• Eur Spine J · May 2012

    Multicenter Study

    Direct lateral access lumbar and thoracolumbar fusion: preliminary results.

    • Pedro Berjano, Massimo Balsano, Josip Buric, Mary Petruzzi, and Claudio Lamartina.
    • IRCCS Istituto Ortopedico Galeazzi, Milan, Italy. pberjano@gmail.com
    • Eur Spine J. 2012 May 1;21 Suppl 1:S37-42.

    PurposeTo describe the clinical outcomes and complications in a consecutive series of extreme lateral interbody fusion cases.MethodsRetrospective cohort review of 97 consecutive patients from three centers with minimum 6-month follow-up (mean 12 months). Functional status was evaluated by preoperative and last follow-up Oswestry Disability Index score. Leg and back pain were evaluated by visual analog scales. Complications were recorded and permanent complications and neurological impairment was actively investigated at last follow-up.ResultsNo permanent neurological impairment, vascular or visceral injuries were observed. Transient neurological symptoms presented in 7% of cases, all resolved within 1 month from surgery. Transient thigh discomfort was observed in 9%. Clinical success was recorded in 92% of cases.ConclusionsExtreme lateral interbody fusion is a safe and effective technique for anterior interbody fusion.

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