Treatment of Degenerative Lumbar Scoliosis with Oblique Lumbar Interbody Fusion in Conjunction with Unilateral Pedicle Screw Fixation via the Wiltse Approach
Objective To evaluate the clinical outcomes of oblique lumbar interbody fusion (OLIF) in conjunction with unilateral pedicle screw fixation (UPSF) via the Wiltse approach in treating degenerative lumbar scoliosis (DLS). Methods The article is a retrospective analysis. Twelve patients with DLS who un...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-06-01
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| Series: | Orthopaedic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/os.12960 |
| _version_ | 1818737886105698304 |
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| author | Shu‐long Yang Xiao‐yin Liu Rong Ma Jian‐qun Zhang Si‐min Liang Zhen Chen Zong Pan Zong‐jun Ma Xiao‐li Ding Yi Kang Zhi‐qiang Wang Zhao‐hui Ge |
| author_facet | Shu‐long Yang Xiao‐yin Liu Rong Ma Jian‐qun Zhang Si‐min Liang Zhen Chen Zong Pan Zong‐jun Ma Xiao‐li Ding Yi Kang Zhi‐qiang Wang Zhao‐hui Ge |
| author_sort | Shu‐long Yang |
| collection | DOAJ |
| description | Objective To evaluate the clinical outcomes of oblique lumbar interbody fusion (OLIF) in conjunction with unilateral pedicle screw fixation (UPSF) via the Wiltse approach in treating degenerative lumbar scoliosis (DLS). Methods The article is a retrospective analysis. Twelve patients with DLS who underwent combined OLIF and UPSF between July 2017 and December 2018 were included. The study included 2 male and 10 female patients, with a mean age at the time of the operation of 67.2 ± 9.1 years. The surgical characteristics and complications were evaluated. The clinical and radiological data such as the correction of deformity, coronal and sagittal profile were analyzed. Results The mean follow‐up time of the study was 26.8 ± 1.8 months. At the final follow‐up, all patients who underwent combined OLIF and UPSF achieved statistically significant improvements in coronal Cobb angle (from 19.6° ± 4.8° to 6.9° ± 3.8°, P < 0.01), distance between the C7 plumb line and central sacral vertebral line (from 2.5 ± 1.7 cm to 0.9 ± 0.6 cm, P < 0.01), sagittal vertebral axis (from 4.3 ± 4.3 cm to 1.5 ± 1.0 cm, P = 0.03), lumbar lordosis (from 29.4° ± 8.6° to 40.8° ± 5.8°, P < 0.01), pelvic tilt (from 27.6° ± 10.8° to 18.3° ± 7.0°, P < 0.01), pelvic incidence‐lumbar lordosis mismatch (from 23.3° ± 10.5° to 11.9° ± 8.4°, P < 0.01), and cross‐sectional area of the dural sac (from 87.33 ± 39.41 mm2 to 124.70 ± 39.26 mm2, P < 0.01). The visual analogue score for back and leg pain and Oswestry Disability Index of all patients significantly improved postoperatively (P < 0.01). One case of lumbar plexus injury was found after surgery. During the follow‐up period, one patient had cage subsidence. A fusion rate of 100% and good positioning of the pedicle screws were achieved in all patients at the final follow‐up. Conclusion OLIF in conjunction with UPSF is a safe and effective minimally invasive procedure for correcting both coronal and sagittal deformities, as it results in an improved quality of life in patients with DLS. |
| first_indexed | 2024-12-18T01:00:10Z |
| format | Article |
| id | doaj.art-17eb1df78bce426087f70919490c7391 |
| institution | Directory Open Access Journal |
| issn | 1757-7853 1757-7861 |
| language | English |
| last_indexed | 2024-12-18T01:00:10Z |
| publishDate | 2021-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | Orthopaedic Surgery |
| spelling | doaj.art-17eb1df78bce426087f70919490c73912022-12-21T21:26:24ZengWileyOrthopaedic Surgery1757-78531757-78612021-06-011341181119010.1111/os.12960Treatment of Degenerative Lumbar Scoliosis with Oblique Lumbar Interbody Fusion in Conjunction with Unilateral Pedicle Screw Fixation via the Wiltse ApproachShu‐long Yang0Xiao‐yin Liu1Rong Ma2Jian‐qun Zhang3Si‐min Liang4Zhen Chen5Zong Pan6Zong‐jun Ma7Xiao‐li Ding8Yi Kang9Zhi‐qiang Wang10Zhao‐hui Ge11Ningxia Medical University Yinchuan ChinaDepartment of Orthopedics General Hospital of Ningxia Medical University Yinchuan ChinaDepartment of Orthopedics General Hospital of Ningxia Medical University Yinchuan ChinaDepartment of Orthopedics General Hospital of Ningxia Medical University Yinchuan ChinaNingxia Medical University Yinchuan ChinaDepartment of Orthopedics General Hospital of Ningxia Medical University Yinchuan ChinaDepartment of Orthopedics General Hospital of Ningxia Medical University Yinchuan ChinaDepartment of Orthopedics General Hospital of Ningxia Medical University Yinchuan ChinaDepartment of Orthopedics General Hospital of Ningxia Medical University Yinchuan ChinaNingxia Medical University Yinchuan ChinaNingxia Medical University Yinchuan ChinaDepartment of Orthopedics General Hospital of Ningxia Medical University Yinchuan ChinaObjective To evaluate the clinical outcomes of oblique lumbar interbody fusion (OLIF) in conjunction with unilateral pedicle screw fixation (UPSF) via the Wiltse approach in treating degenerative lumbar scoliosis (DLS). Methods The article is a retrospective analysis. Twelve patients with DLS who underwent combined OLIF and UPSF between July 2017 and December 2018 were included. The study included 2 male and 10 female patients, with a mean age at the time of the operation of 67.2 ± 9.1 years. The surgical characteristics and complications were evaluated. The clinical and radiological data such as the correction of deformity, coronal and sagittal profile were analyzed. Results The mean follow‐up time of the study was 26.8 ± 1.8 months. At the final follow‐up, all patients who underwent combined OLIF and UPSF achieved statistically significant improvements in coronal Cobb angle (from 19.6° ± 4.8° to 6.9° ± 3.8°, P < 0.01), distance between the C7 plumb line and central sacral vertebral line (from 2.5 ± 1.7 cm to 0.9 ± 0.6 cm, P < 0.01), sagittal vertebral axis (from 4.3 ± 4.3 cm to 1.5 ± 1.0 cm, P = 0.03), lumbar lordosis (from 29.4° ± 8.6° to 40.8° ± 5.8°, P < 0.01), pelvic tilt (from 27.6° ± 10.8° to 18.3° ± 7.0°, P < 0.01), pelvic incidence‐lumbar lordosis mismatch (from 23.3° ± 10.5° to 11.9° ± 8.4°, P < 0.01), and cross‐sectional area of the dural sac (from 87.33 ± 39.41 mm2 to 124.70 ± 39.26 mm2, P < 0.01). The visual analogue score for back and leg pain and Oswestry Disability Index of all patients significantly improved postoperatively (P < 0.01). One case of lumbar plexus injury was found after surgery. During the follow‐up period, one patient had cage subsidence. A fusion rate of 100% and good positioning of the pedicle screws were achieved in all patients at the final follow‐up. Conclusion OLIF in conjunction with UPSF is a safe and effective minimally invasive procedure for correcting both coronal and sagittal deformities, as it results in an improved quality of life in patients with DLS.https://doi.org/10.1111/os.12960Degenerative lumbar scoliosisOblique lumbar interbody fusionUnilateral pedicle screw fixation |
| spellingShingle | Shu‐long Yang Xiao‐yin Liu Rong Ma Jian‐qun Zhang Si‐min Liang Zhen Chen Zong Pan Zong‐jun Ma Xiao‐li Ding Yi Kang Zhi‐qiang Wang Zhao‐hui Ge Treatment of Degenerative Lumbar Scoliosis with Oblique Lumbar Interbody Fusion in Conjunction with Unilateral Pedicle Screw Fixation via the Wiltse Approach Orthopaedic Surgery Degenerative lumbar scoliosis Oblique lumbar interbody fusion Unilateral pedicle screw fixation |
| title | Treatment of Degenerative Lumbar Scoliosis with Oblique Lumbar Interbody Fusion in Conjunction with Unilateral Pedicle Screw Fixation via the Wiltse Approach |
| title_full | Treatment of Degenerative Lumbar Scoliosis with Oblique Lumbar Interbody Fusion in Conjunction with Unilateral Pedicle Screw Fixation via the Wiltse Approach |
| title_fullStr | Treatment of Degenerative Lumbar Scoliosis with Oblique Lumbar Interbody Fusion in Conjunction with Unilateral Pedicle Screw Fixation via the Wiltse Approach |
| title_full_unstemmed | Treatment of Degenerative Lumbar Scoliosis with Oblique Lumbar Interbody Fusion in Conjunction with Unilateral Pedicle Screw Fixation via the Wiltse Approach |
| title_short | Treatment of Degenerative Lumbar Scoliosis with Oblique Lumbar Interbody Fusion in Conjunction with Unilateral Pedicle Screw Fixation via the Wiltse Approach |
| title_sort | treatment of degenerative lumbar scoliosis with oblique lumbar interbody fusion in conjunction with unilateral pedicle screw fixation via the wiltse approach |
| topic | Degenerative lumbar scoliosis Oblique lumbar interbody fusion Unilateral pedicle screw fixation |
| url | https://doi.org/10.1111/os.12960 |
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