Lateral Lumbar Interbody Fusion Revisited: Complication Avoidance and Outcomes with the Mini-Open Approach

To discuss lessons learned from an initial lateral lumbar interbody fusion (LLIF) experience with a focus on evolving surgical technique, complication avoidance, and new motor and sensory outcomes after implementation of a modified surgical approach. A retrospective analysis of a prospectively colle...

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Bibliographic Details
Published in:World neurosurgery 2019-01, Vol.121, p.e647-e653
Main Authors: Sellin, Jonathan N., Brusko, G. Damian, Levi, Allan D.
Format: Article
Language:English
Subjects:
Complication avoidance
Lateral lumbar interbody fusion
Mini-open technique
Motor and sensory outcomes
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Summary:To discuss lessons learned from an initial lateral lumbar interbody fusion (LLIF) experience with a focus on evolving surgical technique, complication avoidance, and new motor and sensory outcomes after implementation of a modified surgical approach. A retrospective analysis of a prospectively collected series of all patients undergoing LLIF by the senior author (A.D.L.) from January 2010 to January 2018 after implementation of a modified surgical mini-open technique, compared with previously reported institutional results with the originally recommended percutaneous technique. LLIF-specific complications examined included groin/thigh sensory dysfunction, flank bulge/pseudohernia, psoas-pattern weakness, and femoral nerve injury. The incidence (19%, n = 98 patients) of groin/thigh sensory dysfunction in our cohort was significantly lower than that of the historical control (60%, n = 59) (P 
ISSN:1878-8750
1878-8769
DOI:10.1016/j.wneu.2018.09.180