J Korean Orthop Assoc.  2019 Jun;54(3):203-210. 10.4055/jkoa.2019.54.3.203.

Minimally Invasive Lateral Lumbar Interbody Fusion: Indications, Outcomes and Complications

Affiliations
  • 1Department of Orthopedic Surgery, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.
  • 2Department of Orthopedic Surgery and Spine Center, Soonchunhyang University Seoul Hospital, Seoul, Korea. jlee@schmc.ac.kr

Abstract

The aim of this review was to evaluate minimally invasive lateral lumbar interbody fusion on the latest update. Lumbar interbody fusion was introduced recently. This study performed, a literature review of the indications, clinical outcomes, fusion rate, and complications regarding recently highlighted minimally invasive lateral lumbar interbody fusion. The indications of lateral lumbar interbody fusion are similar to the conventional anterior and posterior interbody fusion in degenerative lumbar diseases. In particular, lateral lumbar interbody fusion is an effective minimally invasive surgery in spinal stenosis, degenerative spondylolisthesis, degenerative adult deformity, degenerative disc disease and adjacent segment disease. In addition, the clinical outcomes and fusion rates of lateral lumbar interbody fusion are similar compared to conventional lumbar fusion. On the other hand, non-specific complications including hip flexor weakness, nerve injury, vascular injury, visceral injury, cage subsidence and pseudohernia have been reported. Lateral lumbar interbody fusion is a very useful minimally invasive surgery because it has advantages over conventional anterior and posterior interbody fusion without many of the disadvantages. Nevertheless, nonspecific complications during lateral lumbar interbody fusion procedure remain a challenge to be improved.

Keyword

lumbar; degenerative lumbar disease; lateral lumbar interbody fusion
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