1.1 Current evidence on the safety of lateral (including extreme, extra and direct lateral) interbody fusion in the lumbar spine for low back pain shows there are serious but well-recognised complications. Evidence on efficacy is adequate in quality and quantity. Therefore, this procedure may be used provided that standard arrangements are in place for clinical governance, consent and audit.
1.2 This procedure should only be done by surgeons with specific training in the technique, who should carry out their initial procedures with an experienced mentor.
1.3 Clinicians should enter details about all patients having lateral interbody fusion in the lumbar spine for low back pain onto the British Spine Registry.