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Ege Üniversitesi Tıp Fakültesi, Nöroşirürji Anabilim Dalı, İzmir, Türkiye Even with interbody fusion, there are different ways to approach the spine. The surgeon may come in from the front of the body. This is called the anterior approach. Surgery from the back of the spine is a posterior approach. Sometimes a posterolateral approach is used -- angled between the back and the side. No matter which method is used, the goal is always the same: to restore the disc height and vertebral segment spacing and restore spine stability as close to normal as possible. Each approach has its advantages and disadvantages. The development of an extreme lateral interbody fusion (XLIF) was in response to some of the problems that occur with other types of fusion procedures. The XLIF is less invasive with a smaller incision, less disruption and damage to the soft tissues, decreased blood loss, and provides a faster recovery. Anahtar Kelimeler : Spinal fusion, ALIF, PLIF, TLIF, eXLIF