Article
Clinical Neurology
Yohannes Ghenbot, Hasan S. Ahmad, Daksh Chauhan, Kyle McCloskey, Ryan Turlip, Jang W. Yoon
Summary: Lumbar lateral interbody fusion (LLIF) is traditionally performed in two stages, but performing the procedure simultaneously through an anterior and posterior approach can improve operative efficiency and clinical outcomes. This study describes the operative steps and reports the clinical and radiographic outcomes of the simultaneous anterior and posterior approach (SAPA) for LLIF.
WORLD NEUROSURGERY
(2023)
Article
Clinical Neurology
Soichiro Masuda, Shunsuke Fujibayashi, Hiroaki Kimura, Shimei Tanida, Bungo Otsuki, Koichi Murata, Takayoshi Shimizu, Shuichi Matsuda
Summary: Salvage oblique lumbar interbody fusion (OLIF) surgery was found to be an effective option for pseudarthrosis after posterior/transforaminal lumbar interbody fusion (PLIF/TLIF). Most patients achieved bone union with successful postoperative outcomes, demonstrating the benefits of the OLIF approach in managing complications associated with posterior scar tissue.
WORLD NEUROSURGERY
(2021)
Article
Clinical Neurology
Gregory W. Basil, Michael Y. Wang
Summary: Transforaminal endoscopic lumbar interbody fusion through a Kambin's triangle approach requires significant modifications compared to traditional discectomy, such as limited field of view, small working corridor, and appropriately sized interbody graft, to improve efficacy. This manuscript discusses the technical aspects of percutaneous, endoscopic interbody fusion in detail.
WORLD NEUROSURGERY
(2021)
Review
Clinical Neurology
Hugh A. Fenton-White
Summary: The posterior lumbar interbody fusion (PLIF) and related fusion methods have become the gold standard in spinal fusion surgeries. Despite its initial performance in the 1940s, it took fifty years for the operation to be widely appreciated, thanks to the extraordinary talent and perseverance of a small group of pioneers. The process of popularization has led to a better understanding of spinal biomechanics among surgeons and contributed to the success of modern spinal surgery.
Article
Surgery
Meng-Ting Wu, Tzu-Tsao Chung, Shao-Ching Chen, Tzu-Jen Kao, Wen-Shin Song
Summary: This study analyzed the clinical and radiographic efficacy of one-stage OLIF and two-stage OLIF for lumbar diseases. Two-stage OLIF was associated with longer operation times, longer hospital stays, and a greater likelihood of complications. Improvements in radiographic parameters were comparable between one-stage and two-stage OLIF. Long-term follow-up is necessary for confirming treatment outcomes.
FRONTIERS IN SURGERY
(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
Hui Lv, Yu Sheng Yang, Jian Hong Zhou, Yuan Guo, Hui Chen, Fei Luo, Jian Zhong Xu, Zhong Rong Zhang, Ze Hua Zhang
Summary: Compared with MIS-TLIF-BPS, LLIF-LSUP for lumbar spondylolisthesis represents a significantly shorter operating time, hospital stay, and lower blood loss, and demonstrates better radiological outcomes to maintain lumbar lordosis and reveal an overwhelming superiority in the early fusion rate.
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.
Article
Clinical Neurology
Stuart Changoor, Conor Dunn, Daniel Coban, Aksha Parray, Kumar Sinha, Ki Soo Hwang, Michael Faloon, Arash Emami
Summary: The study results indicate that obese patients undergoing XLIF procedures have similar surgical outcomes to nonobese patients in terms of functional outcome scores, reoperation rates, graft subsidence, and PI-LL mismatch correction. Minimally-invasive approaches, such as XLIF, may be a viable alternative to traditional open procedures for obese patients in the long-term follow-up period.
Article
Medicine, General & Internal
Ying Tan, Masato Tanaka, Sumeet Sonawane, Koji Uotani, Yoshiaki Oda, Yoshihiro Fujiwara, Shinya Arataki, Taro Yamauchi, Tomoyuki Takigawa, Yasuo Ito
Summary: Simultaneous single-position O-arm-navigated OLIF can reduce surgical time, blood loss, and time to ambulation after surgery. It also achieves good indirect decompression with comparable fusion rates and lower complication rates compared to MI-PLIF/TLIF.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Clinical Neurology
Aaron J. Buckland, Carlos Leon, Kimberly Ashayeri, Ivan Cheng, J. Alex Thomas, Brett Braly, Brian Kwon, Constance Maglaras, Leon Eisen
Summary: This study aims to outline the anatomical and technical considerations for performing anterior lumbar interbody fusion (ALIF) in the lateral decubitus position, which allows for safe and minimally invasive access.
EUROPEAN SPINE JOURNAL
(2022)
Article
Orthopedics
Xiang Ma, Longwei Lin, Jian Wang, Lin Meng, Xingze Zhang, Jun Miao
Summary: By comparing the clinical efficacy of oblique lateral interbody fusion (OLIF) combined with unilateral and bilateral pedicle screw internal fixation in patients with osteoporosis, the study found that OLIF combined with bilateral fixation is superior to OLIF combined with unilateral fixation in terms of clinical and imaging outcomes. Bilateral fixation improves pain relief, functional improvement, accelerates bone graft fusion, and reduces cage subsidence compared to unilateral fixation.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2023)
Article
Clinical Neurology
S. Harrison Farber, James J. Zhou, Michael A. Smith, Randall W. Porter, Steve W. Chang
Summary: This study evaluated the technical feasibility of performing minimally invasive anterolateral fixation in a single supine position. The results confirmed acceptable positioning of both ALIF and LLIF grafts with no observed injuries to the cadaveric peritoneum, vasculature, or lumbar plexus. This cadaveric feasibility study suggests that combined minimally invasive ALIF and LLIF may be performed as a single-stage procedure with the patient in the supine position, warranting further clinical consideration and study.
WORLD NEUROSURGERY
(2022)
Article
Orthopedics
Aixing Pan, Fengqi Cheng, Zihao Ding, Li Guan, Wenguan Xie, Yong Hai, Yuzeng Liu
Summary: This study summarizes the surgical experience of patients with lumbosacral degenerative diseases who underwent LP-PLSIF. LP-PLSIF is a safe and effective surgical technique that offers less invasiveness and better clinical improvement.
BMC MUSCULOSKELETAL DISORDERS
(2023)
Article
Clinical Neurology
Austin Q. Nguyen, Jackson P. Harvey, Krishn Khanna, Bryce A. Basques, Garrett K. Harada, Frank M. Phillips, Kern Singh, Christopher Dewald, Howard S. An, Matthew W. Colman
Summary: The reoperation rate after anterior or lateral lumbar interbody fusions without direct posterior decompression is low. Majority of same-level reoperations were due to a need for further decompression. Smaller preoperative canal diameters were associated with the need for revision decompression.
JOURNAL OF NEUROSURGERY-SPINE
(2021)