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Órgano Oficial de difusión científica de la Asociación Mexicana de Cirujanos de Columna A. C.

2025, Number 3

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Cir Columna 2025; 3 (3)

Experience in lateral lumbar intersomatic fusion by transpsoas retroperitoneal approach

De LLA, Alejandre LJL, Jaime AA, Ortiz MCG, Castañeda AF, Muñuzuri CM

Language: Spanish
References: 13
Page: 176-180
PDF size: 188.28 Kb.


ABSTRACT

Introduction: interbody fusion procedures are a successful treatment strategy for relieving pain and neurological symptoms of adult spinal deformity. Objective: the aim of the current study was to know the clinical (ODI, Oswestry Disability Index) and radiographic impact (lumbar lordosis, disc height laterolisthesis) in patient treated with lateral lumbar interbody fusion by transpsoas retroperitoneal approach (LLIF). Material and methods: retrospective, descriptive, single-center study from 2021 to 2023, in patients treated with LLIF in Centro Médico Nacional 20 de Noviembre, for degenerative lumbar pathology, without history of spine surgery, 1 or 2 levels was performed, in two positions or single-position (SP). Measurement of ODI pre and post at six months, radiological values (disc height, lumbar lordosis, segmental lordosis and lateralisthesis), time and hemorrhage intraoperative were performed. Results: selection of nine patients, a median age of 60 ± 11.92 years. All patients were performed for leves L4-L5; two of nine patients were performed a second level for L3-L4. A preoperative ODI of 67.11 ± 11.05% was found with an ODI improvement at six months of 32.44 ± 11.22%. We observe in radiographic measurements an increse disc height L4-L5 up to 5.65 mm, increse lumbar lordosis in 5.17°, reduce mean of 3.06 ± 1.67 mm in postoperative laterolisthesis. We estimated fusion rates at six months was 55.5% (5/9). Duration of surgery was mean of 274 ± 92.07 minutes, blood loss 163 ± 96.7 ml, length of hospital stay 4 ± 1.27 days. Differences were found on surgery duration, the two positions group had a longer time with 386 versus 218 minutes in SP group. Conclusions: LLIF improves ODI at six months, with improvement in radiographic parameters such as lumbar lordosis, segmental lordosis, disc height and laterolisthesis. LLIF in SP reduces intraoperative time surgery.


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