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Research ArticleLumbar Spine

Prone Single Position Approach to Lateral Lumbar Interbody Fusion: Systematic Review and Meta-Analysis

Matthew Rohde, Alexandra Echevarria, Robert Carrier, Matthew Zinner, Alex Ngan and Rohit Verma
International Journal of Spine Surgery August 2024, 18 (4) 408-417; DOI: https://doi.org/10.14444/8626
Matthew Rohde
1 Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA
2 Northwell Health Department of Orthopedic Surgery, NorthShore University Hospital, Manhasset, NY, USA
BS
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  • For correspondence: rohde.matt1@gmail.com
Alexandra Echevarria
2 Northwell Health Department of Orthopedic Surgery, NorthShore University Hospital, Manhasset, NY, USA
BS
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Robert Carrier
2 Northwell Health Department of Orthopedic Surgery, NorthShore University Hospital, Manhasset, NY, USA
DO
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Matthew Zinner
2 Northwell Health Department of Orthopedic Surgery, NorthShore University Hospital, Manhasset, NY, USA
MD
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Alex Ngan
2 Northwell Health Department of Orthopedic Surgery, NorthShore University Hospital, Manhasset, NY, USA
MD
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Rohit Verma
2 Northwell Health Department of Orthopedic Surgery, NorthShore University Hospital, Manhasset, NY, USA
MD
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    Figure 1

    Query results and study screening process per eligibility criteria conducted in accordance with the PRISMA guidelines. Abbreviations: LLIF, lateral lumbar interbody fusion; PRISMA, Preferred Reporting Items for Systematic Reviews and Meta-Analyses; XLIF, extreme lumbar interbody fusion.

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    Figure 2

    Forest plots of unstandardized mean differences between operative time (top; P < 0.001), estimated blood loss (middle; P = 0.91), and length of stay (bottom; P = 0.03).

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    Figure 3

    Forest plots of meta-analysis for intraoperative complications (top; P = 0.64), postoperative complications (middle; P = 0.61), and reoperations (bottom; P = 0.31).

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    Figure 4

    Results of meta-analysis forest plot for lumbar lordosis (top; P = 0.05), segmental lordosis (middle; P = 0.28), and pelvic tilt (bottom; P = 0.93).

Tables

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    Table 1

    Characteristics and outcomes measures of eligible studies.

    StudyType of StudyPerioperative OutcomesPatient-Reported OutcomesRadiographic Outcomes
    Amaral 202321 Single-center retrospective medical record review__SL, LL, SS, PI, and PT
    Buckland 202314 Multicenter retrospective medical record reviewOT, EBL, LOS, complications, and reoperations_SVA, SL, LL, and PI-LL mismatch
    Diaz-Aguilar 202324 Multicenter retrospective medical record reviewOT, EBL, LOS, complications, and FTODI and VAS back painLL, PI, PT, and PI-LL mismatch
    Farber 202212 Retrospective case seriesOT, EBL, LOS, complications, reoperations, subsidence, FT, and RTODI, VAS-back, VAS-leg, and SF 36_
    Godzik 202015 Retrospective case seriesOT, EBL, RT, FT, and complicationsODI and VAS-backLL, PI, SVA, and CCA
    Lamartina 202023 Prospective study nonrandomized control studyOT, EBL, LOS, complications, reoperations, and FTODI, NRS back, and NRS leg_
    Patel 202325 Retrospective nonrandomized controlled studyOT, EBL, LOS, RT, and complications__
    Pimenta 202116 Retrospective multicenter nonrandomized studyOT, EBL, LOS, complications, and reoperations_SL, LL, SS, PI, PT, and PI-LL mismatch
    Pimenta 202116 Retrospective multicenter nonrandomized studyOT, EBL, LOS, RT, complications, and revisions__
    Smith 202126 Prospective multicenter nonrandomized studyOT, EBL, LOS, and complications__
    Soliman 202222 Retrospective medical record reviewOT, EBL, LOS, complications, reoperations, and FTODI and SF-12SA, LL, SS, PI, and PT
    Soliman 202322 Retrospective medical record reviewOT, EBL, LOS, and complicationsODI and SF-12LL, PI, SS, PT, and PI-LL mismatch
    Walker 202117 Retrospective medical record review__SA, SL, LL, PI, PT, PI-LL mismatch, and ADH
    Wang 202227 Retrospective case seriesOT, EBL, LOS, and complications_SA, SL, and LL
    Wellington 202330 Retrospective medical record reviewLOS and complicationsODI, VAS-back, and VAS-legSL, LL, and ADH
    • Abbreviations: ADH, anterior disc height; CCA, coronal Cobb angle; EBL, estimated blood loss; FT, fluoroscopy time; LL, lumbar lordosis; LOS, length of stay; NRS, numerical rating scale; ODI, Oswestry Disability Index; OT, operative time; PI, pelvic incidence; PT, pelvic tilt; RT, Retractor time; SA, sagittal alignment; SF, short form; SL, segmental lordosis; SS, sacral slope; SVA, sagittal vertical alignment; VAS, visual analog scale.

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    Table 2

    Demographic data for each study.

    StudyAge, y, meanBMI, meanProne Single Position LLIF (N)LLIF (N)% WomenNo. of Levels of Fusion, mean
    Amaral 202321 57.2-185364.81
    Buckland 202314 60.730.1435852.52.3
    Diaz-Aguilar 202324 64.531.9363-57-
    Farber 202218 67.928.928 751.39
    Godzik 202015 6126.511-54.51.42
    Lamartina 202023 53.826.371070.61
    Patel 202325 -30.4155-601.61
    Pimenta 202116 64.3-32-56.3-
    Pimenta 202116 652734--1.62
    Smith 202126 -33120--1.48
    Soliman 202222 61.630.31010551.2
    Soliman 202322 60.132.315-53.31.07
    Walker 202117 6228.51515601
    Wang 202227 60.431.624-58.31.21
    Wellington 202330 63-82-56.11.62
    • Abbreviations: BMI, body mass index; LLIF, lateral lumbar interbody fusion.

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Prone Single Position Approach to Lateral Lumbar Interbody Fusion: Systematic Review and Meta-Analysis
Matthew Rohde, Alexandra Echevarria, Robert Carrier, Matthew Zinner, Alex Ngan, Rohit Verma
International Journal of Spine Surgery Aug 2024, 18 (4) 408-417; DOI: 10.14444/8626

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Prone Single Position Approach to Lateral Lumbar Interbody Fusion: Systematic Review and Meta-Analysis
Matthew Rohde, Alexandra Echevarria, Robert Carrier, Matthew Zinner, Alex Ngan, Rohit Verma
International Journal of Spine Surgery Aug 2024, 18 (4) 408-417; DOI: 10.14444/8626
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