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Analysis of the Frequency of Intraoperative Complications in Anterior Lumbar Interbody Fusion (ALIF): A Systematic Review – Lumbar Fusion

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This article summarizes a systematic review conducted to assess the frequency of intraoperative complications in patients undergoing anterior lumbar interbody fusion (ALIF) surgery. A total of eight studies involving 2395 patients were included in the review. The authors found that the percentage of vascular lesions was 2.79% and peritoneal lesions was 0.37%. Additionally, the average surgery time was reported to be 145.61 minutes, and the mean rate of intraoperative bleeding was 272.75 mL. Overall, ALIF was found to be a technique with low intraoperative complications, but it was noted that patients with contraindications have a higher risk of complications. The authors emphasize the need for randomized clinical trials to further evaluate the efficacy and safety of the procedure

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most specialised spinal centre on Harley Street UK

Published article

S: ALIF is a lumbar spine access technique with low intraoperative complications. Patients with contraindications have a higher risk of complications. Randomized clinical trials are needed to assess the efficacy and safety of the procedure.

Lumbar Fusion Surgery Expert. Best Spinal Surgeon UK
World Neurosurg. 2024 Jan 22:S1878-8750(24)00083-4. doi: 10.1016/j.wneu.2024.01.080. Online ahead of print.ABSTRACTOBJECTIVE: To assess the frequency of intraoperative complication rates related to access surgery, operating time and intraoperative bleeding rates described in the literature in patients undergoing ALIF. By doing so, to evaluate adverse effects would be possible, thus helping the therapeutic decision and contributing to,

World Neurosurg. 2024 Jan 22:S1878-8750(24)00083-4. doi: 10.1016/j.wneu.2024.01.080. Online ahead of print.

ABSTRACT

OBJECTIVE: To assess the frequency of intraoperative complication rates related to access surgery, operating time and intraoperative bleeding rates described in the literature in patients undergoing ALIF. By doing so, to evaluate adverse effects would be possible, thus helping the therapeutic decision and contributing to future clinical trials.

METHODS: A systematic review was conducted at MEDLINE and Embase databases, in March 2023. The main inclusion criteria were adult patients over 18 years old, with no maximum age limit, undergoing ALIF; presence of quantitative data on intraoperative complications; randomized controlled trials and cohorts. Vascular and peritoneal injuries were considered primary endpoints, while operative time and intraoperative bleeding rate were considered secondary endpoints. Reports and case series, case-controls, systematic reviews, and meta-analyses were excluded.

RESULTS: Eight studies were included with a total of 2395 patients. The authors found important quantitative data for future randomized clinical studies involving ALIF surgery, namely: percentage of vascular lesions (2,79%) and peritoneal lesions (0,37%). In addition to these factors, only four out of eight studies addressed the average surgery time, with a total average of 145.61 minutes. Furthermore, six out of the eight articles reported the mean rate of intraoperative bleeding, with a total mean of 272,75 mL.

S: ALIF is a lumbar spine access technique with low intraoperative complications. Patients with contraindications have a higher risk of complications. Randomized clinical trials are needed to assess the efficacy and safety of the procedure.

PMID:38266992 | DOI:10.1016/j.wneu.2024.01.080

The London Spine Unit : most specialised spinal centre on Harley Street UK

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Analysis of the Frequency of Intraoperative Complications in Anterior Lumbar Interbody Fusion (ALIF): A Systematic Review

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World Neurosurg. 2024 Jan 22:S1878-8750(24)00083-4. doi: 10.1016/j.wneu.2024.01.080. Online ahead of print.ABSTRACTOBJECTIVE: To assess the frequency of intraoperative complication rates related to access surgery, operating time and intraoperative bleeding rates described in the literature in patients undergoing ALIF. By doing so, to evaluate adverse effects would be possible, thus helping the therapeutic decision and contributing to

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