Clinical Evaluation of Microendoscopy-Assisted Oblique Lateral Interbody Fusion
<i>Background and objectives</i>: Oblique Lateral Interbody Fusion (OLIF) is a widely performed, minimally invasive technique to achieve lumbar lateral interbody fusion. However, some complications can arise due to constraints posed by the limited surgical space and visual field. The pur...
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MDPI AG
2021-02-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1010-660X/57/2/135 |
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| author | Tomohide Segawa Hisashi Koga Masahito Oshina Katsuhiko Ishibashi Yuichi Takano Hiroki Iwai Hirohiko Inanami |
| author_facet | Tomohide Segawa Hisashi Koga Masahito Oshina Katsuhiko Ishibashi Yuichi Takano Hiroki Iwai Hirohiko Inanami |
| author_sort | Tomohide Segawa |
| collection | DOAJ |
| description | <i>Background and objectives</i>: Oblique Lateral Interbody Fusion (OLIF) is a widely performed, minimally invasive technique to achieve lumbar lateral interbody fusion. However, some complications can arise due to constraints posed by the limited surgical space and visual field. The purpose of this study was to assess the short-term postoperative clinical outcomes of microendoscopy-assisted OLIF (ME-OLIF) compared to conventional OLIF. <i>Materials and Methods</i>: We retrospectively investigated 75 consecutive patients who underwent OLIF or ME-OLIF. The age, sex, diagnosis, and number of fused levels were obtained from medical records. Operation time, estimated blood loss (EBL), and intraoperative complications were also collected. Operation time and EBL were only measured per level required for the lateral procedure, excluding the posterior fixation surgery. The primary outcome measure was assessed using the Japanese Orthopedic Association Back Pain Evaluation Questionnaire (JOABPEQ). The secondary outcome measure was assessed using the Oswestry Disability Index (ODI) and the European Quality of Life–5 Dimensions (EQ-5D), measured preoperatively and 1-year postoperatively. <i>Results</i>: This case series consisted of 14 patients in the OLIF group and 61 patients in the ME-OLIF group. There was no significant difference between the two groups in terms of the mean operative time and EBL (<i>p</i> = 0.90 and <i>p</i> = 0.50, respectively). The perioperative complication rate was 21.4% in the OLIF group and 21.3% in the ME-OLIF group (<i>p</i> = 0.99). In both groups, the postoperative JOABPEQ, EQ-5D, and ODI scores improved significantly (<i>p</i> < 0.001). <i>Conclusions</i>: Although there was no significant difference in clinical results between the two surgical methods, the results suggest that both are safe surgical methods and that microendoscopy-assisted OLIF could serve as a potential alternative to the conventional OLIF procedure. |
| first_indexed | 2024-03-12T10:31:31Z |
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| institution | Directory Open Access Journal |
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| language | English |
| last_indexed | 2024-03-12T10:31:31Z |
| publishDate | 2021-02-01 |
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| series | Medicina |
| spelling | doaj.art-3ab4860be9d94f4aa517832cca769f612023-09-02T09:11:51ZengMDPI AGMedicina1010-660X2021-02-015713513510.3390/medicina57020135Clinical Evaluation of Microendoscopy-Assisted Oblique Lateral Interbody FusionTomohide Segawa0Hisashi Koga1Masahito Oshina2Katsuhiko Ishibashi3Yuichi Takano4Hiroki Iwai5Hirohiko Inanami6Department of Orthopaedic Surgery, Inanami Spine and Joint Hospital, 3-17-5 Higashishinagawa, Shinagawa City, Tokyo 140-0002, JapanDepartment of Orthopaedics, Iwai Orthopaedic Medical Hospital, 8-17-2 Minamikoiwa, Edogawa City, Tokyo 133-0056, JapanDepartment of Orthopaedic Surgery, Inanami Spine and Joint Hospital, 3-17-5 Higashishinagawa, Shinagawa City, Tokyo 140-0002, JapanDepartment of Orthopaedics, Iwai Orthopaedic Medical Hospital, 8-17-2 Minamikoiwa, Edogawa City, Tokyo 133-0056, JapanDepartment of Orthopaedic Surgery, Inanami Spine and Joint Hospital, 3-17-5 Higashishinagawa, Shinagawa City, Tokyo 140-0002, JapanDepartment of Orthopaedic Surgery, Inanami Spine and Joint Hospital, 3-17-5 Higashishinagawa, Shinagawa City, Tokyo 140-0002, JapanDepartment of Orthopaedic Surgery, Inanami Spine and Joint Hospital, 3-17-5 Higashishinagawa, Shinagawa City, Tokyo 140-0002, Japan<i>Background and objectives</i>: Oblique Lateral Interbody Fusion (OLIF) is a widely performed, minimally invasive technique to achieve lumbar lateral interbody fusion. However, some complications can arise due to constraints posed by the limited surgical space and visual field. The purpose of this study was to assess the short-term postoperative clinical outcomes of microendoscopy-assisted OLIF (ME-OLIF) compared to conventional OLIF. <i>Materials and Methods</i>: We retrospectively investigated 75 consecutive patients who underwent OLIF or ME-OLIF. The age, sex, diagnosis, and number of fused levels were obtained from medical records. Operation time, estimated blood loss (EBL), and intraoperative complications were also collected. Operation time and EBL were only measured per level required for the lateral procedure, excluding the posterior fixation surgery. The primary outcome measure was assessed using the Japanese Orthopedic Association Back Pain Evaluation Questionnaire (JOABPEQ). The secondary outcome measure was assessed using the Oswestry Disability Index (ODI) and the European Quality of Life–5 Dimensions (EQ-5D), measured preoperatively and 1-year postoperatively. <i>Results</i>: This case series consisted of 14 patients in the OLIF group and 61 patients in the ME-OLIF group. There was no significant difference between the two groups in terms of the mean operative time and EBL (<i>p</i> = 0.90 and <i>p</i> = 0.50, respectively). The perioperative complication rate was 21.4% in the OLIF group and 21.3% in the ME-OLIF group (<i>p</i> = 0.99). In both groups, the postoperative JOABPEQ, EQ-5D, and ODI scores improved significantly (<i>p</i> < 0.001). <i>Conclusions</i>: Although there was no significant difference in clinical results between the two surgical methods, the results suggest that both are safe surgical methods and that microendoscopy-assisted OLIF could serve as a potential alternative to the conventional OLIF procedure.https://www.mdpi.com/1010-660X/57/2/135oblique lateral interbody fusion (OLIF)lumbar lateral interbody fusion (LLIF)microendscopeminimally invasive surgeryextreme lateral interbody fusion (XLIF) |
| spellingShingle | Tomohide Segawa Hisashi Koga Masahito Oshina Katsuhiko Ishibashi Yuichi Takano Hiroki Iwai Hirohiko Inanami Clinical Evaluation of Microendoscopy-Assisted Oblique Lateral Interbody Fusion Medicina oblique lateral interbody fusion (OLIF) lumbar lateral interbody fusion (LLIF) microendscope minimally invasive surgery extreme lateral interbody fusion (XLIF) |
| title | Clinical Evaluation of Microendoscopy-Assisted Oblique Lateral Interbody Fusion |
| title_full | Clinical Evaluation of Microendoscopy-Assisted Oblique Lateral Interbody Fusion |
| title_fullStr | Clinical Evaluation of Microendoscopy-Assisted Oblique Lateral Interbody Fusion |
| title_full_unstemmed | Clinical Evaluation of Microendoscopy-Assisted Oblique Lateral Interbody Fusion |
| title_short | Clinical Evaluation of Microendoscopy-Assisted Oblique Lateral Interbody Fusion |
| title_sort | clinical evaluation of microendoscopy assisted oblique lateral interbody fusion |
| topic | oblique lateral interbody fusion (OLIF) lumbar lateral interbody fusion (LLIF) microendscope minimally invasive surgery extreme lateral interbody fusion (XLIF) |
| url | https://www.mdpi.com/1010-660X/57/2/135 |
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