placement of the patient on a radiolucent operating table in the supine position with arms secured perpendicular to the patient’s body to enable the spine surgeon and laparoscopic surgeon to stand on the opposite sides of the table. Retrograde ejaculation happens when the superior hypogastric plexus of the autonomic nervous system is injured. Laceration of the great vessels is the most common reason for conversion to an open ALIF procedure.
