Lateral lumbar interbody fusion in adult spine deformity – A review of literature

Batheja, Dheeraj; Dhamija, Bhoresh; Ghodke, Aashish; Anand, Srinath S.; Balain, Birender

doi:10.1016/j.jcot.2021.101597

Cited by 9 publications

(9 citation statements)

References 49 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…31,35 In recent years, in the combination of posterior instrumentation and facetectomies, LLIF has been adopted as a less invasive approach for the treatment of ASD. 6 This systematic review and meta-analysis directly compared the outcomes and complications of LLIF combined with PSF to those of PSF only for ASD. There was no significant difference in the incidence of systemic complications and revision between patients receiving LLIF+PSF or only-PSF.…”

Section: Discussionmentioning

confidence: 99%

“…[64][65][66] Thus, an incidence of neurologic complications ranging from .7% to 78.8% has been reported by previous studies, which indicates significant heterogeneity. 6 Using triggered electromyography and limiting the psoas retraction time during the procedure may be feasible to mitigate the postoperative neurologic deficits. 67 Revision.…”

Section: Discussionmentioning

confidence: 99%

“…4,5 The primary goals of surgical treatment are to harmoniously restore balance, alleviate pain, and improve the overall quality of life. 6…”

Section: Introductionmentioning

confidence: 99%

“…4,5 The primary goals of surgical treatment are to harmoniously restore balance, alleviate pain, and improve the overall quality of life. 6 Posterior spinal fusion (PSF) has traditionally been performed for ASD, often with multilevel decompression, interbody fusion, and even radical osteotomy. 4 Although effective, the posterior approach enables less access to the anterior column, which might compromise its ability to obtain adequate spinal realignment and fusion.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

What Are the Benefits of Lateral Lumbar Interbody Fusion on the Treatment of Adult Spinal Deformity: A Systematic Review and Meta-Analysis Deformity

Yang

Liu

Hai

et al. 2022

Global Spine Journal

View full text Add to dashboard Cite

Study Design A systematic review and meta-analysis Objective The purpose of this systematic review and meta-analysis was to compare the efficacy of lateral lumbar interbody fusion (LLIF) combined with posterior spinal fusion (PSF) with that of conventional PSF in the treatment of adult spinal deformity (ASD). Methods A comprehensive literature search was performed for relevant studies in PubMed, EMBASE, Web of Science, and the Cochrane Library. Spinopelvic parameters, surgical data, complications, and clinical outcomes at the last follow-up were compared between patients with ASD who underwent LLIF combined with PSF (LLIF+PSF group) and those who underwent conventional PSF (only-PSF group). Results Ten studies, comprising 621 patients with ASD (313 in the LLIF+PSF group and 308 in the only-PSF group), were included. The level of evidence was III for 7 studies and IV for 3 studies. There was no significant difference in the improvement in the visual analog scale score, systemic complication rate, and revision rate between groups. In the LLIF+PSF group, we noted a superior restoration of lumbar lordosis (weighted mean difference [WMD], 9.77; 95% confidence interval [CI] 7.10 to 12.44, P < .001), pelvic tilt (WMD, −2.50; 95% CI −4.25 to −.75, P = .005), sagittal vertical axis (WMD, −21.92; 95% CI −30.73 to −13.11, P < .001), and C7 plumb line-center sacral vertical line (WMD, −4.03; 95% CI −7.52 to −.54, P = .024); a lower estimated blood loss (WMD, −719.99; 95% CI −1105.02 to −334.96, P < .001) while a prolonged operating time (WMD, 104.89; 95% CI 49.36 to 160.43, P < .001); lower incidence of pseudarthrosis (risk ratio [RR], .26; 95% CI .08 to .79, P = .017) while higher incidence of neurologic deficits (RR, 2.04; 95% CI 1.27 to 3.25, P = .003); and a better improvement in Oswestry Disability Index score (WMD, −7.04; 95% CI −10.155 to −3.93, P < .001) and Scoliosis Research Society-22 total score (WMD, .27; 95% CI .11 to .42, P = .001). The level of evidence in this systematic review and meta-analysis was II. Conclusion Compared with conventional PSF, LLIF combined with PSF was associated with superior restoration of sagittal and coronal alignment, lower incidence of pseudarthrosis, better improvement in quality of life, and less surgical invasiveness in the treatment of ASD, albeit at the cost of prolonged surgical times and substantially high incidence of lower extremity symptoms. Surgeons should weigh the advantages and disadvantages of this procedure, and inform patients about its side effects.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…4,5 The primary goals of surgical treatment are to harmoniously restore balance, alleviate pain, and improve the overall quality of life. 6…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

What Are the Benefits of Lateral Lumbar Interbody Fusion on the Treatment of Adult Spinal Deformity: A Systematic Review and Meta-Analysis Deformity

Yang

Liu

Hai

et al. 2022

Global Spine Journal

View full text Add to dashboard Cite

show abstract

“…This special issue contains articles on use of MIS-TLIF and Lateral Lumbar Interbody Fusion, which should be useful for its readers. 7,8 Another group of patients where MIS surgery has been very helpful is in the field of metastatic spinal cord compression (MSCC), as minimising morbidity and improving quality of life in these patients despite a limited lifespan has become even more important. 9 Keeping pace with these surgical techniques has been important for the anaesthetists as well.…”

Section: Contents Lists Available At Sciencedirectmentioning

confidence: 99%