Rates of Postoperative Complications and Approach-related Neurological Symptoms After L4-L5 Lateral Transpsoas Lumbar Interbody Fusion Compared With Upper Lumbar Levels.
Michael T NolteSapan D GandhiAustin Q NguyenZakariah K SiyajiAli Z PirachaKrishn KhannaAugustus J RushEvan D ShehaFrank M PhillipsPublished in: Clinical spine surgery (2022)
LLIF surgery at the L4-L5 level is associated with a similar infrequent likelihood of approach-related complications and postoperative hip pain, thigh dysesthesias, and hip flexor weakness when compared with upper lumbar level LLIF. Careful patient selection, meticulous use of real-time neuromonitoring, and an understanding of the anatomic location of the lumbar plexus to the working corridor are critical to success.