ArticleJournal of spine surgery (Hong Kong)2019
Decreased estimated blood loss in lateral trans-psoas versus anterior approach to lumbar interbody fusion for degenerative spondylolisthesis.
Article in Journal of spine surgery (Hong Kong), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Augmented Reality Navigation for Extreme Lateral Interbody Fusion with Posterior Instrumentation: Feasibility, Outcomes, and Surgical Technique.Bioengineering (Basel, Switzerland) · 2025Article
- Comparative analysis of the efficacy of UBE-PLIF versus conventional PLIF in the treatment of L4-5 degenerative spondylolisthesis.Journal of orthopaedic surgery and research · 2025Article
- Lateral Transpsoas Interbody Fusion.International journal of spine surgery · 2025Article
- Clinical Analysis and Imaging Study of Lateral Lumbar Intervertebral Fusion in the Treatment of Degenerative Lumbar Scoliosis.Orthopaedic surgery · 2024Article
- The Evolution of Lateral Lumbar Interbody Fusion: A Journey from Past to Present.Medicina (Kaunas, Lithuania) · 2024Review
- Advancing Prone-Transpsoas Spine Surgery: A Narrative Review and Evolution of Indications with Representative Cases.Journal of clinical medicine · 2024Review
- Efficacy and Safety of the Extreme Lateral Interbody Fusion (XLIF) Technique in Spine Surgery: Meta-Analysis of 1409 Patients.Journal of clinical medicine · 2024Review
- Location of the Femoral Nerve in the Lateral Decubitus Versus Prone Position.Global spine journal · 2023Article
- L4/5 accessibility for extreme lateral interbody fusion (XLIF): a radiological study.Journal of orthopaedic surgery and research · 2022Article
- Comparison of 90-day complications and two-year reoperation rates between anterior and posterior interbody fusion for single-level degenerative spondylolisthesis.North American Spine Society journal · 2022Article
- Lateral interbody release for fused vertebrae via transpsoas approach in adult spinal deformity surgery: a preliminary report of radiographic and clinical outcomes.BMC musculoskeletal disorders · 2022Article
- Article
- Lateral lumbar interbody fusion after reduction using the percutaneous pedicle screw system in the lateral position for Meyerding grade II spondylolisthesis: a preliminary report of a new lumbar reconstruction strategy.BMC musculoskeletal disorders · 2021Article
- Review of Risks and Complications of Extreme Lateral Interbody Fusion (XLIF).Surgical neurology international · 2019Review
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe goal of the current study was to compare the perioperative and post-operative outcomes of eXtreme lateral trans-psoas approach (XLIF) versus anterior lumbar interbody fusion (ALIF) for single level degenerative spondylolisthesis. The ideal approach for degenerative spondylolisthesis remains controversial.
methodsConsecutive patients undergoing single level XLIF (n=21) or ALIF (n=54) for L4-5 degenerative spondylolisthesis between 2008-2012 from a single academic center were retrospectively reviewed. Groups were compared for peri-operative data (estimated blood loss, operative time, adjunct procedures or additional implants), radiographic measurements (L1-S1 cobb angle, disc height, fusion grade, subsidence), 30-day complications (infection, DVT/PE, weakness/paresthesia, etc.), and patient reported outcomes (leg and back Numerical Rating Scale, and Oswestry Disability Index).
resultsEstimated blood loss was significantly lower for XLIF [median 100; interquartile range (IQR), 50-100 mL] than for ALIF (median 250; IQR, 150-400 mL; P<0.001), including after adjusting for significantly higher rates of posterior decompression in the ALIF group. There were no significant differences in rates of complications within 30 days, radiographic outcomes, or in re-operation rates. Both groups experienced significant pain relief post-operatively.
conclusionsThe lateral trans-psoas approach is associated with diminished blood loss compared to the anterior approach in the treatment of degenerative spondylolisthesis. We were unable to detect differences in radiographic outcomes, complication rates, or patient reported outcomes. Continued efforts to directly compare approaches for specific indications will minimize complications and improve outcomes. Further studies will continue to define indications for lateral versus anterior approach to lumbar spine for degenerative spondylolisthesis.
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