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they have a talking about the lateral lumbar interbody fusion technique kind of general overview so this technique is not a new technique so first described in the 1800s this approach and then Pimenta in 2001 modified it for the retroperitoneal approach for the lumbar spine so its not new and there are many advances to an Elif over an Alif including not requiring a vascular access surgeon you have less risk for vascular visceral structures you dont dont worry about retrograde ejaculation and men lets sausage disruption infection wrists are lower and outside it preserves the AOL there are also many advantages to an L lift compared to a peel off or a teal if including you can get a better visualization so you can do a more extensive discectomy so you can place a larger implant which is great for fusion as well as lowering the risk of subside in there you can place really nice lordotic cages which is more difficult to do with the tila for cliff you can access multiple disc levels t