A modified oblique lumbar interbody fusion: A better way to establish an exposure under direct microscopic vision
Study designThis is a retrospective study.ObjectiveTo demonstrate a modified oblique lumbar interbody fusion (OILF) technique for L1–L5.MethodsThe modified technique splits anterior portion of psoas belly to access the oblique corridor (OC) anteroinferior to psoas, minimizing psoas manipulation and...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-03-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2023.1130489/full |
| _version_ | 1811159551447138304 |
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| author | Kai Wang Xiangyu Zhang Zirun Zhao Dean Chou Fengzeng Jian Hao Wu |
| author_facet | Kai Wang Xiangyu Zhang Zirun Zhao Dean Chou Fengzeng Jian Hao Wu |
| author_sort | Kai Wang |
| collection | DOAJ |
| description | Study designThis is a retrospective study.ObjectiveTo demonstrate a modified oblique lumbar interbody fusion (OILF) technique for L1–L5.MethodsThe modified technique splits anterior portion of psoas belly to access the oblique corridor (OC) anteroinferior to psoas, minimizing psoas manipulation and retraction and avoiding nerve injury while offering excellent microscopic visualization. Psoas weakness and neurovascular complication rates in patients treated with traditional OLIF (T-OLIF) or anteroinferior psoas OLIF (AP-OLIF) were retrospectively reviewed. Clinical outcomes were also reviewed.ResultsA total of 162 cases treated with T-OLIF (n = 73) and AP-OLIF (n = 89) for degenerative lumbar disease were included. The mean operative time and blood loss were less with AP-OLIF (P < 0.01). Approach related complications were 14 (19.1%) with T-OLIF and 4 (4.5%) with AP-OLIF. Postoperative visual analog scale (VAS) and Oswestry Disability Index (ODI) scores improved in both T-OIF and AP-OIF groups (P < 0.01).ConclusionThe modified OLIF technique (AP-OLIF) is characterized by an easy exposure of the lumbar spine under direct microscopic vision, resulting in less psoas weakness and neurovascular injury. |
| first_indexed | 2024-04-10T05:43:08Z |
| format | Article |
| id | doaj.art-5b2274ab347d4b039fb716c5d1b040e3 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-10T05:43:08Z |
| publishDate | 2023-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-5b2274ab347d4b039fb716c5d1b040e32023-03-06T06:13:40ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2023-03-011010.3389/fsurg.2023.11304891130489A modified oblique lumbar interbody fusion: A better way to establish an exposure under direct microscopic visionKai Wang0Xiangyu Zhang1Zirun Zhao2Dean Chou3Fengzeng Jian4Hao Wu5Department of Neurosurgery, Xuanwu Hospital of Capital Medical University, Beijing, ChinaDepartment of Neurosurgery, Xuanwu Hospital of Capital Medical University, Beijing, ChinaDepartment of Radiology, Renaissance School of Medicine, Stony Brook University, Stony Brook, NY, United StatesDepartment of Neurosurgery, University of California San Francisco, San Francisco, CA, United StatesDepartment of Neurosurgery, Xuanwu Hospital of Capital Medical University, Beijing, ChinaDepartment of Neurosurgery, Xuanwu Hospital of Capital Medical University, Beijing, ChinaStudy designThis is a retrospective study.ObjectiveTo demonstrate a modified oblique lumbar interbody fusion (OILF) technique for L1–L5.MethodsThe modified technique splits anterior portion of psoas belly to access the oblique corridor (OC) anteroinferior to psoas, minimizing psoas manipulation and retraction and avoiding nerve injury while offering excellent microscopic visualization. Psoas weakness and neurovascular complication rates in patients treated with traditional OLIF (T-OLIF) or anteroinferior psoas OLIF (AP-OLIF) were retrospectively reviewed. Clinical outcomes were also reviewed.ResultsA total of 162 cases treated with T-OLIF (n = 73) and AP-OLIF (n = 89) for degenerative lumbar disease were included. The mean operative time and blood loss were less with AP-OLIF (P < 0.01). Approach related complications were 14 (19.1%) with T-OLIF and 4 (4.5%) with AP-OLIF. Postoperative visual analog scale (VAS) and Oswestry Disability Index (ODI) scores improved in both T-OIF and AP-OIF groups (P < 0.01).ConclusionThe modified OLIF technique (AP-OLIF) is characterized by an easy exposure of the lumbar spine under direct microscopic vision, resulting in less psoas weakness and neurovascular injury.https://www.frontiersin.org/articles/10.3389/fsurg.2023.1130489/fulloblique lumbar interbody fusionpsoasdirect microscopic visionnerve injuryvascular injury |
| spellingShingle | Kai Wang Xiangyu Zhang Zirun Zhao Dean Chou Fengzeng Jian Hao Wu A modified oblique lumbar interbody fusion: A better way to establish an exposure under direct microscopic vision Frontiers in Surgery oblique lumbar interbody fusion psoas direct microscopic vision nerve injury vascular injury |
| title | A modified oblique lumbar interbody fusion: A better way to establish an exposure under direct microscopic vision |
| title_full | A modified oblique lumbar interbody fusion: A better way to establish an exposure under direct microscopic vision |
| title_fullStr | A modified oblique lumbar interbody fusion: A better way to establish an exposure under direct microscopic vision |
| title_full_unstemmed | A modified oblique lumbar interbody fusion: A better way to establish an exposure under direct microscopic vision |
| title_short | A modified oblique lumbar interbody fusion: A better way to establish an exposure under direct microscopic vision |
| title_sort | modified oblique lumbar interbody fusion a better way to establish an exposure under direct microscopic vision |
| topic | oblique lumbar interbody fusion psoas direct microscopic vision nerve injury vascular injury |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2023.1130489/full |
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