Lenz, Maximilian, Mohamud, Kaliyea, Bredow, Jan, Oikonomidis, Stavros, Eysel, Peer and Scheyerer, Max Joseph (2022). Comparison of Different Approaches in Lumbosacral Spinal Fusion Surgery: A Systematic Review and Meta-Analysis. Asian Spine J., 16 (1). S. 141 - 150. SEOUL: KOREAN SOC SPINE SURGERY. ISSN 1976-7846

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Abstract

We aimed to systematically review the literature to analyze the differences in posterior lumbar interbody fusion (PLIF), anterior lumbar interbody fusion (ALIF), and transforaminal lumbar interbody fusion (TLIF), focusing on the complications, risk factors, and fusion rate of each approach. Spinal fusion surgery is a well-established surgical procedure for a variety of indications, and different approaches developed. The various approaches and their advantages, as well as approach-related pathology and complications, are well investigated in spinal surgery. Focusing only on lumbosacral fusion, the comparative studies of different approaches remain fewer in numbers. We systematically reviewed the literature on the complications associated with lumbosacral interbody fusion. Only the PLIF, ALIF, or TLIF approaches and studies published within the last decade (2007-2017) were included. The exclusion criteria in this study were oblique lumbar interbody fusion, extreme lateral interbody fusion, more than one procedure per patient, and reported patient numbers less than 10. The outcome variables were indications, fusion rates, operation time, perioperative complications, and clinical outcome by means of Visual Analog Scale, Oswestry Disability Index, and Japanese Orthopaedic Association score. Five prospective, 17 retrospective, and two comparative studies that investigated the lumbosacral region were included. Mean fusion rates were 91,4%. ALIF showed a higher operation time, while PLIF resulted in greater blood loss. In all approaches, significant improvements in the clinical outcome were achieved, with ALIF showing slightly better results. Regarding complications, the ALIF technique showed the highest complication rates. Lumbosacral fusion surgery is a treatment to provide good results either through an approach for various indications as causes of lower back pain. For each surgical approach, advantages can be depicted. However, perioperative complications and risk factors are numerous and vary with ALIF, PLIF, and TLIF procedures, as well as with fusion rates.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Lenz, MaximilianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mohamud, KaliyeaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bredow, JanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Oikonomidis, StavrosUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Eysel, PeerUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Scheyerer, Max JosephUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-567699
DOI: 10.31616/asj.2020.0405
Journal or Publication Title: Asian Spine J.
Volume: 16
Number: 1
Page Range: S. 141 - 150
Date: 2022
Publisher: KOREAN SOC SPINE SURGERY
Place of Publication: SEOUL
ISSN: 1976-7846
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
LUMBAR INTERBODY FUSION; PEDICLE SCREW FIXATION; PERIOPERATIVE COMPLICATIONS; SPONDYLOLISTHESIS; OUTCOMES; RISK; PLIF; TLIF; ALIF; PSEUDOARTHROSISMultiple languages
OrthopedicsMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/56769

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