SynthesisNeurosurgical review2022
Incidence of major and minor vascular injuries during lateral access lumbar interbody fusion procedures: a retrospective comparative study and systematic literature review.
Synthesis in Neurosurgical review, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 23 citations in OpenAlex.
- Traction-Induced Avulsion of an Iliocaval Venous Branch During Multilevel OLIF for Degenerative Scoliosis: Case Report.Clinical case reports · 2026Article
- Nutcracker phenomenon resulting in left gonadal vein dilation as a critical vascular consideration prior to lateral lumbar interbody fusion: illustrative case.Journal of neurosurgery. Case lessons · 2026Article
- The Prone-Angled Transpsoas Approach: Utilizing Position, Approach, Navigation, and Neuromonitoring in Prone Lateral Surgery.Neurosurgery practice · 2026Article
- Morphometric Variations in Oblique Lumbar Interbody Fusion Corridors in Degenerative Lumbar Scoliosis: A Comparative Study of the Apex Direction.Clinics in orthopedic surgery · 2026Article
- Iliolumbar vein injuries in prepsoas lateral lumbar interbody fusion: strategies for prevention and management. Illustrative case.Journal of neurosurgery. Case lessons · 2025Article
- Anterior Column Realignment Using an Anterior-To-Psoas Approach: A Radiographic-Anatomic Feasibility Study at L1-L5.Global spine journal · 2024Article
- [An MRI study of lateral vascular safety zones in oblique lumbar interbody fusion surgery].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2023Article
- Endoscopic anterior to psoas lumbar interbody fusion: indications, techniques, and clinical outcomes.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 · 2023Article
- Vascular Injury After Scoliosis Correction in Ehlers-Danlos Syndrome: Proceed With Caution.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2023Article
- What Types of Strategies Are Effective in Lumbar Spine Surgery? Considering the Etiology, Imaging Findings, and Risk of Complications.Journal of clinical medicine · 2023Article
- Nationwide Survey of the Surgical Complications Associated with Lateral Lumbar Interbody Fusion in 2015-2020.Spine surgery and related research · 2023Article
- Anatomical Analysis of the Gonadal Veins and Spine in Lateral Lumbar Interbody Fusion.Journal of clinical medicine · 2023Article
- Comparative Study of Cage Subsidence in Single-Level Lateral Lumbar Interbody Fusion.Journal of clinical medicine · 2022Article
- Oblique lateral interbody fusion in heterogenous lumbar diseases: Anterolateral screw fixation vs. posterior percutaneous pedicle screw fixation - A single center experience.Frontiers in surgery · 2022Article
- Location variance of the great vessels while undergoing side-bend positioning changes during lateral interbody fusion.Journal of craniovertebral junction & spineArticle
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
During lateral lumbar fusion, the trajectory of implant insertion approaches the great vessels anteriorly and the segmental arteries posteriorly, which carries the risk of vascular complications. We aimed to analyze vascular injuries for potential differences between oblique lateral interbody fusion (OLIF) and lateral lumbar interbody fusion (LLIF) procedures at our institution. This was coupled with a systematic literature review of vascular complications associated with lateral lumbar fusions. A retrospective chart review was completed to identify consecutive patients who underwent lateral access fusions. The Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines were used for the systematic review with the search terms "vascular injury" and "lateral lumbar surgery." Of 260 procedures performed at our institution, 211 (81.2%) patients underwent an LLIF and 49 (18.8%) underwent an OLIF. There were no major vascular complications in either group in this comparative study, but there were four (1.5%) minor vascular injuries (2 LLIF, 0.95%; 2 OLIF, 4.1%). Patients who experienced vascular injury experienced a greater amount of blood loss than those who did not (227.5 ± 147.28 vs. 59.32 ± 68.30 ml) (p = 0.11). In our systematic review of 63 articles, major vascular injury occurred in 0-15.4% and minor vascular injury occurred in 0-6% of lateral lumbar fusions. The systematic review and comparative study demonstrate an increased rate of vascular injury in OLIF when compared to LLIF. However, vascular injuries in either procedure are rare, and this study aids previous literature to support the safety of both approaches.
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