19 Harley St, London, W1G 9QJ, UK

Single Position Lateral versus Prone Transpsoas Lateral Interbody Fusion Inclusive of L4-L5: A single surgeon experience examining early post-operative outcomes – Lumbar Fusion

Day Case Lumbar Fusion Surgery

The article discusses a study comparing outcomes of single-position lateral lumbar interbody fusion (LLIF) procedures performed in prone versus lateral decubitus positioning. The study aimed to assess the efficacy of both approaches in terms of neural decompression, sagittal alignment, fusion rates, and clinical outcomes, specifically at the L4-L5 level. The retrospective review of 63 lateral and 16 prone single-position LLIF cases found similar demographic characteristics, operative times, changes in lumbar lordosis, and lengths of hospital stay between the two groups. Both groups had comparable pre- and postoperative pain scores and complication rates. Patients who underwent lateral LLIF were able to ambulate farther on postoperative day 1. Overall, the study suggests that single-position LLIF, whether performed in prone or lateral position, is a feasible and effective approach for lumbar spine surgery

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : best recognised spinal clinic in UK

Published article

S: This study demonstrates promising preliminary results indicating that single-position LLIF performs well, even at the L4-L5 level, in both the prone and lateral positions.

Lumbar Fusion Surgery Expert. Best Spinal Surgeon UK
World Neurosurg. 2024 Apr 23:S1878-8750(24)00682-X. doi: 10.1016/j.wneu.2024.04.109. Online ahead of print. ABSTRACT PURPOSE: The transpsoas lateral lumbar interbody fusion (LLIF) procedure is a minimally invasive lumbar spine approach that provides indirect neural decompression, improved sagittal alignment, and a high fusion rate. Typically accompanied by posterior pedicle screw insertion, there has been interest in performing LLIF,

World Neurosurg. 2024 Apr 23:S1878-8750(24)00682-X. doi: 10.1016/j.wneu.2024.04.109. Online ahead of print.

ABSTRACT

PURPOSE: The transpsoas lateral lumbar interbody fusion (LLIF) procedure is a minimally invasive lumbar spine approach that provides indirect neural decompression, improved sagittal alignment, and a high fusion rate. Typically accompanied by posterior pedicle screw insertion, there has been interest in performing LLIF in a single position to decrease cost and time under anesthesia. However, there is a paucity of direct comparisons between single-position LLIF via prone versus lateral decubitus positioning. Therefore, this stud aims to compare the outcomes of a single surgeon performing prone versus lateral single-position LLIF, inclusive of the L4-L5 level.

METHODS: A retrospective review was performed of a consecutive case series of patients who underwent either prone or lateral, single-position LLIF by a single surgeon All cases involved the L4-L5 level. Demographic data, perioperative details, clinical outcomes, and pre- and postoperative lumbar lordosis were recorded.

RESULTS: 63 patients underwent lateral, and 16 patients underwent prone single-position LLIF. Demographics and average interbody size were similar between groups. Operative time, change in lumbar lordosis, and length of hospital stay did not differ between the two positions. Both groups performed similarly in terms of pre- and postoperative VAS pain score, and complications. Patients who underwent lateral position LLIF ambulated farther on postoperative day 1 (250 vs. 200 feet, p=0.015). Average time to follow up was 53 weeks.

S: This study demonstrates promising preliminary results indicating that single-position LLIF performs well, even at the L4-L5 level, in both the prone and lateral positions.

PMID:38663733 | DOI:10.1016/j.wneu.2024.04.109

The London Spine Unit : best recognised spinal clinic in UK

Read the original publication:

Single Position Lateral versus Prone Transpsoas Lateral Interbody Fusion Inclusive of L4-L5: A single surgeon experience examining early post-operative outcomes

Related Posts

0/5 (0 Reviews)

Trusindex Reviews

London Spine Unit Harley Street Hospital

A Focus on High Quality Specialised Care

We are a specialist Private Hospital based on Harley Street, London UK The Harley Street Hospital, Day Surgery Hospital

We provide exclusive health services for individuals seeking Advanced medical, non-surgical or minimally invasive treatments. We are covered by All Insurance Companies apart from AXA PPP

Our Medical Director and Lead Spinal Surgeon Mr Mo Akmal MD is a world renowned Spine Specialist Consultant with over 20 years of experience. He and his team have developed revolutionary techniques to perform all types of Spinal Surgery as a Day Case procedure without traditional General Anaesthetic.

We are constantly improving our techniques for treatment and improving facilities for our patients.

Book your Appointment Now 
Check out our Reviews 
Check out our Patient Videos 
Check our Mr Akmal’s Profile

 

What our patients say ...

World Neurosurg. 2024 Apr 23:S1878-8750(24)00682-X. doi: 10.1016/j.wneu.2024.04.109. Online ahead of print. ABSTRACT PURPOSE: The transpsoas lateral lumbar interbody fusion (LLIF) procedure is a minimally invasive lumbar spine approach that provides indirect neural decompression, improved sagittal alignment, and a high fusion rate. Typically accompanied by posterior pedicle screw insertion, there has been interest in performing LLIF

Revolutionary Keyhole surgical technique to vaporise bulging discs

Dr Mo Akmal Medical Director
Dr Mo Akmal MD - Lead Spinal Surgeon

Laser Disc Surgery can be performed under local anaesthetic at The Harley Street Hospital.

Initial Consultation

with Consultant Spine Surgeon
£ 250
  • No Waiting Times
  • Top NHS affiliated Consultant
  • Includes Clinical Review and Report
  • Multidisciplinary discussion
  • Review of Previous Scans and Reports

Follow up Consultation

any appointment after initial consultation
£ 180
  • Top NHS affiliated Consultant
  • Includes Clinical Review and Report
  • Multidisciplinary discussion

High Resolution MRI Scan

any Single Region (3.0 Tesla)
£ 600
  • No waiting times
  • Includes Full Radiologist Report
  • Open or Closed MRI scan types
  • Copy of Scan on CD

Website Offer

Pre-Booked Online
£1130
£ 800
  • Initial Consultation
  • MRI Scan (Single Region)
  • Follow Up consultation
  • Same Day One Stop Visit
  • Full Medical and MRI scan Report
  • Copy of scan on CD
Popular

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810