Journal article
Characterizing and Improving Nomenclature for Reporting Lumbar Interbody Fusion Techniques
WORLD NEUROSURGERY, v 175, pE134
Jul 2023
PMID: 36921714
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
■ OBJECTIVE: Lumbar interbody fusion (LIF) techniques have seen impressive innovation in recent years, leading to an expansion of the LIF lexicon. This study systematically analyzes LIF nomenclature in contemporary literature and proposes a standardized classification system for reporting LIF terminology.■ METHODS: A search query was conducted through the PubMed database using lumbar fusion OR lumbar inter-body fusion. A total of 1455 articles were identified, and 605 references to LIF were recorded. Following a system-atic review of the terminology, we developed a LIF reporting guidelines that capture the existing LIF nomen-clature while avoiding redundant or ambiguous terminology.■ RESULTS: The most referenced anatomical approaches were transforaminal (43.0%), followed by posterior (25.0%), lateral (19.7%), and anterior (10.9%). Overall, there were 72 u nique ways to describe LIF. Unique prefixes were recor-ded by approach (posterior: 26; lateral: 13; anterior: 3). Forty u nique prefixes/suffixes overlapped in their usage. MI (14.4%), MIS (38.1%), and MISS (0.6%) all referenced a minimally invasive approach. O (12.5%), CO (1.3%), and TO (1.3%) all described open techniques. Endo (0.6%), Endoscopic-assisted (1.3%), and PE (1.9%) all refer-enced endoscopic-assisted procedures.■ CONCLUSIONS: The current LIF nomenclature contains many unique LIF terms that were found to be inconsistently defined, redundant, or ambiguous. We propose the stan-dardization of a 4-part naming system which highlights the crucial parts of LIF: (1) intraoperative repositioning, (2) patient position, (3) anatomical approach, and (4) orienta-tion of the surgical corridor to the psoas muscles.
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Details
- Title
- Characterizing and Improving Nomenclature for Reporting Lumbar Interbody Fusion Techniques
- Publication Details
- WORLD NEUROSURGERY, v 175, pE134
- Publisher
- ELSEVIER SCIENCE INC; NEW YORK
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Drexel University
- Web of Science ID
- WOS:001030351900001
- Scopus ID
- 2-s2.0-85152420825
- Other Identifier
- 991021861304304721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Clinical Neurology
- Surgery