Direct lateral access lumbar and thoracolumbar fusion: Preliminary results

Pedro Berjano, Massimo Balsano, Josip Buric, Mary Petruzzi, Claudio Lamartina

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: To describe the clinical outcomes and complications in a consecutive series of extreme lateral interbody fusion cases. Methods: Retrospective cohort review of 97 consecutive patients from three centers with minimum 6-month follow-up (mean 12 months). Functional status was evaluated by preoperative and last follow-up Oswestry Disability Index score. Leg and back pain were evaluated by visual analog scales. Complications were recorded and permanent complications and neurological impairment was actively investigated at last follow-up. Results: No permanent neurological impairment, vascular or visceral injuries were observed. Transient neurological symptoms presented in 7% of cases, all resolved within 1 month from surgery. Transient thigh discomfort was observedin9%. Clinicalsuccess was recordedin92%ofcases. Conclusions: Extreme lateral interbody fusion is a safe and effective technique for anterior interbody fusion.

Original languageEnglish
JournalEuropean Spine Journal
Volume21
Issue numberSUPPL. 1
DOIs
Publication statusPublished - May 2012

Keywords

  • Anterior lumbar interbody fusion
  • Complications
  • Extreme lateral interbody fusion
  • Outcomes
  • Spinal fusion
  • XLIF

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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