TY  - JOUR
AU  - Goodnough, L. Henry
AU  - Koltsov, Jayme
AU  - Wang, Tianyi
AU  - Xiong, Grace
AU  - Nathan, Karthik
AU  - Cheng, Ivan
PY  - 2019
TI  - Decreased estimated blood loss in lateral trans-psoas versus anterior approach to lumbar interbody fusion for degenerative spondylolisthesis
JF  - Journal of Spine Surgery; Vol 5, No 2 (June 29, 2019): Journal of Spine Surgery
Y2  - 2019
KW  - 
N2  - 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
UR  - https://jss.amegroups.org/article/view/4574