The role of minimally invasive lateral lumbar interbody fusion in sagittal balance correction and spinal deformity

Abstract

LLIF appears to be especially effective when the lumbar lordosis and sagittal balance correction goals are less than 10° and 5 cm, respectively. However, the review demonstrated a lack of consistent reporting on sagittal balance restoration with the MIS LLIF techniques.

Importance of balance and profile in adult spinal reconstruction

“…In addition, there seems to be wide variability in revision rates among centers treating different volumes of patients [12] . Hence, the role of minimally invasive anterior (and posterior) support in ASD surgery is increasingly reported [7,8] and its efficacy awaits the test of time.…”

“…The spinal community is set to be invaded by ageing patients who demand increasing performances as their life expectancy and, sadly, the prevalence of their acquired deformities both increase. While the current scenario is dominated by the obsessive research of balance through the use of spinal osteotomies [7] , the next will see the research of lesser invasive methods of anterior and posterior reconstruction that would not be at the expense of obtaining a solid and lasting fusion [8] . Open questions are issues about costs and complications of this most complex aspect of clinical medicine [9][10][11] .…”

“…We analysed English edited papers on ASD surgery through PubMed in the years 2000-2014 with attention to parameters that closely related to surgical outcomes [2][3][4][5][6][7][8][9] . Eleven papers were included in the analysis because of their clinical relevance to the subject [2][3][4][5][6][7][8][9][10][11][12] .…”

“…Eleven papers were included in the analysis because of their clinical relevance to the subject [2][3][4][5][6][7][8][9][10][11][12] . All of them are retrospective case series or reviews limiting the value of their evidence to lower levels.…”

Lateral access surgery: a decade of innovation

“…This has been a subject of debate in the Journal [9,10]. A recent systematic review of the literature [11] has finally provided data to support the argument against an overoptimistic consideration of standard lateral procedures as the solution for sagittal imbalance. The ESJ's Open Operating Theatre video series has also dedicated attention to the detailed description of lateral access surgical techniques for lumbar fusion, corpectomy and thoracic disc herniation [12][13][14].…”