Article
Clinical Neurology
Mohamed A. R. Soliman, Asham Khan, John Pollina
Summary: In this study, researchers compared the postoperative radiographic and clinical outcomes of PTP-LLIF and standard LLIF for patients with degenerative lumbar spine disease. The results showed that the PTP-LLIF group had significantly better improvement in lumbar lordosis and short form 12-item physical score.
WORLD NEUROSURGERY
(2022)
Review
Clinical Neurology
Sven Bamps, Vincent Raymaekers, Gert Roosen, Eric Put, Steven Vanvolsem, Salah-Eddine Achahbar, Sacha Meeuws, Maarten Wissels, Mark Plazier
Summary: This systematic review compared the outcomes between lateral surgical approaches (LLIF/XLIF) and posterior interbody fusion surgery (PLIF) for degenerative lumbar diseases. The results showed that lateral approaches had less blood loss, shorter hospital stays, and comparable functional outcomes. Complication rates did not significantly differ between the two approaches. Therefore, lateral surgical approaches are a safe and effective alternative to PLIF.
WORLD NEUROSURGERY
(2023)
Article
Clinical Neurology
Hae-Dong Jang, Jae Chul Lee, Jong-Hyeon Seo, Young-Ho Roh, Sung-Woo Choi, Byung-Joon Shin
Summary: This study compared the outcomes of three surgical methods (LLIF, TLIF, and PLIF) for treating L4-L5 single-level spondylolisthesis. The results showed that compared to TLIF and PLIF, LLIF surgery had faster postoperative recovery, less blood loss, and better improvement in radiologic parameters.
WORLD NEUROSURGERY
(2022)
Article
Clinical Neurology
Antoine Tohmeh, Cheri Somers, Kelli Howell
Summary: This study aimed to evaluate the predictive role of saphenous somatosensory-evoked potentials (saphSSEP) monitoring on femoral nerve health during lumbar interbody fusion (LIF) procedures. The results demonstrated that saphSSEP monitoring was reliable in most cases and provided highly predictive feedback on neurological events.
EUROPEAN SPINE JOURNAL
(2022)
Article
Orthopedics
Jingye Wu, Tenghui Ge, Ning Zhang, Jianing Li, Wei Tian, Yuqing Sun
Summary: The study aimed to compare changes in radiographical segmental alignment following stand-alone cage insertion and additional posterior fixation in the same OLIF procedure for patients with degenerative spondylolisthesis. Results showed that additional posterior fixation provided better segmental alignment improvement in terms of slip reduction and segmental lordosis compared to stand-alone cage insertion.
BMC MUSCULOSKELETAL DISORDERS
(2021)
Article
Clinical Neurology
Kevin C. Jacob, Madhav R. Patel, Michael C. Prabhu, Nisheka N. Vanjani, Hanna Pawlowski, Mohammed A. Munim, Kern Singh
Summary: The study found that with increased surgical experience, proficient phase patients showed significantly reduced operative time, estimated blood loss, postoperative length of stay, and narcotic consumption. As operative experience increased, ipsilateral groin and thigh sensory disturbances and iliopsoas and quadriceps weakness improved.
WORLD NEUROSURGERY
(2022)
Article
Clinical Neurology
Tyler G. Smith, John Pollina, Samuel A. Joseph, Kelli M. Howell
Summary: Compared to lateral decubitus, prone positioning offers equivalent or better access to L4-L5 LIF around the iliac crest when a positioner enabling coronal bending is used; prone positioning also improves positional lordosis, potentially aiding in segmental correction and surgical alignment goals.
WORLD NEUROSURGERY
(2021)
Article
Clinical Neurology
Soichiro Masuda, Toshiki Fukasawa, Masato Takeuchi, Shunsuke Fujibayashi, Bungo Otsuki, Koichi Murata, Takayoshi Shimizu, Shuichi Matsuda, Koji Kawakami
Summary: This retrospective cohort study aimed to compare the incidence of surgical site infection (SSI) after lateral lumbar interbody fusion (LLIF) and posterior/transforaminal lumbar interbody fusion (P/TLIF). The results showed that patients who underwent LLIF had a significantly lower risk of SSI compared with those who received P/TLIF. Additionally, patients who had received LLIF also had a lower risk of transfusion.
Article
Orthopedics
Xiao Han, Xin Chen, Kuan Li, Zheng Li, Shugang Li
Summary: This study found that MFF does not significantly differ from PLF and PLIF biomechanically, providing reliable stability for lumbar fixation fusion levels.
BMC MUSCULOSKELETAL DISORDERS
(2021)
Article
Clinical Neurology
James W. W. Nie, Timothy J. J. Hartman, Keith R. R. MacGregor, Omolabake O. O. Oyetayo, Eileen Zheng, Vincent P. P. Federico, Dustin H. H. Massel, Arash J. J. Sayari, Kern Singh
Summary: The purpose of this study was to examine preoperative factors associated with increased postoperative length of stay in patients undergoing LLIF. Data was collected from a single-surgeon database, including patient demographics, perioperative characteristics, and patient-reported outcome measures. It was found that factors such as age, Charlson Comorbidity Index, gender, insurance type, number of fused levels, preoperative pain assessment, and patient-reported functional assessment were associated with extended length of stay. Additionally, factors such as operative time, estimated blood loss, postoperative pain and narcotic consumption, and complications were also associated with prolonged hospitalization.
ACTA NEUROCHIRURGICA
(2023)
Article
Clinical Neurology
Manuel Moser, Dominik Adl Amini, Cristian Echeverri, Lisa Oezel, Henryk Haffer, Maximilian Muellner, Ek T. Tan, Jennifer Shue, Andrew A. Sama, Frank P. Cammisa, Federico P. Girardi, Alexander P. Hughes
Summary: This study aimed to investigate quantitative changes in psoas and paraspinal muscle morphology that occur on index levels after SA-LLIF. The results showed that SA-LLIF did not alter psoas muscle morphology, highlighting its minimally invasive nature. However, the percentage of fat infiltration of paraspinal muscles significantly increased over time, suggesting a pain-mediated response and/or the result of segmental immobilization.
EUROPEAN SPINE JOURNAL
(2023)
Review
Clinical Neurology
James W. Nie, Timothy J. Hartman, Eileen Zheng, Keith R. MacGregor, Omolabake O. Oyetayo, Kern Singh
Summary: This study aimed to investigate the types of neuromonitoring used in lateral approaches for lumbar interbody fusion and the associated neurologic complications. The results showed that the use of neuromonitoring did not significantly benefit neurologic outcomes, and the rates of neurologic complications remained high. Further studies are needed to determine the specific benefits or shortcomings of each neuromonitoring modality.
WORLD NEUROSURGERY
(2022)
Review
Clinical Neurology
Ashish Patel, Michael Rogers, Rebecca Michna
Summary: The purpose of this study was to discuss the experience and complications of performing LLIF in the prone position. The study included a total of 155 patients and 250 levels. Complications included unintentional ALL ruptures (1.2%) and malpositioned implants (0.4%), with the majority occurring in the first 30 cases. Out of 147 patients with follow-ups, femoral nerve palsy was observed in 2% of cases.
EUROPEAN SPINE JOURNAL
(2023)
Article
Orthopedics
Win Boonsirikamchai, Pochamana Phisalpapra, Chayanis Kositamongkol, Ekkapoj Korwutthikulrangsri, Monchai Ruangchainikom, Werasak Sutipornpalangkul
Summary: This study compared the cost-effectiveness and clinical outcomes of minimally invasive lateral lumbar interbody fusion (LLIF) and standard open posterior lumbar interbody fusion (PLIF) in Thai patients with lumbar spondylosis. The results showed that although LLIF had a longer operative time, it had lower total lifetime cost. However, LLIF was not considered cost-effective in the context of Thailand.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
Luca Proietti, Andrea Perna, Luca Ricciardi, Caterina Fumo, Domenico Alessandro Santagada, Ilaria Giannelli, Francesco Ciro Tamburrelli, Antonio Leone
Summary: This study found that after LLIF, most patients achieved intervertebral bone bridge fusion, but the ankylotic degeneration of the zygapophyseal joints in the posterior region is also an important pathological feature. The overlap rate between anterior and posterior fusion segments was relatively high, but a significant number of patients did not achieve any type of fusion.
