Outcomes following minimally invasive lateral transpsoas interbody fusion for degenerative low grade lumbar spondylolisthesis: A scientific assessment.
Clin Neurol Neurosurg. 2018 Feb 16;167:122-128
Authors: Goyal A, Kerezoudis P, Alvi MA, Goncalves S, Bydon M
Quite a lot of surgical approaches have been described to deal with low grade lumbar degenerative spondylolisthesis (DS). Minimally invasive spinal fusion strategies have been first launched to reduce morbidities related to invasive surgical therapies. Minimally invasive lateral transpsoas interbody fusion, also referred to as lateral lumbar interbody fusion (LLIF), is a comparatively new methodology of lumbar arthrodesis that avoids numerous method associated problems in comparison with its posterior and anterior counterparts. A scientific and demanding assessment of latest literature was performed in accordance with PRISMA tips. The sources of the information have been PubMed, MEDLINE, Embase, Cochrane and Scopus. Key search phrases have been “transpsoas”, “interbody fusion”, “LLIF”, “XLIF” and “spondylolisthesis”. Papers included within the assessment have been authentic analysis articles in peer-reviewed journals. The articles have been totally examined and in contrast on the premise of research design, outcomes, and outcomes. Solely research which met the eligibility standards have been included. Eight research have been included within the qualitative and quantitative evaluation (three retrospective, 4 potential, one randomized managed trial). A complete of 308 sufferers (227 females) (pooled age 64.5 years) and a complete of 353 operated ranges have been analyzed. Imply observe up time ranged from 6.2 to 24 months. There have been no reported circumstances of durotomies or pseudarthrosis in any research. All neurologic problems have been reported to be transient with no everlasting deficits. Imply enchancment in ODI scores ranged between 19.5 (38.6%) to 36 (54.5%). Imply enchancment in slip ranged from 47 to 67.5%. Three research additionally reported that affected person satisfaction and willingness to bear the process once more approached 90%. Minimally invasive transpsoas interbody fusion presumably results in favorable medical and radiological outcomes whereas avoiding the doable problems of its extra conventional open and minimally invasive counterparts. Additional research are wanted to higher set up its position within the administration of low grade degenerative lumbar spondylolisthesis.
PMID: 29476935 [PubMed – as supplied by publisher]