ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2021
Major complications in extreme lateral interbody fusion access: multicentric study by Italian S.O.L.A.S. group.
Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Comparative effectiveness of lumbar interbody fusion techniques in adult scoliosis: a systematic review and meta-analysis of postoperative alignment and disability outcomes.Journal of spine surgery (Hong Kong) · 2025Article
- Effect of microscope-assisted modified lateral lumbar interbody fusion and impact on lumbar lordosis and intervertebral height.BMC musculoskeletal disorders · 2025Article
- Investigating complications of extreme lateral interbody fusion (XLIF) in the food and drug administration manufacturer and user facility device experience database.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025Article
- Establishment of the prone transpsoas fusion surgery in Australia-a survey and analysis of major complications in early adopters.Journal of spine surgery (Hong Kong) · 2025Article
- Article
- Complication rates following stand-alone lateral interbody fusion: a single institution series after 10 years of experience.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Effects of the cage height and positioning on clinical and radiographic outcome of lateral lumbar interbody fusion: a retrospective study.BMC musculoskeletal disorders · 2022Article
- Postoperative spinal alignment comparison of lateral versus supine patient position L5-S1 anterior lumbar interbody fusion.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2022Article
- Rapidly destructive osteoarthritis of the spine: lessons learned from the first reported case.BMC musculoskeletal disorders · 2022Article
- Extreme lateral interbody fusion (XLIF) in a consecutive series of 72 patients.Bosnian journal of basic medical sciences · 2021Article
Corrections and comments
- Erratum issued
Authors and funding
21 authors.
Funding
Abstract
purposeThe eXtreme Lateral Interbody Fusion (XLIF) approach has gained increasing importance in the last decade. This multicentric retrospective cohort study aims to assess the incidence of major complications in XLIF procedures performed by experienced surgeons and any relationship between the years of experience in XLIF procedures and the surgeon's rate of severe complications.
methodsNine Italian members of the Society of Lateral Access Surgery (SOLAS) have taken part in this study. Each surgeon has declared how many major complications have been observed during his surgical experience and how they were managed. A major complication was defined as an injury that required reoperation, or as a complication, whose sequelae caused functional limitations to the patient after one year postoperatively. Each surgeon was finally asked about his years of experience in spine surgery and XLIF approach. Pearson correlation test was used to evaluate the association between the surgeon's years of experience in XLIF and the rate of major complications; a p-value of last than 0.05 was considered significant.
resultsWe observed 14 major complications in 1813 XLIF procedures, performed in 1526 patients. The major complications rate was 0.7722%. Ten complications out of fourteen needed a second surgery. Neither cardiac nor respiratory nor renal complications were observed. No significant correlation was found between the surgeon's years of experience in the XLIF procedure and the number of major complications observed.
conclusionXLIF revealed a safe and reliable surgical procedure, with a very low rate of major complications, when performed by an expert spine surgeon.
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