Abstract
Revision lumbar fusion is commonly performed in the setting of pseudarthrosis and adjacent segment disease after primary lumbar fusion. Anterior interbody techniques may prove invaluable in this setting by avoiding previously used approaches to the spine, provision of improved stability and surface for fusion, restoration of alignment, and indirect decompression of neural elements. This review aims to discuss the utility of anterior interbody techniques and the technical challenges and considerations in the revision setting.
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References
Selznick LA, Shamji MF, Isaacs RE. Minimally invasive interbody fusion for revision lumbar surgery: technical feasibility and safety. J Spinal Disord Tech. 2009;22:207–13.
Resnick DK, Choudhri TF, Dailey AT, Groff MW, Khoo L, Matz PG, Mummaneni P, Watters WC, Wang J, Walters BC, et al. Guidelines for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 7: intractable low-back pain without stenosis or spondylolisthesis. J Neurosurg Spine. 2005;2:670–2.
Cunningham BW, Polly DW Jr. The use of interbody cage devices for spinal deformity: a biomechanical perspective. Clin Orthop Relat Res. 2002;394:73–83.
Deyo RA, Martin BI, Kreuter W, Jarvik JG, Angier H, Mirza SK. Revision surgery following operations for lumbar stenosis. J Bone Joint Surg Am. 2011;93:1979–86.
Brown CW, Orme TJ, Richardson HD. The rate of pseudarthrosis (surgical nonunion) in patients who are smokers and patients who are nonsmokers: a comparison study. Spine. 1986;11:942–3.
Chun DS, Baker KC, Hsu WK. Lumbar pseudarthrosis: a review of current diagnosis and treatment. Neurosurg Focus. 2015;39:E10.
Cleveland M, Bosworth DM, Thompson FR. Pseudarthrosis in the lumbosacral spine. J Bone Joint Surg Am. 1948;30A:302–12.
Kim YJ, Bridwell KH, Lenke LG, Rhim S, Cheh G. Pseudarthrosis in long adult spinal deformity instrumentation and fusion to the sacrum: prevalence and risk factor analysis of 144 cases. Spine. 2006;31:2329–36.
Bederman SS, Le VH, Pahlavan S. An approach to lumbar revision spine surgery in adults. J Am Acad Orthop Surg. 2016;24:433–42.
Bono CM, Lee CK. Critical analysis of trends in fusion for degenerative disc disease over the past 20 years: influence of technique on fusion rate and clinical outcome. Spine. 2004;29:455–63; discussion Z5.
Airaksinen O, Herno A, Turunen V, Saari T, Suomlainen O. Surgical outcome of 438 patients treated surgically for lumbar spinal stenosis. Spine. 1997;22:2278–82.
Omidi-Kashani F, Hasankhani EG, Ashjazadeh A. Lumbar spinal stenosis: who should be fused? An updated review. Asian Spine J. 2014;8:521.
Hironaka Y, Morimoto T, Motoyama Y, Park Y-S, Nakase H. Surgical management of minimally invasive anterior lumbar interbody fusion with stand-alone interbody cage for L4-5 degenerative disorders: clinical and radiographic findings. Neurol Med Chir. 2013;53:861–9.
Lee J, Park Y-S. Proximal junctional kyphosis: diagnosis, pathogenesis, and treatment. Asian Spine J. 2016;10:593–600.
Park P, Garton HJ, Gala VC, Hoff JT, McGillicuddy JE. Adjacent segment disease after lumbar or lumbosacral fusion: review of the literature. Spine. 2004;29:1938–44.
Phillips FM, Reuben J, Wetzel FT. Intervertebral disc degeneration adjacent to a lumbar fusion. An experimental rabbit model. J Bone Joint Surg Br. 2002;84:289–94.
Lee CS, Hwang CJ, Lee S-W, Ahn Y-J, Kim Y-T, Lee D-H, Lee MY. Risk factors for adjacent segment disease after lumbar fusion. Eur Spine J. 2009;18:1637–43.
Crock HV. Anterior lumbar interbody fusion. Clin Orthop Relat Res. 1982;165:157–63.
Kadam A, Wigner N, Saville P, Arlet V. Overpowering posterior lumbar instrumentation and fusion with hyperlordotic anterior lumbar interbody cages followed by posterior revision: a preliminary feasibility study. J Neurosurg Spine. 2017;27:650–60.
Phan K, Xu J, Scherman DB, Rao PJ, Mobbs RJ. Anterior lumbar interbody fusion with and without an “Access Surgeon”. Spine. 2017;42:E592–601.
Moisi M, Page J, Paulson D, Oskouian RJ. Technical note—lateral approach to the lumbar spine for the removal of interbody cages. Cureus. 2015;7:e268. https://doi.org/10.7759/cureus.268.
Gumbs AA, Hanan S, Yue JJ, Shah RV, Sumpio B. Revision open anterior approaches for spine procedures. Spine J. 2007;7:280–5.
Rothenfluh DA, Mueller DA, Rothenfluh E, Min K. Pelvic incidence-lumbar lordosis mismatch predisposes to adjacent segment disease after lumbar spinal fusion. Eur Spine J. 2015;24:1251–8.
Zdeblick TA, David SM. A prospective comparison of surgical approach for anterior L4-L5 fusion: laparoscopic versus mini anterior lumbar interbody fusion. Spine. 2000;25:2682–7.
Mobbs RJ, Phan K, Malham G, Seex K, Rao PJ. Lumbar interbody fusion: techniques, indications and comparison of interbody fusion options including PLIF, TLIF, MI-TLIF, OLIF/ATP, LLIF and ALIF. J Spine Surg. 2015;1:2–18.
Hsieh PC, Koski TR, O’Shaughnessy BA, Sugrue P, Salehi S, Ondra S, Liu JC. Anterior lumbar interbody fusion in comparison with transforaminal lumbar interbody fusion: implications for the restoration of foraminal height, local disc angle, lumbar lordosis, and sagittal balance. J Neurosurg Spine. 2007;7:379–86.
Phan K, Thayaparan GK, Mobbs RJ. Anterior lumbar interbody fusion versus transforaminal lumbar interbody fusion—systematic review and meta-analysis. Br J Neurosurg. 2015;29:705–11.
Malham GM, Parker RM, Ellis NJ, Blecher CM, Chow FY, Claydon MH. Anterior lumbar interbody fusion using recombinant human bone morphogenetic protein-2: a prospective study of complications. J Neurosurg Spine. 2014;21:851–60.
Rao PJ, Maharaj MM, Phan K, Abeygunasekara ML, Mobbs RJ. Indirect foraminal decompression after anterior lumbar interbody fusion: a prospective radiographic study using a new pedicle-to-pedicle technique. Spine J. 2015;15:817–24.
Cohn EB, Ignatoff JM, Keeler TC, Shapiro DE, Blum MD. Exposure of the anterior spine: technique and experience with 66 patients. J Urol. 2000;164:416–8. https://doi.org/10.7759/cureus.268.
Gumbs AA. The open anterior Paramedian retroperitoneal approach for spine procedures. Arch Surg. 2005;140:339.
Brau SA, Delamarter RB, Schiffman ML, Williams LA, Watkins RG. Vascular injury during anterior lumbar surgery. Spine J. 2004;4:409–12.
Faciszewski T, Winter RB, Lonstein JE, Denis F, Johnson L. The surgical and medical perioperative complications of anterior spinal fusion surgery in the thoracic and lumbar spine in adults. A review of 1223 procedures. Spine. 1995;20:1592–9.
Silvestre C, Mac-Thiong J-M, Hilmi R, Roussouly P. Complications and morbidities of mini-open anterior retroperitoneal lumbar interbody fusion: oblique lumbar interbody fusion in 179 patients. Asian Spine J. 2012;6:89.
Molinares DM, Davis TT, Fung DA. Retroperitoneal oblique corridor to the L2-S1 intervertebral discs: an MRI study. J Neurosurg Spine. 2016;24:248–55.
Molloy S, Butler JS, Benton A, Malhotra K, Selvadurai S, Agu O. A new extensile anterolateral retroperitoneal approach for lumbar interbody fusion from L1 to S1: a prospective series with clinical outcomes. Spine J. 2016;16:786–91.
Davis TT, Hynes RA, Fung DA, Spann SW, MacMillan M, Kwon B, Liu J, Acosta F, Drochner TE. Retroperitoneal oblique corridor to the L2-S1 intervertebral discs in the lateral position: an anatomic study. J Neurosurg Spine. 2014;21:785–93.
Jagannathan J, Chankaew E, Urban P, Dumont AS, Sansur CA, Kern J, Peeler B, Elias WJ, Shen F, Shaffrey ME, et al. Cosmetic and functional outcomes following paramedian and anterolateral retroperitoneal access in anterior lumbar spine surgery. J Neurosurg Spine. 2008;9:454–65.
Li JXJ, Phan K, Mobbs R. Oblique lumbar interbody fusion: technical aspects, operative outcomes, and complications. World Neurosurg. 2017;98:113–23.
Orita S, Inage K, Furuya T, Koda M, Aoki Y, Kubota G, Nakamura J, Shiga Y, Matsuura Y, Maki S, et al. Oblique Lateral Interbody Fusion (OLIF): indications and techniques. Oper Tech Orthop. 2017;27:223–30.
Li R, Li X, Zhou H, Jiang W. Development and application of oblique lumbar interbody fusion. Orthop Surg. 2020;12:355–65.
Zhu G, Hao Y, Yu L, Cai Y, Yang X. Comparing stand-alone oblique lumbar interbody fusion with posterior lumbar interbody fusion for revision of rostral adjacent segment disease: a STROBE-compliant study. Medicine. 2018;97:e12680.
Jung J, Lee S, Cho D-C, Han I-B, Kim CH, Lee Y-S, Kim K-T. Usefulness of oblique lumbar interbody fusion as revision surgery: comparison of clinical and radiological outcomes between primary and revision surgery. World Neurosurg. 2021;149:e1067–76.
Hentenaar B, Spoor AB, de Waal Malefijt J, Diekerhof CH, den Oudsten BL. Clinical and radiological outcome of minimally invasive posterior lumbar interbody fusion in primary versus revision surgery. J Orthop Surg Res. 2016;11:2.
Lee YS, Park SW, Kim YB. Direct lateral lumbar interbody fusion: clinical and radiological outcomes. J Korean Neurosurg Soc. 2014;55:248–54.
Ohtori S, Orita S, Yamauchi K, Eguchi Y, Aoki Y, Nakamura J, Miyagi M, Suzuki M, Kubota G, Inage K, et al. Change of lumbar ligamentum flavum after indirect decompression using anterior lumbar interbody fusion. Asian Spine J. 2017;11:105–12.
Sato J, Ohtori S, Orita S, Yamauchi K, Eguchi Y, Ochiai N, Kuniyoshi K, Aoki Y, Nakamura J, Miyagi M, et al. Radiographic evaluation of indirect decompression of mini-open anterior retroperitoneal lumbar interbody fusion: oblique lateral interbody fusion for degenerated lumbar spondylolisthesis. Eur Spine J. 2017;26:671–8.
Ozgur BM, Aryan HE, Pimenta L, Taylor WR. Extreme lateral interbody fusion (XLIF): a novel surgical technique for anterior lumbar interbody fusion. Spine J. 2006;6:435–43.
Park DK, Lee MJ, Lin EL, Singh K, An HS, Phillips FM. The relationship of Intrapsoas nerves during a Transpsoas approach to the lumbar spine. J Spinal Disord Tech. 2010;23:223–8.
Berjano P, Lamartina C. Far lateral approaches (XLIF) in adult scoliosis. Eur Spine J. 2013;22(Suppl 2):S242–53.
Billinghurst J, Akbarnia BA. Extreme lateral interbody fusion—XLIF. Curr Orthop Pract. 2009;20:238–51.
Pimenta L, Turner AWL, Dooley ZA, Parikh RD, Peterson MD. Biomechanics of lateral interbody spacers: going wider for going stiffer. ScientificWorldJournal. 2012;2012:381814.
Le TV, Baaj AA, Dakwar E, Burkett CJ, Murray G, Smith DA, Uribe JS. Subsidence of polyetheretherketone intervertebral cages in minimally invasive lateral retroperitoneal transpsoas lumbar interbody fusion. Spine. 2012;37:1268–73.
Palejwala SK, Sheen WA, Walter CM, Dunn JH, Baaj AA. Minimally invasive lateral transpsoas interbody fusion using a stand-alone construct for the treatment of adjacent segment disease of the lumbar spine: review of the literature and report of three cases. Clin Neurol Neurosurg. 2014;124:90–6.
Tobert DG, Makanji HS, Cha TD. Lumbar interbody fusion for adjacent segment disease: An illustrative case of the lateral transpsoas approach (XLIF-DLIF). Semin Spine Surg. 2018;30:258–64.
Khan MH, Rihn J, Steele G, Davis R, Donaldson WF, Kang JD, Lee JY. Postoperative management protocol for incidental Dural tears during degenerative lumbar spine surgery. Spine. 2006;31:2609–13.
Phan K, Rao PJ, Scherman DB, Dandie G, Mobbs RJ. Lateral lumbar interbody fusion for sagittal balance correction and spinal deformity. J Clin Neurosci. 2015;22:1714–21.
Younus A, Kelly A, Lekgwara P. Minimally invasive extreme lateral lumbar interbody fusion (XLIF) to manage adjacent level disease—a case series and literature review. Interdiscip Neurosurg. 2021;23:101014.
McMains MC, Jain N, Malik AT, Cerier E, Litsky AS, Yu E. A biomechanical analysis of lateral interbody construct and supplemental fixation in adjacent-segment disease of the lumbar spine. World Neurosurg. 2019;128:e694–9.
Liang Z, Cui J, Zhang J, He J, Tang J, Ren H, Ye L, Liang D, Jiang X. Biomechanical evaluation of strategies for adjacent segment disease after lateral lumbar interbody fusion: is the extension of pedicle screws necessary? BMC Musculoskelet Disord. 2020;21(1):117. https://doi.org/10.21203/rs.2.17339/v2.
Al-Rabiah AM, Alghafli ZI, Almazrua I. Using an extreme lateral interbody fusion (XLIF) in revising failed Transforaminal lumbar interbody fusion (TLIF) with exchange of cage. Cureus. 2021;13(3):e14123. https://doi.org/10.7759/cureus.14123.
Rodgers WB, Gerber EJ, Cox C. Minimally invasive treatment (XLIF) of adjacent segment disease after prior lumbar fusions. Internet J Minim Invasive Spinal Technol. 2009;3:3.
Aichmair A, Alimi M, Hughes AP, Sama AA, Du JY, Hartl R, Cammisa FP, Girardi FP. Single-level lateral lumbar interbody fusion for the treatment of adjacent segment disease: a retrospective two-center study. Spine J. 2014;14:S158–9.
Wang MY, Vasudevan R, Mindea SA. Minimally invasive lateral interbody fusion for the treatment of rostral adjacent-segment lumbar degenerative stenosis without supplemental pedicle screw fixation. J Neurosurg Spine. 2014;21:861–6.
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Fakhre, E., Lockey, S.D., Elkadi, S., Kalantar, S.B. (2023). Anterior and Lateral Interbody Techniques for Revision Lumbar Fusion. In: O'Brien, J.R., Weinreb, J.B., Babrowicz, J.C. (eds) Lumbar Spine Access Surgery. Springer, Cham. https://doi.org/10.1007/978-3-031-48034-8_27
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