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2011 · J Spinal Disord Tech

How patients were doing one year after lateral lumbar fusion, a minimally invasive approach through the side

Lateral lumbar interbody fusion: clinical and radiographic outcomes at 1 year: a preliminary report

In simple words

Lateral lumbar fusion joins vertebrae through a small cut in the side of the body instead of the back. At one year it straightened sideways curves and improved the inward curve at each fused level, and patients' scores for pain and function improved.

What the study looked at

The records and X-rays of 43 consecutive patients who had lateral lumbar fusion (87 spinal levels) for disc degeneration, a slipped vertebra or adult scoliosis, followed for about a year.

What it found

Each fused level gained around 3.7° of sideways correction and 2.8° of inward curve (lordosis). In the 25 patients with scoliosis, the curve improved by about 10° (43%) on average. Temporary thigh pain was the most common side effect (about 1 in 4 patients), and outcome scores improved.

Why it matters for patients

Lateral fusion can correct alignment through a smaller approach. Thigh discomfort after surgery is common but usually settles. The authors called for larger, longer studies.

Authors: Sharma AK, Kepler CK, Girardi FP, Cammisa FP, Huang RC, Sama AA · J Spinal Disord Tech 2011;24(4):242–250