Direct lateral access lumbar and thoracolumbar fusion: preliminary results

作者：Berjano Pedro^*; Balsano Massimo; Buric Josip; Petruzzi Mary; Lamartina Claudio

来源：European Spine Journal, 2012, 21(S1): S37-S42.

DOI：10.1007/s00586-012-2217-z

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

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 observed in 9%. Clinical success was recorded in 92% of cases.
Conclusions Extreme lateral interbody fusion is a safe and effective technique for anterior interbody fusion.

• 出版日期2012-5