Day Case Lumbar Fusion Surgery
The article reviews the incidence of intraoperative errors associated with Extreme Lateral Lumbar Interbody Fusions (XLIF), Oblique Lateral Interbody Fusion (OLIF), and Lateral Lumbar Interbody Fusion (LLIF). These procedures are commonly used for indirect lumbar decompressions in patients with spinal stenosis, deformity, or instability. The study found that these procedures can lead to significant surgical errors, including new neurological injuries, major vascular injuries, and visceral injuries. These complications can result in sensory and motor deficits, the need for reoperations, and potentially life-threatening complications. The high incidence of these errors raises concerns about the safety of XLIF, OLIF, and LLIF procedures
Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : best rated treatment clinic in London
Published article
: Varying reports documented that XLIF, OLIF and LLIF caused up to a 40% incidence of new sensory/motor deficits, up to a 3.2% incidence of major vascular insults, a 0.4% frequency of visceral/bowel perforations, and a 3.8% need for reoperations. These high frequencies of intraoperative surgical errors attributed to XLIF, OLIF, and LLIF should prompt reconsideration of whether these procedures are “safe.”
Lumbar Fusion Surgery Expert. Best Spinal Surgeon UK
Surg Neurol Int. 2023 Sep 22;14:346. doi: 10.25259/SNI_691_2023. eCollection 2023.ABSTRACTBACKGROUND: Extreme Lateral Lumbar Interbody Fusions (XLIF), Oblique Lateral Interbody Fusion (OLIF,) and Lateral Lumbar Interbody Fusion (LLIF) were largely developed to provide indirect lumbar decompressions for spinal stenosis, deformity, and/or instability.METHODS: Here, we have reviewed and updated the incidence of intraoperative errors attributed to XLIF,
Surg Neurol Int. 2023 Sep 22;14:346. doi: 10.25259/SNI_691_2023. eCollection 2023.
ABSTRACT
BACKGROUND: Extreme Lateral Lumbar Interbody Fusions (XLIF), Oblique Lateral Interbody Fusion (OLIF,) and Lateral Lumbar Interbody Fusion (LLIF) were largely developed to provide indirect lumbar decompressions for spinal stenosis, deformity, and/or instability.
METHODS: Here, we have reviewed and updated the incidence of intraoperative errors attributed to XLIF, OLIF, and LLIF. Specifically, we focused on how often these procedures caused new neurological deficits, major vessel, visceral, and other injuries, including those warranting secondary surgery.
RESULTS: Performing XLIF, OLIF, and LLIF can lead to significant intraoperative surgical errors that include varying rates of; new neurological injuries (i.e. iliopsoas motor deficits (4.3-19.7-33.6-40%), proximal hip/upper thigh sensory loss/dysesthesias (5.1% to 21.7% to 40%)), life-threatneing vascular injuries (i.e., XLIF (0% – 0.4%-1.8%), OLIF (3.2%), and LLIF (2%) involving the aorta, iliac artery, inferior vena cava, iliac vein, and segmental arteries), and bowel/viscarl injuries (0.03%-0.4%) leading to reoperations (i.e., XLIF (1.8%) vs. LLIF (3.8%) vs. XLIF/LLIF/OLIF 2.2%)).
: Varying reports documented that XLIF, OLIF and LLIF caused up to a 40% incidence of new sensory/motor deficits, up to a 3.2% incidence of major vascular insults, a 0.4% frequency of visceral/bowel perforations, and a 3.8% need for reoperations. These high frequencies of intraoperative surgical errors attributed to XLIF, OLIF, and LLIF should prompt reconsideration of whether these procedures are “safe.”
PMID:37810305 | PMC:PMC10559463 | DOI:10.25259/SNI_691_2023
The London Spine Unit : best rated treatment clinic in London
Read the original publication:
Perspective; high frequency of intraoperative errors due to extreme, oblique, and lateral lumbar interbody fusions (XLIF, OLIF, LLIF): Are they “safe”?
