Lateral Lumbar Interbody Fusion

Sharma, Amit; Kepler, Christopher K.; Girardi, Federico P.; Cammisa, Frank P.; Huang, Russel C.; Sama, Andrew A.

doi:10.1097/bsd.0b013e3181ecf995

Cited by 204 publications

(60 citation statements)

References 15 publications

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“…Surgical management should ideally restore normal sagittal alignment by correcting the deformity 13–15 . For that purpose, the interbody fusion has been gaining popularity as this technique enhances spine arthrodesis rates and has been theorized to improve sagittal balance 2–10 .…”

Section: Discussionmentioning

confidence: 99%

“…The minimally invasive lateral transpsoas interbody fusion (LIF) has a lower incidence of vascular injuries but maybe associated with a higher neuropraxia rate related to retraction of the lumbar plexus. 1,7–10 . The circumferential surgery has a very high arthrodesis rate and can allow extension to the pelvis which may limit the degeneration of distal unfused segments 6,11 .…”

Section: Introductionmentioning

confidence: 99%

“…The circumferential surgery has a very high arthrodesis rate and can allow extension to the pelvis which may limit the degeneration of distal unfused segments 6,11 . Clinical studies have demonstrated that interbody fusion grafts are associated with high fusion rates and improvement in sagittal balance 3–6,8–10 . This improvement was also reported in cadaveric studies 12 .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Sagittal Balance and Spinopelvic Parameters After Lateral Lumbar Interbody Fusion for Degenerative Scoliosis

Baghdadi

Larson

Dekutoski

et al. 2014

Spine

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Study Design Retrospective matched–cohort analysis. Objective To evaluate the change in radiographic parameters in patients undergoing interbody fusion and posterior instrumentation compared to posterior spine fusion alone (PSF) for degenerative scoliosis. Summary of Background Data Little is known about the effect of lateral interbody fusion (LIF) on sagittal plane correction in the setting of degenerative scoliosis. We performed a retrospective study to investigate these changes compared to PSF. Methods Between 1997 and 2011, 33 patients had LIF at 181 levels between T8 and L5 vertebrae for the treatment of degenerative scoliosis (mean; 5±2 levels). Of those, 23 patients had additional anterior lumbar interbody fusion (ALIF) at 37 levels between L4 and S1 vertebrae (mean; 1.6±0.5 levels). A 1:1 matched control of patients who underwent PSF was performed. Patients were matched by age, gender, and diagnosis. Clinical and radiographic data were collected and compared between the matched cohorts. Results Lumbar lordosis was significantly restored in LIF±ALIF compared to PSF cohort (44°±14° versus 36°±15°, p=0.02). The segmental lumbar lordosis over the 102 LIF levels significantly improved from 12°±10° to 21°±13° postoperatively (p<0.0001). However, the change over the 37 ALIF levels was not significant (from 30°±15° to 29°±9°, p=0.8). Sagittal plane alignment was improved in LIF±ALIF compared to PSF cohort and trended toward but did not reach significance (3.8±3.2 cm versus 6.2±5.7 cm, p=0.09). Sacral slope was significantly higher in LIF±ALIF compared to PSF cohort (33°±11° versus 28°±10°, p=0.03). Pelvic tilt was lower in LIF±ALIF compared to PSF cohort and trended toward but did not reach significance (22°±10° versus 26°±10°, p=0.08). Conclusion Lumbar lordosis and sacral slope were mildly but statistically improved in the interbody fusion cohort compared to PSF cohort. Sagittal alignment and pelvic tilt trended toward but did not reach statistical significance. Segmental lumbar lordosis was improved at LIF levels more than at ALIF levels.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Sagittal Balance and Spinopelvic Parameters After Lateral Lumbar Interbody Fusion for Degenerative Scoliosis

Baghdadi

Larson

Dekutoski

et al. 2014

Spine

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“…Spondylolisthesis treated with lateral interbody fusion have been reported together with other indications [12, 39, 40] with up to 80% reduction in pain, 75% listhesis improvement, and 98% fusion rate. The common perioperative complication is anterior thigh pain, upper thigh numbness, or hip flexion weakness, which have been reported to be transitory conditions [7, 8, 39, 40].…”

Section: Discussionmentioning

confidence: 99%

Stand-Alone Lateral Interbody Fusion for the Treatment of Low-Grade Degenerative Spondylolisthesis

Marchi

Abdala

Oliveira

et al. 2012

The Scientific World Journal

158

115

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The purpose of this paper was to investigate the stand-alone lateral interbody fusion as a minimally invasive option for the treatment of low-grade degenerative spondylolisthesis with a minimum 24-month followup. Prospective nonrandomized observational single-center study. 52 consecutive patients (67.6 ± 10 y/o; 73.1% female; 27.4 ± 3.4 BMI) with single-level grade I/II single-level degenerative spondylolisthesis without significant spine instability were included. Fusion procedures were performed as retroperitoneal lateral transpsoas interbody fusions without screw supplementation. The procedures were performed in average 73.2 minutes and with less than 50cc blood loss. VAS and Oswestry scores showed lasting improvements in clinical outcomes (60% and 54.5% change, resp.). The vertebral slippage was reduced in 90.4% of cases from mean values of 15.1% preoperatively to 7.4% at 6-week followup (P < 0.001) and was maintained through 24 months (7.1%, P < 0.001). Segmental lordosis (P < 0.001) and disc height (P < 0.001) were improved in postop evaluations. Cage subsidence occurred in 9/52 cases (17%) and 7/52 cases (13%) spine levels needed revision surgery. At the 24-month evaluation, solid fusion was observed in 86.5% of the levels treated. The minimally invasive lateral approach has been shown to be a safe and reproducible technique to treat low-grade degenerative spondylolisthesis.

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“…Abdominal and thigh numbness after traditional minimally invasive lateral retroperitoneal interbody fusion are common complications [20]. It may be due to direct or indirect nerve injuries during either abdominal wall dissection or psoas major manipulation.…”

Section: Discussionmentioning

confidence: 99%

Mini-open lateral retroperitoneal lumbar spine approach using psoas muscle retraction technique. Technical report and initial results on six patients

Aghayev

Vrionis

2013

Eur Spine J

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Purpose The main aim of this paper was to report reproducible method of lumbar spine access via a lateral retroperitoneal route. Methods The authors conducted a retrospective analysis of the technical aspects and clinical outcomes of six patients who underwent lateral multilevel retroperitoneal interbody fusion with psoas muscle retraction technique. The main goal was to develop a simple and reproducible technique to avoid injury to the lumbar plexus. Results Six patients were operated at 15 levels using psoas muscle retraction technique. All patients reported improvement in back pain and radiculopathy after the surgery. The only procedure-related transient complication was weakness and pain on hip flexion that resolved by the first follow-up visit. Conclusions Psoas retraction technique is a reliable technique for lateral access to the lumbar spine and may avoid some of the complications related to traditional minimally invasive transpsoas approach.

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Lateral Lumbar Interbody Fusion

Cited by 204 publications

References 15 publications

Sagittal Balance and Spinopelvic Parameters After Lateral Lumbar Interbody Fusion for Degenerative Scoliosis

Sagittal Balance and Spinopelvic Parameters After Lateral Lumbar Interbody Fusion for Degenerative Scoliosis

Stand-Alone Lateral Interbody Fusion for the Treatment of Low-Grade Degenerative Spondylolisthesis

Mini-open lateral retroperitoneal lumbar spine approach using psoas muscle retraction technique. Technical report and initial results on six patients

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