Justin W Silverstein, Jon Block, Michael L Smith, David A Bomback, Scott Sanderson, Justin Paul, Hieu Ball, Jason A Ellis, Matthew Goldstein, David L Kramer, Grigoriy Arutyunyan, Joshua Marcus, Sara Mermelstein, Paul Slosar, Noel Goldthwaite, Sun Ik Lee, James Reynolds, Margaret Riordan, Nick Pirnia, Sandeep Kunwar, Gaurav Abbi, Bruce Bizzini, Sarita Gupta, Dorothy Porter, Laurence E Mermelstein
BACKGROUND CONTEXT: The transpsoas lateral lumbar interbody fusion (LLIF) technique is an effective alternative to traditional anterior and posterior approaches to the lumbar spine; however, nerve injuries are the most reported postoperative complication. Commonly used strategies to avoid nerve injury (eg, limiting retraction duration) have not been effective in detecting or preventing femoral nerve injuries. PURPOSE: To evaluate the efficacy of emerging intraoperative femoral nerve monitoring techniques and the importance of employing prompt surgical countermeasures when degraded femoral nerve function is detected...
February 2022: Spine Journal: Official Journal of the North American Spine Society