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Lateral-PLIF for spinal arthrodesis: concept, technique, results, complications, and outcomes – Lumbar Fusion

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The article discusses a study on a variant technique called Lateral-PLIF, which is used as an effective option for treating degenerative conditions in the lumbar spine. The study evaluated the outcomes of patients who underwent Lateral-PLIF surgery, showing a high fusion rate (95%) and significant improvement in functional outcomes. The study found that Lateral-PLIF is a safe and effective technique for lumbar interbody fusion, with potential for further validation through comparative studies with other techniques. The results suggest that Lateral-PLIF may be a promising option for treating lumbar degenerative diseases

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : innovative spine facility in UK

Published article

S: Lateral-PLIF is a safe and effective technique for lumbar interbody fusion and may be considered for further comparative study validation with other techniques before extensive use to treat lumbar degenerative disease.

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Acta Neurochir (Wien). 2024 Mar 7;166(1):123. doi: 10.1007/s00701-024-06024-y.ABSTRACTBACKGROUND: Posterior lumbar interbody fusion (PLIF) surgery represents an effective option to treat degenerative conditions in the lumbar spine. To reduce the drawbacks of the classical technique, we developed a variant, so-called Lateral-PLIF, which we then evaluated through a prospective consecutive series of patients.METHODS: All adult patients treated,

Acta Neurochir (Wien). 2024 Mar 7;166(1):123. doi: 10.1007/s00701-024-06024-y.

ABSTRACT

BACKGROUND: Posterior lumbar interbody fusion (PLIF) surgery represents an effective option to treat degenerative conditions in the lumbar spine. To reduce the drawbacks of the classical technique, we developed a variant, so-called Lateral-PLIF, which we then evaluated through a prospective consecutive series of patients.

METHODS: All adult patients treated at our institute with single or double level Lateral-PLIF for lumbar degenerative disease from January to December 2017 were prospectively collected. Exclusion criteria were patients < 18 years of age, traumatic patients, active infection, or malignancy, as well as unavailability of clinical and/or radiological follow-up data. The technique consists of insert the cages bilaterally through the transition zone between the central canal and the intervertebral foramen, just above the lateral recess. Pre- and postoperative (2 years) questionnaires and phone interviews (4 years) assessed pain and functional outcomes. Data related to the surgical procedure, postoperative complications, and radiological findings (1 year) were collected.

RESULTS: One hundred four patients were selected for the final analysis. The median age was 58 years and primary symptoms were mechanical back pain (100, 96.1%) and/or radicular pain (73, 70.2%). We found a high fusion rate (95%). A statistically significant improvement in functional outcome was also noted (ODI p < 0.001, Roland-Morris score p < 0.001). Walking distance increased from 812 m ± 543 m to 3443 m ± 712 m (p < 0.001). Complications included dural tear (6.7%), infection/wound dehiscence (4.8%), and instrument failure (1.9%) but no neurological deterioration.

S: Lateral-PLIF is a safe and effective technique for lumbar interbody fusion and may be considered for further comparative study validation with other techniques before extensive use to treat lumbar degenerative disease.

PMID:38451339 | DOI:10.1007/s00701-024-06024-y

The London Spine Unit : innovative spine facility in UK

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Lateral-PLIF for spinal arthrodesis: concept, technique, results, complications, and outcomes

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Acta Neurochir (Wien). 2024 Mar 7;166(1):123. doi: 10.1007/s00701-024-06024-y.ABSTRACTBACKGROUND: Posterior lumbar interbody fusion (PLIF) surgery represents an effective option to treat degenerative conditions in the lumbar spine. To reduce the drawbacks of the classical technique, we developed a variant, so-called Lateral-PLIF, which we then evaluated through a prospective consecutive series of patients.METHODS: All adult patients treated

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