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Journals / Turkish Neurosurgery / 2018 / Cilt: 28 - Sayı: 3

Safety of Lateral Interbody Fusion Surgery without Intraoperative Monitoring

Hyun-Jin CHO
Jin-Sung KIM2
Ji-Hoon SEONG2
Jung-Woo HUR2
Kyeong-Sik RYU2
Hong-Jae LEE1
Pages
428–433
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The incidence of postoperative leg symptoms related to lumbar plexus and/or psoas muscle injury was 6 transient and 3 persistent in the IOM group (overall 15.3%), and 12 transient and 3 persistent in the non-IOM group (overall 20.9%).

📌 3 Key Takeaways

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Objective & Hypothesis:AIM: Oblique lateral interbody fusion (OLIF) is a minimally invasive surgical method that can provide an access to the lumbar spine without direct dissection of psoas muscle and the need for intraoperative neuromonitoring (IOM) is questionable.
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Key Findings & Data:MATERIAL and METHODS: A total of 129 consecutive patients who were diagnosed as degenerative spinal disease from L1 to S1 and underwent mini-open OLIF were identified and retrospectively reviewed.
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Conclusion & Impact:The incidence of postoperative leg symptoms related to lumbar plexus and/or psoas muscle injury was 6 transient and 3 persistent in the IOM group (overall 15.3%), and 12 transient and 3 persistent in the non-IOM group (overall 20.9%).
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

AIM: Oblique lateral interbody fusion (OLIF) is a minimally invasive surgical method that can provide an access to the lumbar spine without direct dissection of psoas muscle and the need for intraoperative neuromonitoring (IOM) is questionable. The aim of this study was to examine and document the transient and persistent perioperative complications in patients who underwent OLIF for degenerative lumbar disease without IOM. MATERIAL and METHODS: A total of 129 consecutive patients who were diagnosed as degenerative spinal disease from L1 to S1 and underwent mini-open OLIF were identified and retrospectively reviewed. All patients were classified as two groups; non-IOM group and IOM group. According to the relation to surgical procedure, the complications were divided into two groups; 'procedurerelated' and 'procedure-unrelated'. Based on the effect of duration, the complications were defined as 'transient' where the symptom is relieved within 30 days postoperatively, and 'persistent' where the symptom remains for more than 30 days postoperatively. RESULTS: The study groups comprised 57 cases in the IOM group and 72 in the non-IOM group. The complication rate was 24.6% (transient; 17.6%, persistent; 7.0%) in the IOM group and 29.2% (transient; 25.0%, persistent; 4.2%) in the non-IOM group. The incidence of postoperative leg symptoms related to lumbar plexus and/or psoas muscle injury was 6 transient and 3 persistent in the IOM group (overall 15.3%), and 12 transient and 3 persistent in the non-IOM group (overall 20.9%). CONCLUSION: Mini-open OLIF can be safely carried out without the aid of IOM.

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Cite This Article

CHO, H., KIM2, J., SEONG2, J., HUR2, J., RYU2, K., LEE1, H. (2018). Safety of Lateral Interbody Fusion Surgery without Intraoperative Monitoring. Turkish Neurosurgery, Cilt: 28 - Sayı: 3, 428–433. https://ajindex.com/articles/403189

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References (1)

  1. Abbasi H, Abbasi A: Oblique lateral lumbar interbody fusion (OLLIF): Technical notes and early results of a single surgeon comparative study. Cureus 7: e351, 2015 2. Abbasi H, Murphy CM: Economic performance of oblique lateral lumbar interbody fusion (OLLIF) with a focus on hospital throughput efficiency. Cureus 7: e292, 2015 3. Dominguez I, Luque R, Noriega M, Rey J, Alia J, MarcoMartinez F: Extreme lateral lumbar interbody fusion. Surgical technique, outcomes and complications after a minimum of one year follow-up. Rev Esp Cir Ortop Traumatol 61:8-18, 2017 4. Epstein NE: Non-neurological major complications of extreme lateral and related lumbar interbody fusion techniques. Surg Neurol Int 7: S656-S659, 2016 5. Fujibayashi S, Hynes RA, Otsuki B, Kimura H, Takemoto M, Matsuda S: Effect of indirect neural decompression through oblique lateral interbody fusion for degenerative lumbar disease. Spine (Phila Pa 1976) 40: E175-182, 2015 6. Gill JS, Nagda JV, Aner MM, Keel JC, Simopoulos TT: Contralateral oblique view is superior to the lateral view for lumbar epidural access. Pain Med 17: 839-850, 2016 7. Jin J, Ryu KS, Hur JW, Seong JH, Kim JS, Cho HJ: Comparative study of the difference of perioperative complication and radiologic results: MIS-DLIF (Minimally invasive direct lateral lumbar interbody fusion) versus MIS-OLIF (Minimally invasive oblique lateral lumbar interbody fusion). Clin Spine Surg 31(1):31-36,2018 8. Knight RQ, Schwaegler P, Hanscom D, Roh J: Direct lateral lumbar interbody fusion for degenerative conditions: Early complication profile. J Spinal Disord Tech 22: 34-37, 2009 9. Kueper J, Fantini GA, Walker BR, Aichmair A, Hughes AP: Incidence of vascular complications during lateral lumbar interbody fusion: An examination of the mini-open access technique. Eur Spine J 24:800-809, 2015 10. Kwon B, Kim DH: Lateral lumbar interbody fusion: Indications, outcomes, and complications. J Am Acad Orthop Surg 24: 96-105, 2016 11. Lee YS, Park SW, Kim YB: Direct lateral lumbar interbody fusion: Clinical and radiological outcomes. J Korean Neurosurg Soc 55: 248-254, 2014 12. Ohtori S, Mannoji C, Orita S, Yamauchi K, Eguchi Y, Ochiai N, Kishida S, Kuniyoshi K, Aoki Y, Nakamura J, Ishikawa T, Miyagi M, Kamoda H, Suzuki M, Kubota G, Sakuma Y, Oikawa Y, Inage K, Sainoh T, Sato J, Shiga Y, Abe K, Fujimoto K, Kanamoto H, Toyone T, Inoue G, Takahashi K: Mini-open anterior retroperitoneal lumbar interbody fusion: Oblique lateral interbody fusion for degenerate