TY - JOUR
T1 - Major complications in extreme lateral interbody fusion access
T2 - multicentric study by Italian S.O.L.A.S. group
AU - Piazzolla, Andrea
AU - Bizzoca, Davide
AU - Berjano, Pedro
AU - Balsano, Massimo
AU - Buric, Josip
AU - Carlucci, Stefano
AU - Formica, Carlo
AU - Formica, Matteo
AU - Lamartina, Claudio
AU - Musso, Corrado
AU - Tamburrelli, Francesco
AU - Damilano, Marco
AU - Taratara, Fulvio
AU - Sinigaglia, Aldo
AU - Bassani, Roberto
AU - Neroni, Massimiliano
AU - Casero, Giovanni
AU - Lovi, Alessio
AU - Garbossa, Diego
AU - Nicola, Zullo
AU - Moretti, Biagio
N1 - Publisher Copyright:
© 2020, Springer-Verlag GmbH Germany, part of Springer Nature.
Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2020
Y1 - 2020
N2 - Purpose: The eXtreme Lateral Interbody Fusion (XLIF) approach has gained increasing importance in the last decade. This multicentric retrospective cohort study aims to assess the incidence of major complications in XLIF procedures performed by experienced surgeons and any relationship between the years of experience in XLIF procedures and the surgeon’s rate of severe complications. Methods: Nine Italian members of the Society of Lateral Access Surgery (SOLAS) have taken part in this study. Each surgeon has declared how many major complications have been observed during his surgical experience and how they were managed. A major complication was defined as an injury that required reoperation, or as a complication, whose sequelae caused functional limitations to the patient after one year postoperatively. Each surgeon was finally asked about his years of experience in spine surgery and XLIF approach. Pearson correlation test was used to evaluate the association between the surgeon’s years of experience in XLIF and the rate of major complications; a p-value of last than 0.05 was considered significant. Results: We observed 14 major complications in 1813 XLIF procedures, performed in 1526 patients. The major complications rate was 0.7722%. Ten complications out of fourteen needed a second surgery. Neither cardiac nor respiratory nor renal complications were observed. No significant correlation was found between the surgeon's years of experience in the XLIF procedure and the number of major complications observed. Conclusion: XLIF revealed a safe and reliable surgical procedure, with a very low rate of major complications, when performed by an expert spine surgeon.
AB - Purpose: The eXtreme Lateral Interbody Fusion (XLIF) approach has gained increasing importance in the last decade. This multicentric retrospective cohort study aims to assess the incidence of major complications in XLIF procedures performed by experienced surgeons and any relationship between the years of experience in XLIF procedures and the surgeon’s rate of severe complications. Methods: Nine Italian members of the Society of Lateral Access Surgery (SOLAS) have taken part in this study. Each surgeon has declared how many major complications have been observed during his surgical experience and how they were managed. A major complication was defined as an injury that required reoperation, or as a complication, whose sequelae caused functional limitations to the patient after one year postoperatively. Each surgeon was finally asked about his years of experience in spine surgery and XLIF approach. Pearson correlation test was used to evaluate the association between the surgeon’s years of experience in XLIF and the rate of major complications; a p-value of last than 0.05 was considered significant. Results: We observed 14 major complications in 1813 XLIF procedures, performed in 1526 patients. The major complications rate was 0.7722%. Ten complications out of fourteen needed a second surgery. Neither cardiac nor respiratory nor renal complications were observed. No significant correlation was found between the surgeon's years of experience in the XLIF procedure and the number of major complications observed. Conclusion: XLIF revealed a safe and reliable surgical procedure, with a very low rate of major complications, when performed by an expert spine surgeon.
KW - Adult scoliosis
KW - Complication
KW - Degenerative disc disease
KW - eXtreme lateral interbody fusion (XLIF)
KW - Low-back pain
KW - Minimally invasive spine surgery
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U2 - 10.1007/s00586-020-06542-0
DO - 10.1007/s00586-020-06542-0
M3 - Article
AN - SCOPUS:85088873545
JO - European Spine Journal
JF - European Spine Journal
SN - 0940-6719
ER -