Oblique lateral interbody fusion in heterogenous lumbar diseases: Anterolateral screw fixation vs. posterior percutaneous pedicle screw fixation – A single center experience
BackgroundOblique lateral interbody fusion (OLIF) is a type of minimally invasive lateral lumbar interbody fusion technique used for treating lumbar degenerative diseases. This study aimed to analyze the clinical and radiographic efficacy of OLIF with anterolateral screw fixation alone and OLIF requ...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-12-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.989372/full |
| _version_ | 1797976984433721344 |
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| author | Meng-Ting Wu Meng-Ting Wu Tzu-Tsao Chung Tzu-Tsao Chung Shao-Ching Chen Shao-Ching Chen Tzu-Jen Kao Tzu-Jen Kao Wen-Shin Song Wen-Shin Song |
| author_facet | Meng-Ting Wu Meng-Ting Wu Tzu-Tsao Chung Tzu-Tsao Chung Shao-Ching Chen Shao-Ching Chen Tzu-Jen Kao Tzu-Jen Kao Wen-Shin Song Wen-Shin Song |
| author_sort | Meng-Ting Wu |
| collection | DOAJ |
| description | BackgroundOblique lateral interbody fusion (OLIF) is a type of minimally invasive lateral lumbar interbody fusion technique used for treating lumbar degenerative diseases. This study aimed to analyze the clinical and radiographic efficacy of OLIF with anterolateral screw fixation alone and OLIF requiring fixation with conventional posterior percutaneous pedicle screws for lumbar diseases.MethodsMedical records of consecutive patients admitted to Cheng-Hsin Hospital who received OLIF between January 2019 and December 2020 were retrospectively reviewed. Patients were divided into two groups by screw fixation: patients who received anterolateral screw fixation alone were defined as one-stage OLIF (n = 9) and patients who received fixation with conventional posterior percutaneous pedicle screw were defined as two-stage OLIF (n = 16). Patient clinical characteristics, medical history, intraoperative blood loss, length of hospital stay, peri-operative, and post-operative complications were evaluated in all patients.ResultsDuring the study period, a total of 25 patients were successfully treated with OLIF (n = 9 one-stage; n = 16 two-stage). Two-stage OLIF was associated with longer operation times, longer hospital stays, shorter bed-rest time, and a greater likelihood of having a blood transfusion compared with the one-stage OLIF group. A higher proportion of grade I subsidence was observed at 6 months and 1 year after surgery in the two-stage group compared with the one-stage group. Post-operative complications included ileus, dystonia, and dystonia were higher in the two-stage OLIF group. Improvements in radiographic parameters were demonstrated after OLIF, and the improvements were comparable between one-stage and two-stage OLIF.ConclusionsOne-stage OLIF is a feasible and efficacious treatment method for single- and multiple-level degenerative lumbar diseases. Additional clinical follow-up is necessary to confirm long-term outcomes. |
| first_indexed | 2024-04-11T04:59:43Z |
| format | Article |
| id | doaj.art-47360a0149f8494da22eead2ab791653 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-11T04:59:43Z |
| publishDate | 2022-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-47360a0149f8494da22eead2ab7916532022-12-26T04:28:14ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-12-01910.3389/fsurg.2022.989372989372Oblique lateral interbody fusion in heterogenous lumbar diseases: Anterolateral screw fixation vs. posterior percutaneous pedicle screw fixation – A single center experienceMeng-Ting Wu0Meng-Ting Wu1Tzu-Tsao Chung2Tzu-Tsao Chung3Shao-Ching Chen4Shao-Ching Chen5Tzu-Jen Kao6Tzu-Jen Kao7Wen-Shin Song8Wen-Shin Song9Division of Neurosurgery, Department of Surgery, Cheng-Hsin General Hospital, Taipei, TaiwanPh.D. Program of Electrical and Communications Engineering, Feng Chia University, Taichung City, TaiwanDivision of Neurosurgery, Department of Surgery, Cheng-Hsin General Hospital, Taipei, TaiwanDepartment of Neurological Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, TaiwanDivision of Neurosurgery, Department of Surgery, Cheng-Hsin General Hospital, Taipei, TaiwanInstitute of Neuroscience, National Yang Ming Chiao Tung University, Taipei, TaiwanPh.D. Program in Medical Neuroscience, Taipei Medical University, Taipei, TaiwanInternational Master Program in Medical Neuroscience, Taipei Medical University, Taipei, TaiwanDivision of Neurosurgery, Department of Surgery, Cheng-Hsin General Hospital, Taipei, TaiwanDepartment of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, TaiwanBackgroundOblique lateral interbody fusion (OLIF) is a type of minimally invasive lateral lumbar interbody fusion technique used for treating lumbar degenerative diseases. This study aimed to analyze the clinical and radiographic efficacy of OLIF with anterolateral screw fixation alone and OLIF requiring fixation with conventional posterior percutaneous pedicle screws for lumbar diseases.MethodsMedical records of consecutive patients admitted to Cheng-Hsin Hospital who received OLIF between January 2019 and December 2020 were retrospectively reviewed. Patients were divided into two groups by screw fixation: patients who received anterolateral screw fixation alone were defined as one-stage OLIF (n = 9) and patients who received fixation with conventional posterior percutaneous pedicle screw were defined as two-stage OLIF (n = 16). Patient clinical characteristics, medical history, intraoperative blood loss, length of hospital stay, peri-operative, and post-operative complications were evaluated in all patients.ResultsDuring the study period, a total of 25 patients were successfully treated with OLIF (n = 9 one-stage; n = 16 two-stage). Two-stage OLIF was associated with longer operation times, longer hospital stays, shorter bed-rest time, and a greater likelihood of having a blood transfusion compared with the one-stage OLIF group. A higher proportion of grade I subsidence was observed at 6 months and 1 year after surgery in the two-stage group compared with the one-stage group. Post-operative complications included ileus, dystonia, and dystonia were higher in the two-stage OLIF group. Improvements in radiographic parameters were demonstrated after OLIF, and the improvements were comparable between one-stage and two-stage OLIF.ConclusionsOne-stage OLIF is a feasible and efficacious treatment method for single- and multiple-level degenerative lumbar diseases. Additional clinical follow-up is necessary to confirm long-term outcomes.https://www.frontiersin.org/articles/10.3389/fsurg.2022.989372/fullanterolateral screw fixationposterior percutaneous screw fixationheterogenous lumbar diseaselumbar fusionoblique lateral interbody fusionnavigation |
| spellingShingle | Meng-Ting Wu Meng-Ting Wu Tzu-Tsao Chung Tzu-Tsao Chung Shao-Ching Chen Shao-Ching Chen Tzu-Jen Kao Tzu-Jen Kao Wen-Shin Song Wen-Shin Song Oblique lateral interbody fusion in heterogenous lumbar diseases: Anterolateral screw fixation vs. posterior percutaneous pedicle screw fixation – A single center experience Frontiers in Surgery anterolateral screw fixation posterior percutaneous screw fixation heterogenous lumbar disease lumbar fusion oblique lateral interbody fusion navigation |
| title | Oblique lateral interbody fusion in heterogenous lumbar diseases: Anterolateral screw fixation vs. posterior percutaneous pedicle screw fixation – A single center experience |
| title_full | Oblique lateral interbody fusion in heterogenous lumbar diseases: Anterolateral screw fixation vs. posterior percutaneous pedicle screw fixation – A single center experience |
| title_fullStr | Oblique lateral interbody fusion in heterogenous lumbar diseases: Anterolateral screw fixation vs. posterior percutaneous pedicle screw fixation – A single center experience |
| title_full_unstemmed | Oblique lateral interbody fusion in heterogenous lumbar diseases: Anterolateral screw fixation vs. posterior percutaneous pedicle screw fixation – A single center experience |
| title_short | Oblique lateral interbody fusion in heterogenous lumbar diseases: Anterolateral screw fixation vs. posterior percutaneous pedicle screw fixation – A single center experience |
| title_sort | oblique lateral interbody fusion in heterogenous lumbar diseases anterolateral screw fixation vs posterior percutaneous pedicle screw fixation a single center experience |
| topic | anterolateral screw fixation posterior percutaneous screw fixation heterogenous lumbar disease lumbar fusion oblique lateral interbody fusion navigation |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.989372/full |
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