{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T15:58:01Z","timestamp":1780934281459,"version":"3.54.1"},"reference-count":27,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T00:00:00Z","timestamp":1762905600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T00:00:00Z","timestamp":1762905600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Global Spine Journal"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Retrospective study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To assess whether the Congenital Lumbar Spinal Canal Stenosis (CLSS) affects the effectiveness of indirect decompression achieved through the Lateral Lumbar Interbody Fusion (LLIF).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients who were categorized into 2 groups, those with CLSS (AP canal diameter &lt;14\u00a0mm at L4 or L5) and non-CLSS, underwent OLIF at L4-5. Clinical outcomes were assessed by using the ODI and VAS pain scores. The radiographic outcomes, including disc height (DH), foraminal height, foraminal area, AP canal diameter, canal cross-sectional area (CSA), and lateral recess grading, were measured between pre- and postoperatively at the index and adjacent levels.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 98 patients were included (26 in CLSS and 72 non-CLSS group). Both groups showed significantly improved clinical outcomes, including ODI and VAS scores for back and leg pain at 1-month and 1-year follow-ups. Radiographically, both groups demonstrated significant increases in canal expansions at the L4-5 index level; the non-CLSS group had slightly greater absolute increases in CSA (+52.23\u00a0mm\n                      <jats:sup>2<\/jats:sup>\n                      vs +35.76\u00a0mm\n                      <jats:sup>2<\/jats:sup>\n                      ) and AP canal diameter (+2.19\u00a0mm vs +1.88\u00a0mm), but not statistically significant. At the L3-4 level, statistically significant canal expansions were observed in both groups, without significant differences. At L5-S1 level, CLSS group showed significant increase in disc height (+1.02\u00a0mm vs +0.15\u00a0mm;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.016) and foraminal area compared to non-CLSS.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>With proper patient selection, LLIF provides comparable clinical and radiographic outcomes in patients with and without CLSS. CLSS should not be considered a contraindication for LLIF.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21925682251396000","type":"journal-article","created":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T06:46:10Z","timestamp":1763016370000},"page":"2117-2129","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Is Congenital Lumbar Spinal Canal Stenosis a Contraindication for Indirect Decompression by Lateral Lumbar Interbody Fusion (LLIF)?"],"prefix":"10.1177","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7166-1381","authenticated-orcid":false,"given":"Weerasak","family":"Singhatanadgige","sequence":"first","affiliation":[{"name":"Chulalongkorn University, King Chulalongkorn Memorial Hospital"},{"name":"Chulalongkorn University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-8829-0324","authenticated-orcid":false,"given":"Thada","family":"Nashinoros","sequence":"additional","affiliation":[{"name":"Rayong Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2448-2118","authenticated-orcid":false,"given":"Teerachat","family":"Tanasansomboon","sequence":"additional","affiliation":[{"name":"Chulalongkorn University"},{"name":"Samut Sakhon Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wicharn","family":"Yingsakmongkol","sequence":"additional","affiliation":[{"name":"Chulalongkorn University, King Chulalongkorn Memorial Hospital"},{"name":"Chulalongkorn University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9593-429X","authenticated-orcid":false,"given":"Vit","family":"Kotheeranurak","sequence":"additional","affiliation":[{"name":"Chulalongkorn University, King Chulalongkorn Memorial Hospital"},{"name":"Chulalongkorn University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0116-8791","authenticated-orcid":false,"given":"Worawat","family":"Limthongkul","sequence":"additional","affiliation":[{"name":"Chulalongkorn University, King Chulalongkorn Memorial Hospital"},{"name":"Chulalongkorn University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,11,12]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/21925682231216049"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000003521"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-014-3464-6"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000000703"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2014.08.036"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-015-3940-z"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.3171\/2017.10.FOCUS17566"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11420-019-09734-7"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-015-4170-0"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3182022db0"},{"issue":"9","key":"e_1_3_3_12_2","first-page":"e317","article-title":"An algorithm to predict success of indirect decompression using the extreme lateral lumbar interbody fusion procedure","volume":"7","author":"Gabel BC","year":"2015","unstructured":"Gabel BC, Hoshide R, Taylor W. 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