Oblique Lateral Lumbar Interbody Fusion

OLLIF Post-Operation Instructions

What is OLLIF (Oblieque Lateral Lumbar Interbody Fusion)?

An oblique lateral lumbar interbody fusion (OLLIF) is usually combined with a posterior spinal fusion (PSF). This technique is done minimally invasively with the use of X-ray-guidance to treat various conditions that cause back pain and leg pain, numbness, or tingling. A 10 mm incision on the lateral side of the spine is made and soft tissue dilators are used to allow access to the spine. A surgical port is inserted, and surgical instruments are used the remove the disc material. An interbody spacer and bone graft are both placed where the disc was. After this, the instruments are removed, and the wound is closed with stitches underneath the skin. Skin glue and skin tapes are applied to the top of the incision. For many patients, this is an inpatient procedure, meaning you will stay overnight at the hospital and can go home the next day, but sometimes this procedure can be done at a surgery center and the patient can go home the same day.

What’s Normal After Surgery? 🆗

  • Back Pain: Achiness or back pain is very common after surgery. However, if your pain is severe
    and not well-managed with acetaminophen and prescription pain medication, please call the
  • Buttock or Leg Pain, Numbness, or Tingling: Many patients experience buttock or leg pain,
    numbness, or tingling prior to a spinal fusion. It is common for these symptoms to temporarily
    worsen following surgery. Many times, this is because of postoperative inflammation, swelling, or
    remnants of nerve irritation from prior to surgery. Please let us know if these symptoms gradually
    worsen or are not improving after a few days.
  • Sore Throat, Hoarse Voice, or Difficulty Swallowing: The tube to help you breathe during the
    surgery can cause a scratchy or sore throat.

What’s Not Normal After Surgery? 🚫

  • Sudden onset severe headache or a headache that is positional.
  • New onset bowel or bladder dysfunction.
  • Difficulty breathing, chest pain, or inability to swallow.
  • Unilateral extremity swelling, warmth, and/or redness.
  • Fever/chills, purulent incisional drainage, and/or expanding redness around the incision(s).
**If you have any of the above, call the office & consult with the emergency department immediately.

OLLIF Post Op Appointments

Follow-up after surgery begins 1-2 days after surgery when you receive a phone call or text message from Dr. Hanson checking in on how you are doing. Approximately 7 days later our office staff will contact you to check on how you are doing and follow up with answers to any of your questions.

You will meet with Dr. Hanson approximately 2 weeks after surgery. This will be done via telehealth or in the office. This information is listed on your original surgery confirmation letter given to you by the office staff.

Once the steri-strips have fallen off of the surgical site, please send a picture of your incision to 612-670-4971 via text or you may email it to [email protected]. You will have post-operative X-rays 4-6 weeks after surgery. The results will be sent to Dr. Hanson and the office staff will call you with the results. Our office staff will also help arrange obtaining the X-rays when that time comes.

Typically, returning to the clinic for routine follow-up in the first 3-4 months is usually not necessary because of the other follow-up you will receive after surgery. If you have any concerns or do need to come to the clinic, contact the office and we will be able to help you.

OLLIF Restrictions

After surgery, limit lifting, pushing, and pulling to 10-20 pounds as tolerated for the first 2 weeks.

Specifically, limit lifting & twisting for the first 4-6 months. After surgery start a walking program to increase your activity and aerobic endurance. After two weeks, your provider will work with you to gradually decrease your restrictions to return you to a more normal and active life. We encourage you to increase the amount you walk each day postoperatively.

🖨️Save these instructions after your surgery. Print for easy reference.

OLLIF Frequently Asked Questions

When Can I Go Back to Work?

We will reassess if you can go back to work 1-2 weeks after surgery. If your job requires heavy lifting or requires you to be full duty prior to going back to work, we will modify your restrictions accordingly.

Can I Take Narcotic Pain Medication Prior to Surgery?

You can take pain medication prior to surgery, but please use it with caution. The dose and quantity you require prior to surgery can affect your recovery period after surgery. Patients who require high amounts of narcotic pain medication prior to surgery, have a more difficult time managing their postoperative pain. Preoperative narcotic pain medication will not be prescribed prior to surgery. Please consult with your primary care provider if you think you require narcotic pain medication to manage your pain prior to surgery.

Postoperative Prescription Medications

Two prescription medications will be prescribed to you after your surgery. These include pain medication and a muscle relaxer. The specific medication itself is patient-specific and will be determined by Dr. Hanso at the time of surgery. One additional medication may be prescribed for some patients, this is an antibiotic for 2 days. If you stayed overnight at the hospital after your surgery, you will have already received enough doses of the antibiotic intravenously.

Medication Refills

For medication refills, please call the office at 612-670-4971. Kindly allow 72 hours for us to refill the requested
prescription. If you require longer management of your pain, we will help to find the right solution.

Incision Care

The skin tapes should be left on for 5-10 days or until they fall off. The stitches are underneath the skin and will dissolve, so you will not need them removed.

Signs of Infection

Monitor your incision(s) daily to ensure they are healing properly. Common signs of infection include fever and/or chills, purulent discharge from the incision, warmth on or near the incision, expanding redness coming from the incision site, and incisional pain. Although these symptoms are rare, please contact our office if you experience any of these signs.

Can I Bathe?

You can shower the day after surgery. But avoid scrubbing or soaking the incision, this includes hot tubs and swimming.

Should I Wear a Brace?

In many cases, wearing a brace after surgery is not necessary.

Should I Use Ice or Heat?

Ice is the best option after surgery. Use an ice pack for 20 minutes, then remove for 20 minutes & repeat. Do not put the ice pack on bare skin – it can cause frostbite! Heat can worsen inflammation and swelling after surgery.

Will I Need Physical or Chiropractic Therapy?

Most patients do well on their own and are able to get back to their normal activities with therapy. Some patients may require therapy to aid in regaining their strength. Those who have heavy lifting requirements at work/home may need their exercises adjusted to help them return to an active life.

When Can I drive?

You should not drive after taking prescription pain medication.

Delayed Healing

Smoking, tobacco use, diabetes, poor general health, advanced age, and/or obesity can increase your risk of delayed healing. Although some of these risks are unavoidable, quitting smoking or stopping tobacco use and keeping your diabetes under control can help to reduce your risk of delayed healing. Anti-inflammatories should be avoided for the at least the first 4 months following surgery. Oblique Lateral Lumbar Interbody Fusion