ArticleBMC musculoskeletal disorders2022
Efficacy and safety of a modified lateral lumbar interbody fusion in L4-5 lumbar degenerative diseases compared with traditional XLIF and OLIF: a retrospective cohort study of 156 cases.
Article in BMC musculoskeletal disorders, 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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15 citing papers in PubMed, 19 citations in OpenAlex.
- A novel endoscopic retroperitoneal approach for debridement in lumbar infectious spondylodiscitis at L4-5: a clinical series and technical note.BMC musculoskeletal disorders · 2026Article
- Side of Approach Does Not Affect Outcomes in Direct Lateral Lumbar Interbody Fusion: A Noninferiority Retrospective Cohort Study.International journal of spine surgery · 2026Article
- Effect of microscope-assisted modified lateral lumbar interbody fusion and impact on lumbar lordosis and intervertebral height.BMC musculoskeletal disorders · 2025Article
- Therapeutic effect of modified iliac bone graft combined with antibiotic bone cement on lower limb bone infection complicated with large segment bone defect: An Observational Study.African health sciences · 2025Observational
- Comparative efficacy of autologous iliac bone versus allogeneic demineralized bone matrix in lateral lumbar interbody fusion using a novel minimally invasive iliac bone retrieval tool: a self-controlled study.Journal of orthopaedic surgery and research · 2025Article
- An innovative minimally invasive technique for lumbar adjacent segment disease: a retrospective comparative analysis between extreme-oblique lumbar interbody fusion combined with percutaneous endoscopic lumbar discectomy(XOLIF-PELD) and posterior lumbar interbody fusion(PLIF) revision.Journal of orthopaedic surgery and research · 2025Article
- Quantitative Threshold of Intraoperative Radiological Parameters for Suspecting Oblique Lumbar Interbody Fusion Cage Malposition Triggering Contralateral Radiculopathy.International journal of spine surgery · 2024Article
- Comparative study of clinical effects between oblique lumbar interbody fusion (OLIF) and lateral lumbar interbody fusion (LLIF) in the treatment of degenerative disc disease of the lumbar spine.Pakistan journal of medical sciences · 2024Article
- Efficacy and Safety of the Extreme Lateral Interbody Fusion (XLIF) Technique in Spine Surgery: Meta-Analysis of 1409 Patients.Journal of clinical medicine · 2024Review
- Factors Affecting Cage Obliquity and the Relationship between Cage Obliquity and Radiological Outcomes in Oblique Lateral Interbody Fusion at the L4-L5 Level.Journal of Korean Neurosurgical Society · 2023Article
- Contralateral lower limb radiculopathy by extraforaminal disc herniation following oblique lumbar interbody fusion in degenerative lumbar disorder: illustrative cases.Journal of neurosurgery. Case lessons · 2023Article
- Impact of cage position on biomechanical performance of stand-alone lateral lumbar interbody fusion: a finite element analysis.BMC musculoskeletal disorders · 2022Article
- Biomechanical characteristics of 2 different posterior fixation methods of bilateral pedicle screws: A finite element analysis.Medicine · 2022Article
- Treatment of lumbar brucella spondylitis with negative pressure wound therapyFrontiers in surgery · 2022Article
- Biomechanical effect of Coflex and X-STOP spacers on the lumbar spine: a finite element analysis.American journal of translational research · 2022Article
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Authors and funding
6 authors at 1 institution in 1 country.
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Abstract
backgroundThe authors designed a modified lateral lumbar interbody fusion (LLIF) procedure named as XOLIF and compared the efficacy and safety with traditional LLIF procedures.
methodsPatients were divided into XLIF, OLIF, and XOLIF group according to the surgical approach. Cases of psoas major and vascular space stenosis, psoas major muscle elevation, psoas major muscle hypertrophy, and high iliac crest were recorded. Basic information, composition ratio of specific cases, Visual analog scale (VAS), Oswestry Disability Index (ODI), interbody fusion rate and complications were compared between the 3 groups.
resultsThe study included 156 cases of L4-5 LLIF. There was no statistical difference in age, gender, BMI among the three groups. Cases with stenosis between psoas muscle and artery accounted for 11.8 and 18.4% of the XLIF and XOLIF group, respectively, while no case of this type had undergone OLIF surgery, the difference was statistically significant (P < 0.05). The proportions of high iliac crest cases in the OLIF and XOLIF group were 12.5 and 18.4%, respectively, while the XLIF group with vertical approach is not suitable for cases with high iliac crest. The postoperative VAS and ODI of the three groups were significantly improved compared with those before operation. There were 51 cases (32.7%) of complications including 21cases in XLIF group, 20 cases in OLIF Group and 10 cases in XOLIF group. XOLIF group has more advantages in reducing lumbar plexus injury and the risk of vascular injury.
conclusionsXOLIF showed good clinical efficacy and technical advantages with a low incidence of intraoperative and postoperative complications, especially in the specific cases.
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