Complications Associated with Lateral Interbody Fusion: Nationwide Survey of 2998 Cases During the First Two Years of Its Use in Japan

Shunsuke Fujibayashi, Noriaki Kawakami, Takashi Asazuma, Manabu Ito, Jun Mizutani, Hideki Nagashima, Masaya Nakamura, Koichi Sairyo, Ryuichi Takemasa, Motoki Iwasaki

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

STUDY DESIGN.: Retrospective nationwide questionnaire-based survey of complications. OBJECTIVE.: To elucidate the incidence of complications and risk factors associated with lateral interbody fusion (LIF). SUMMARY OF BACKGROUND DATA.: After its introduction to Japan in February 2013, the numbers of LIF cases have increased substantially because of the advantages of this minimally invasive procedure. However, LIF has the potential risk of several complications unique to the procedure. Although there are many reports of complications, no nationwide survey has been conducted. METHODS.: Questionnaires were sent to all Japanese Society for Spine Surgery and Related Research (JSSR) members. Questionnaires requested information about surgical procedures (XLIF or OLIF), patient characteristics, preoperative diagnosis, complications, salvage procedures, final outcomes, and the surgeonʼs experience of LIF. The data from replies received between March 2013 and April 2015 were recorded on a web site and the details of complications were analyzed by a JSSR research team. RESULTS.: Seventy-one institutions (12.3%) answered “yes” to LIF experience and 2998 cases (1995 XLIF and 1003 OLIF) were enrolled in this study. The response rate was 86.1%. A total of 540 complications were reported, of which 474 (84.8%) could be further analyzed. The overall complication rate was 18.0%. The most frequent complications were sensory nerve injury (5.1%) and psoas weakness (4.3%), and the majority resolved spontaneously. The rates of major vascular injury, bowel injury and surgical site infection were 0.03%, 0.03% and 0.7%, respectively. The overall reoperation rate was 2.2%. Higher rates of sensory nerve injury and psoas weakness were reported for XLIF and higher rates of peroneal laceration and ureteral injury were reported for OLIF. CONCLUSIONS.: A nationwide survey of complications associated with LIF was conducted. Although the majority of complications were minor, a relatively high rate of complications was reported. Approach-related specific features of the two procedures were identified.Level of Evidence: 4

Original languageEnglish
JournalSpine
DOIs
Publication statusAccepted/In press - 2017 Mar 1

Fingerprint

Japan
Wounds and Injuries
Surgical Wound Infection
Lacerations
Vascular System Injuries
Reoperation
Research
Spine
Surveys and Questionnaires
Incidence

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Clinical Neurology

Cite this

Fujibayashi, S., Kawakami, N., Asazuma, T., Ito, M., Mizutani, J., Nagashima, H., ... Iwasaki, M. (Accepted/In press). Complications Associated with Lateral Interbody Fusion: Nationwide Survey of 2998 Cases During the First Two Years of Its Use in Japan. Spine. https://doi.org/10.1097/BRS.0000000000002139

Complications Associated with Lateral Interbody Fusion : Nationwide Survey of 2998 Cases During the First Two Years of Its Use in Japan. / Fujibayashi, Shunsuke; Kawakami, Noriaki; Asazuma, Takashi; Ito, Manabu; Mizutani, Jun; Nagashima, Hideki; Nakamura, Masaya; Sairyo, Koichi; Takemasa, Ryuichi; Iwasaki, Motoki.

In: Spine, 01.03.2017.

Research output: Contribution to journalArticle

Fujibayashi, Shunsuke ; Kawakami, Noriaki ; Asazuma, Takashi ; Ito, Manabu ; Mizutani, Jun ; Nagashima, Hideki ; Nakamura, Masaya ; Sairyo, Koichi ; Takemasa, Ryuichi ; Iwasaki, Motoki. / Complications Associated with Lateral Interbody Fusion : Nationwide Survey of 2998 Cases During the First Two Years of Its Use in Japan. In: Spine. 2017.
@article{33133b0f964b4000a1127262dca58bc1,
title = "Complications Associated with Lateral Interbody Fusion: Nationwide Survey of 2998 Cases During the First Two Years of Its Use in Japan",
abstract = "STUDY DESIGN.: Retrospective nationwide questionnaire-based survey of complications. OBJECTIVE.: To elucidate the incidence of complications and risk factors associated with lateral interbody fusion (LIF). SUMMARY OF BACKGROUND DATA.: After its introduction to Japan in February 2013, the numbers of LIF cases have increased substantially because of the advantages of this minimally invasive procedure. However, LIF has the potential risk of several complications unique to the procedure. Although there are many reports of complications, no nationwide survey has been conducted. METHODS.: Questionnaires were sent to all Japanese Society for Spine Surgery and Related Research (JSSR) members. Questionnaires requested information about surgical procedures (XLIF or OLIF), patient characteristics, preoperative diagnosis, complications, salvage procedures, final outcomes, and the surgeonʼs experience of LIF. The data from replies received between March 2013 and April 2015 were recorded on a web site and the details of complications were analyzed by a JSSR research team. RESULTS.: Seventy-one institutions (12.3{\%}) answered “yes” to LIF experience and 2998 cases (1995 XLIF and 1003 OLIF) were enrolled in this study. The response rate was 86.1{\%}. A total of 540 complications were reported, of which 474 (84.8{\%}) could be further analyzed. The overall complication rate was 18.0{\%}. The most frequent complications were sensory nerve injury (5.1{\%}) and psoas weakness (4.3{\%}), and the majority resolved spontaneously. The rates of major vascular injury, bowel injury and surgical site infection were 0.03{\%}, 0.03{\%} and 0.7{\%}, respectively. The overall reoperation rate was 2.2{\%}. Higher rates of sensory nerve injury and psoas weakness were reported for XLIF and higher rates of peroneal laceration and ureteral injury were reported for OLIF. CONCLUSIONS.: A nationwide survey of complications associated with LIF was conducted. Although the majority of complications were minor, a relatively high rate of complications was reported. Approach-related specific features of the two procedures were identified.Level of Evidence: 4",
author = "Shunsuke Fujibayashi and Noriaki Kawakami and Takashi Asazuma and Manabu Ito and Jun Mizutani and Hideki Nagashima and Masaya Nakamura and Koichi Sairyo and Ryuichi Takemasa and Motoki Iwasaki",
year = "2017",
month = "3",
day = "1",
doi = "10.1097/BRS.0000000000002139",
language = "English",
journal = "Spine",
issn = "0362-2436",
publisher = "Lippincott Williams and Wilkins",

}

TY - JOUR

T1 - Complications Associated with Lateral Interbody Fusion

T2 - Nationwide Survey of 2998 Cases During the First Two Years of Its Use in Japan

AU - Fujibayashi, Shunsuke

AU - Kawakami, Noriaki

AU - Asazuma, Takashi

AU - Ito, Manabu

AU - Mizutani, Jun

AU - Nagashima, Hideki

AU - Nakamura, Masaya

AU - Sairyo, Koichi

AU - Takemasa, Ryuichi

AU - Iwasaki, Motoki

PY - 2017/3/1

Y1 - 2017/3/1

N2 - STUDY DESIGN.: Retrospective nationwide questionnaire-based survey of complications. OBJECTIVE.: To elucidate the incidence of complications and risk factors associated with lateral interbody fusion (LIF). SUMMARY OF BACKGROUND DATA.: After its introduction to Japan in February 2013, the numbers of LIF cases have increased substantially because of the advantages of this minimally invasive procedure. However, LIF has the potential risk of several complications unique to the procedure. Although there are many reports of complications, no nationwide survey has been conducted. METHODS.: Questionnaires were sent to all Japanese Society for Spine Surgery and Related Research (JSSR) members. Questionnaires requested information about surgical procedures (XLIF or OLIF), patient characteristics, preoperative diagnosis, complications, salvage procedures, final outcomes, and the surgeonʼs experience of LIF. The data from replies received between March 2013 and April 2015 were recorded on a web site and the details of complications were analyzed by a JSSR research team. RESULTS.: Seventy-one institutions (12.3%) answered “yes” to LIF experience and 2998 cases (1995 XLIF and 1003 OLIF) were enrolled in this study. The response rate was 86.1%. A total of 540 complications were reported, of which 474 (84.8%) could be further analyzed. The overall complication rate was 18.0%. The most frequent complications were sensory nerve injury (5.1%) and psoas weakness (4.3%), and the majority resolved spontaneously. The rates of major vascular injury, bowel injury and surgical site infection were 0.03%, 0.03% and 0.7%, respectively. The overall reoperation rate was 2.2%. Higher rates of sensory nerve injury and psoas weakness were reported for XLIF and higher rates of peroneal laceration and ureteral injury were reported for OLIF. CONCLUSIONS.: A nationwide survey of complications associated with LIF was conducted. Although the majority of complications were minor, a relatively high rate of complications was reported. Approach-related specific features of the two procedures were identified.Level of Evidence: 4

AB - STUDY DESIGN.: Retrospective nationwide questionnaire-based survey of complications. OBJECTIVE.: To elucidate the incidence of complications and risk factors associated with lateral interbody fusion (LIF). SUMMARY OF BACKGROUND DATA.: After its introduction to Japan in February 2013, the numbers of LIF cases have increased substantially because of the advantages of this minimally invasive procedure. However, LIF has the potential risk of several complications unique to the procedure. Although there are many reports of complications, no nationwide survey has been conducted. METHODS.: Questionnaires were sent to all Japanese Society for Spine Surgery and Related Research (JSSR) members. Questionnaires requested information about surgical procedures (XLIF or OLIF), patient characteristics, preoperative diagnosis, complications, salvage procedures, final outcomes, and the surgeonʼs experience of LIF. The data from replies received between March 2013 and April 2015 were recorded on a web site and the details of complications were analyzed by a JSSR research team. RESULTS.: Seventy-one institutions (12.3%) answered “yes” to LIF experience and 2998 cases (1995 XLIF and 1003 OLIF) were enrolled in this study. The response rate was 86.1%. A total of 540 complications were reported, of which 474 (84.8%) could be further analyzed. The overall complication rate was 18.0%. The most frequent complications were sensory nerve injury (5.1%) and psoas weakness (4.3%), and the majority resolved spontaneously. The rates of major vascular injury, bowel injury and surgical site infection were 0.03%, 0.03% and 0.7%, respectively. The overall reoperation rate was 2.2%. Higher rates of sensory nerve injury and psoas weakness were reported for XLIF and higher rates of peroneal laceration and ureteral injury were reported for OLIF. CONCLUSIONS.: A nationwide survey of complications associated with LIF was conducted. Although the majority of complications were minor, a relatively high rate of complications was reported. Approach-related specific features of the two procedures were identified.Level of Evidence: 4

UR - http://www.scopus.com/inward/record.url?scp=85014074143&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85014074143&partnerID=8YFLogxK

U2 - 10.1097/BRS.0000000000002139

DO - 10.1097/BRS.0000000000002139

M3 - Article

C2 - 28252557

AN - SCOPUS:85014074143

JO - Spine

JF - Spine

SN - 0362-2436

ER -