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Current Reviews in Musculoskeletal Medicine
Published in: Current Reviews in Musculoskeletal Medicine 4/2017

01-12-2017 | Treatment of Lumbar Degenerative Pathology (HJ Kim and G Mundis, section editors)

Lateral Lumbar Interbody Fusion—Outcomes and Complications

Authors: Stephan N. Salzmann, Jennifer Shue, Alexander P. Hughes

Published in: Current Reviews in Musculoskeletal Medicine | Issue 4/2017

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Abstract

Purpose of Review

Lateral lumbar interbody fusion (LLIF) is a relatively new, minimally invasive technique for interbody fusion. The goal of this review is to provide a general overview of LLIF with a special focus on outcomes and complications.

Recent Findings

Since the first description of the technique in 2006, the indications for LLIF have expanded and the rate of LLIF procedures performed in the USA has increased. LLIF has several theoretical advantages compared to other approaches including the preservation of the anterior and posterior annular/ligamentous structures, insertion of wide cages resting on the dense apophyseal ring bilaterally, and augmentation of disc height with indirect decompression of neural elements. Favorable long-term outcomes and a reduced risk of visceral/vascular injuries, incidental dural tears, and perioperative infections have been reported. However, approach-related complications such as motor and sensory deficits remain a concern.

Summary

In well-indicated patients, LLIF can be a safe procedure used for a variety of indications.
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Metadata
Title
Lateral Lumbar Interbody Fusion—Outcomes and Complications
Authors
Stephan N. Salzmann
Jennifer Shue
Alexander P. Hughes
Publication date
01-12-2017
Publisher
Springer US
Published in
Current Reviews in Musculoskeletal Medicine / Issue 4/2017
Electronic ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-017-9444-1

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