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n the traditional protocol. Results were robust with thresholds occurring outside published ranges. Bariatric surgery is a viable, cost-effective preoperative strategy in obese patients considering elective PLDF for DS.Level of Evidence 3. Cross-sectional study. To analyze the feasibility of anterior spinal access to the vascular corridor at the L5-S1 junction, by evaluating three crucial anatomical landmarks. This provides a framework for risk-stratification for the clinician during preoperative evaluation. The anterior lumbar interbody