@article{JSS4574,
author = {L. Henry Goodnough and Jayme Koltsov and Tianyi Wang and Grace Xiong and Karthik Nathan and Ivan Cheng},
title = {Decreased estimated blood loss in lateral trans-psoas versus anterior approach to lumbar interbody fusion for degenerative spondylolisthesis},
journal = {Journal of Spine Surgery},
volume = {5},
number = {2},
year = {2019},
keywords = {},
abstract = {Background: The goal of the current study was to compare the perioperative and post-operative outcomes of eXtreme lateral trans-psoas approach (XLIF) versus anterior lumbar interbody fusion (ALIF) for single level degenerative spondylolisthesis. The ideal approach for degenerative spondylolisthesis remains controversial.
Methods: Consecutive patients undergoing single level XLIF (n=21) or ALIF (n=54) for L4–5 degenerative spondylolisthesis between 2008–2012 from a single academic center were retrospectively reviewed. Groups were compared for peri-operative data (estimated blood loss, operative time, adjunct procedures or additional implants), radiographic measurements (L1–S1 cobb angle, disc height, fusion grade, subsidence), 30-day complications (infection, DVT/PE, weakness/paresthesia, etc.), and patient reported outcomes (leg and back Numerical Rating Scale, and Oswestry Disability Index).
Results: Estimated blood loss was significantly lower for XLIF [median 100; interquartile range (IQR), 50–100 mL] than for ALIF (median 250; IQR, 150–400 mL; P},
issn = {2414-4630}, url = {https://jss.amegroups.org/article/view/4574}
}