Evidence map›Paper›PMID 41140817›Full record

ReviewNagoya journal of medical science2025

Current status of indirect decompression with lateral lumbar interbody fusion.

Hiroaki Nakashima, Sadayuki Ito, Naoki Segi, Jun Ouchida, Ippei Yamauchi, Yoshinori Morita, Tokumi Kanemura, Shiro Imagama

Abstract readReview
In one paragraph

Review in Nagoya journal of medical science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. A Review of Synthetic Bone Grafts in Lumbar Interbody Fusion.Bioengineering (Basel, Switzerland) · 2026
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Hiroaki NakashimaDepartment of Orthopedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Sadayuki ItoDepartment of Orthopedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Naoki SegiDepartment of Orthopedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Jun OuchidaDepartment of Orthopedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Ippei YamauchiDepartment of Orthopedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Yoshinori MoritaDepartment of Orthopedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Tokumi KanemuraDepartment of Orthopedic Surgery, Konan Kosei Hospital, Konan, Japan.
Shiro ImagamaDepartment of Orthopedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The adoption of lumbar fusion techniques, particularly lateral lumbar interbody fusion (LLIF), has significantly evolved the management of degenerative lumbar spinal conditions. LLIF, introduced as a minimally invasive surgical procedure, offers the advantage of indirect neural decompression and robust bone fusion using large interbody cages, reducing complications such as cage subsidence and nerve injuries. Systematic reviews have indicated that LLIF was effective for foraminal decompression, although evidence regarding its effectiveness for spinal canal and lateral recess decompression remains limited. Comparisons between indirect decompression techniques like LLIF and direct methods (posterior lumbar interbody fusion and transforaminal lumbar interbody fusion) have revealed that while indirect approaches generally promoted lower surgical times and blood loss, outcomes related to pain, disability, and complications were comparable. Indirect decompression with LLIF should be approached cautiously or avoided in patients with severe stenosis or preoperative neurological impairments due to the increased risk for postoperative complications. Furthermore, meticulous surgical planning and advanced imaging techniques are essential for mitigating risks such as vascular, bowel, and ureteral injuries. Continued advancements in surgical instrumentation and navigation technologies are expected to further refine the utility of LLIF in treating complex spinal pathologies, offering a promising minimally invasive option for achieving effective spinal stabilization and decompression.

Indexed as

Decompression, SurgicalLumbar VertebraeSpinal FusionHumansMinimally Invasive Surgical Procedurescomplicationsindirect decompressionlateral lumbar interbody fusionminimally invasive spine surgeryspinal canal stenosis

Identifiers

PMID41140817
PMCPMC12549122

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.