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Department of Neurosurgery

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Department of Neurosurgery
November 24, 2024
PubMed

Long-Term Motor versus Sensory Lumbar Plexopathy After Lateral Lumbar Interbody Fusion: Single-Center Experience, Intraoperative Neuromonitoring Results, and Multivariate Analysis of Patient-Level Predictors.

Publication

Zheng B, Leary OP, Beer RA 2nd, Liu DD, Nuss S, Barrios-Anderson A, Darveau S, Syed S, Gokaslan ZL, Telfeian AE, Oyelese AA, Fridley JS. World Neurosurg. 2023 Feb;170:e568-e576. doi:10.1016/j.wneu.2022.11.071. Epub 2022 Nov 24. PMID: 36435383.

Lateral lumbar interbody fusion (LLIF) is a surgery for spinal fusion, but it can lead to plexopathies (nerve issues). A study on 127 patients who underwent LLIF found that around 37.8% developed sensory or motor plexopathies. Most cases (64.6%) resolved within about 402 days. Ipsilateral plexopathies (on the same side as the surgery) were more common. Persistent symptoms were linked to the number of fused levels and surgical duration. Unresolved neuromonitoring alerts during surgery increased the risk of developing plexopathies. This research highlights the common occurrence of plexopathies after LLIF and factors affecting their persistence.

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Long-Term Motor versus Sensory Lumbar Plexopathy After Lateral Lumbar Interbody Fusion: Single-Center Experience, Intraoperative Neuromonitoring Results, and Multivariate Analysis of Patient-Level Predictors.