Universität zu Köln

Lang, Gernot ORCID: 0000-0003-0685-1909, Perrech, Moritz, Navarro-Ramirez, Rodrigo, Hussain, Ibrahim, Pennicooke, Brenton ORCID: 0000-0002-4304-9141, Maryam, Farah, Avila, Mauricio J. and Hartl, Roger (2017). Potential and Limitations of Neural Decompression in Extreme Lateral Interbody Fusion - A Systematic Review. World Neurosurg., 101. S. 99 - 114. NEW YORK: ELSEVIER SCIENCE INC. ISSN 1878-8769

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Abstract

BACKGROUND: Extreme lateral interbody fusion (ELIF) is a powerful tool for interbody fusion and coronal deformity correction. However, evidence regarding the success of ELIF in decompressing foraminal, lateral recess, and central canal stenosis is lacking. We performed a systematic review of current literature on the potential and limitations of ELIF to indirectly decompress neural elements. METHODS: A literature search using PubMed, Cochrane, and ScienceDirect databases was performed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses criteria. Information on study design, sample size, population, procedure, number and location of involved levels, follow-up time, and complications as well as information on conflict of interest was extracted and evaluated. RESULTS: We selected 20 publications including 1080 patients for review. Most publications (90%) were retrospective case series. Most frequent indications for ELIF included degenerative disc disease, spinal stenosis, spondylolisthesis, and degenerative scoliosis. Most studies revealed significant improvement in radiographic and clinical outcome after ELIF. Mean foraminal area, central canal area, and subarticular diameter increased by 31.6 mm(2), 28.5 mm(2), and 0.85 mm. ELIF successfully improved foraminal stenosis. Contradictory results were found for indirect decompression of central canal stenosis. Data on lateral recess stenosis were scarce. CONCLUSIONS: Current data suggest ELIF to be an efficient technique in decompression of foraminal stenosis. Evidence on decompression of central canal or lateral recess stenosis via ELIF is low, and results are inconsistent. Most studies are limited by study design, sample size, and potential conflicts of interest.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Lang, Gernot UNSPECIFIED orcid.org/0000-0003-0685-1909 UNSPECIFIED Perrech, Moritz UNSPECIFIED UNSPECIFIED UNSPECIFIED Navarro-Ramirez, Rodrigo UNSPECIFIED UNSPECIFIED UNSPECIFIED Hussain, Ibrahim UNSPECIFIED UNSPECIFIED UNSPECIFIED Pennicooke, Brenton UNSPECIFIED orcid.org/0000-0002-4304-9141 UNSPECIFIED Maryam, Farah UNSPECIFIED UNSPECIFIED UNSPECIFIED Avila, Mauricio J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hartl, Roger UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-232191
DOI:	10.1016/j.wneu.2017.01.080
Journal or Publication Title:	World Neurosurg.
Volume:	101
Page Range:	S. 99 - 114
Date:	2017
Publisher:	ELSEVIER SCIENCE INC
Place of Publication:	NEW YORK
ISSN:	1878-8769
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language INDIRECT FORAMINAL DECOMPRESSION; 2-YEAR COMPARATIVE OUTCOMES; TRANSPSOAS APPROACH; CLINICAL-OUTCOMES; POSTOPERATIVE COMPLICATIONS; NERVE INJURIES; SURGERY; STENOSIS; CAGE Multiple languages Clinical Neurology; Surgery Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/23219