2013
DOI: 10.3171/2013.6.spine1340
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Minimally invasive lateral retroperitoneal transpsoas interbody fusion for L4–5 spondylolisthesis: clinical outcomes

Abstract: Object In this study the authors report on the clinical outcomes, safety, and efficacy of lateral retroperitoneal transpsoas minimally invasive surgery–lumbar interbody fusion (MIS-LIF) at the L4–5 disc space in patients with spondylolisthesis. This approach has become an increasingly popular means of fusion. Its most frequent complication is lumbar plexus injury. Reported complication rates at the L4–5 disc space vary widely in the literature, bringing into question the safety of MIS-LIF for the L4–5 region, … Show more

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Cited by 78 publications
(31 citation statements)
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“…2,3,7,9,11,12,17,21,24 No serious neurological complications occurred in any patients in the current study, but the incidence of neurological complications of 38.9% in the conventional group was comparatively high, as also seen in past reports. In contrast, the rate of neurological complications of 13% (5 in 36 patients) in the finger electrode group was significantly lower than that in the control group.…”
supporting
confidence: 62%
See 1 more Smart Citation
“…2,3,7,9,11,12,17,21,24 No serious neurological complications occurred in any patients in the current study, but the incidence of neurological complications of 38.9% in the conventional group was comparatively high, as also seen in past reports. In contrast, the rate of neurological complications of 13% (5 in 36 patients) in the finger electrode group was significantly lower than that in the control group.…”
supporting
confidence: 62%
“…[1][2][3]9,12,[16][17][18]21,24 Reduction of neurological complications is likely to improve the surgical outcome of XLIF and expand the indication. For this reason, we developed a new neural monitoring system using a finger electrode to reach the intervertebral region in patients undergoing XLIF.…”
Section: Discussionmentioning
confidence: 99%
“…-0 1 -0% ---Lykissas et al [31] 295 ± 180 ---135% ---Grimm et al [32] 122 -181 -20% -3.0 -Tohmeh et al [33] ----48% ---Berjano et al [34] ----16% ---Lee et al [26] 52 ± 19 -0 [35] 73 ± 31 -< 50 -29% ---Sharma et al [36] ----70% ---Pimenta et al [25] 130 ---28% -1.4 -Ahmadian et al [37] --94 ---3.5 -Caputo et al [38] ----2 ---Malham et al [39] 84 -70 -20% ---Pimenta et al [40] 69 ± 11 -< 50 -13% ---Elowitz et al [41] ----20% 3 ---Oliveira et al [42] cutive, odd/even patient order). In Table 6 [45] polled patients on postoperative day 2, finding a VAS back of 2.2 ± 0.6 in MIS patients and 4.3 ± 0.5, a statistically significant difference (P < 0.05).…”
mentioning
confidence: 99%
“…Marchi et al [35] 2012 XLIF PCS Spondylolisthesis 52 -Sharma et al [36] 2011 XLIF RCS Spondylosis ± listhesis, scoliosis 43 -Pimenta et al [25] 2011 XLIF PCS DDD 36 -Ahmadian et al [37] 2013 XLIF RCS L4/L5 spondylolisthesis 31 -Caputo et al [38] 2012 XLIF PCS Scoliosis 30 -Malham et al [39] 2012 XLIF PCS DDD, spondylolisthesis, scoliosis 30 - 4 Pimenta et al [40] 2013 XLIF RCT L4/L5 DDD 30 -Elowitz et al [41] 2011 XLIF PCS LSS 25 -Oliveira et al [42] [27] ----28% 24% --Smith et al [28] 112 ± 31 173 ± 31 90 ± 74 311 ± 370 3% 6% 1.7 ± 1.3 3.6 ± 0.9 Rodgers et al [12] --1.4 g Hb 2.7 g Hb --1.3 5.3 Huang et al [29] 176 ± 8 202 ± 15 572 ± 93 970 ± 209 --11.6 ± 1.3 12.5 ± 1.3 Case series Rodgers et al [13] --1.38 g Hb -1% -1.2 -Ruetten et al [30] …”
mentioning
confidence: 99%
“…Within the literature, the bulk of grade II and highergrade lesions are included as small subsets of larger lateral and anterior MIS surgical cases series, 2,18 with no study other than ours and the aforementioned paper by Rajakumar et al 27 evaluating a cohort limited to patients with higher-grade spondylolistheses. The limited amount of available data may be due not only to the rarity of higher-grade lesions, but also to the reluctance of surgeons to employ an operative strategy that relies on indirect decompression.…”
Section: Discussionmentioning
confidence: 99%