Momin AA, Barksdale EM, Lone Z, et al. - Researchers designed a retrospective cohort study to explore perioperative complications in anterior lumbar interbody fusion (ALIF) individuals with or without prior history of abdominal surgery. Between 2008 and 2018, all consecutive individuals undergoing ALIF with or without a history of prior abdominal surgery at a single tertiary center were analyzed. They excluded individuals under the age of 18, individuals with spinal malignancy, or individuals who had ALIF above L3. They retrospectively examined electronic medical records of 660 individuals who had undergone ALIF between 2008 and 2018. It was considered that accumulation of scarring and adhesions can likely obscure anatomical landmarks and raise the risk of developing an intraoperative complication, with each additional prior abdominal surgery. Thus, via a retroperitoneal approach, the number of prior abdominal surgeries should be taken into consideration during planning and operative exposure of the anterior spine.