Comparison of transfacet and pedicle screws in oblique lateral interbody fusion for single-level degenerative lumbar spine diseases: a retrospective propensity score-matched analysis
Abstract Background To perform a comparative assessment of percutaneous transfacet screws (TFS) and percutaneous bilateral pedicle screws (BPS) in oblique lateral interbody fusion (OLIF) for the treatment of single-level degenerative lumbar spine diseases in terms of radiological examinations and cl...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-12-01
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| Series: | BMC Surgery |
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| Online Access: | https://doi.org/10.1186/s12893-022-01880-w |
| _version_ | 1811291999906562048 |
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| author | Zhao Lang Tenghui Ge Jingye Wu Qiang Yuan Yuqing Sun |
| author_facet | Zhao Lang Tenghui Ge Jingye Wu Qiang Yuan Yuqing Sun |
| author_sort | Zhao Lang |
| collection | DOAJ |
| description | Abstract Background To perform a comparative assessment of percutaneous transfacet screws (TFS) and percutaneous bilateral pedicle screws (BPS) in oblique lateral interbody fusion (OLIF) for the treatment of single-level degenerative lumbar spine diseases in terms of radiological examinations and clinical outcomes. Methods Sixty-six patients who received single-level OLIF with percutaneous supplementary fixation assisted by the robot for the treatment of degenerative lumbar spine diseases were selected. There were 16 cases of OLIF with TFS and 50 cases of OLIF with BPS. The propensity score matching method selected 11 patients in each group with matched characteristics to perform a clinical comparison. Results The estimated blood loss was 68.2 ± 25.2 ml in the OLIF with TFS group compared to 113.6 ± 39.3 ml in the OLIF with BPS group (P < 0.05). The intervertebral disc height raised from 8.6 to 12.9 mm in the TFS group and from 8.9 to 13.9 mm in the BPS group in the immediate postoperative period, and dropped to 10.8 and 12.9 mm at the twelfth month, respectively (P < 0.05). The fusion rates were 91% and 100% for TFS and BPS groups (P > 0.05). Quantitative assessments of back/leg pain of the two groups reached a healthy level in the late period of the follow-up. Conclusion Both TFS and BPS techniques for the OLIF surgery relieve back pain caused by degenerative lumbar spine diseases. The TFS technique exhibits less blood loss compared with the BPS. A moderate cage subsidence is present in TFS but no complication is reported. |
| first_indexed | 2024-04-13T04:37:53Z |
| format | Article |
| id | doaj.art-7a267eb969e34d009c7fa162a33496a8 |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-04-13T04:37:53Z |
| publishDate | 2022-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-7a267eb969e34d009c7fa162a33496a82022-12-22T03:02:06ZengBMCBMC Surgery1471-24822022-12-012211910.1186/s12893-022-01880-wComparison of transfacet and pedicle screws in oblique lateral interbody fusion for single-level degenerative lumbar spine diseases: a retrospective propensity score-matched analysisZhao Lang0Tenghui Ge1Jingye Wu2Qiang Yuan3Yuqing Sun4Department of Spine Surgery, Peking University 4th Clinical Medical College, Beijing Jishuitan HospitalDepartment of Spine Surgery, Peking University 4th Clinical Medical College, Beijing Jishuitan HospitalDepartment of Spine Surgery, Peking University 4th Clinical Medical College, Beijing Jishuitan HospitalDepartment of Spine Surgery, Peking University 4th Clinical Medical College, Beijing Jishuitan HospitalDepartment of Spine Surgery, Peking University 4th Clinical Medical College, Beijing Jishuitan HospitalAbstract Background To perform a comparative assessment of percutaneous transfacet screws (TFS) and percutaneous bilateral pedicle screws (BPS) in oblique lateral interbody fusion (OLIF) for the treatment of single-level degenerative lumbar spine diseases in terms of radiological examinations and clinical outcomes. Methods Sixty-six patients who received single-level OLIF with percutaneous supplementary fixation assisted by the robot for the treatment of degenerative lumbar spine diseases were selected. There were 16 cases of OLIF with TFS and 50 cases of OLIF with BPS. The propensity score matching method selected 11 patients in each group with matched characteristics to perform a clinical comparison. Results The estimated blood loss was 68.2 ± 25.2 ml in the OLIF with TFS group compared to 113.6 ± 39.3 ml in the OLIF with BPS group (P < 0.05). The intervertebral disc height raised from 8.6 to 12.9 mm in the TFS group and from 8.9 to 13.9 mm in the BPS group in the immediate postoperative period, and dropped to 10.8 and 12.9 mm at the twelfth month, respectively (P < 0.05). The fusion rates were 91% and 100% for TFS and BPS groups (P > 0.05). Quantitative assessments of back/leg pain of the two groups reached a healthy level in the late period of the follow-up. Conclusion Both TFS and BPS techniques for the OLIF surgery relieve back pain caused by degenerative lumbar spine diseases. The TFS technique exhibits less blood loss compared with the BPS. A moderate cage subsidence is present in TFS but no complication is reported.https://doi.org/10.1186/s12893-022-01880-wOblique lateral interbody fusionDisc heightSegmental lordotic anglePedicle screwTransfacet screwDegenerative lumbar disease |
| spellingShingle | Zhao Lang Tenghui Ge Jingye Wu Qiang Yuan Yuqing Sun Comparison of transfacet and pedicle screws in oblique lateral interbody fusion for single-level degenerative lumbar spine diseases: a retrospective propensity score-matched analysis BMC Surgery Oblique lateral interbody fusion Disc height Segmental lordotic angle Pedicle screw Transfacet screw Degenerative lumbar disease |
| title | Comparison of transfacet and pedicle screws in oblique lateral interbody fusion for single-level degenerative lumbar spine diseases: a retrospective propensity score-matched analysis |
| title_full | Comparison of transfacet and pedicle screws in oblique lateral interbody fusion for single-level degenerative lumbar spine diseases: a retrospective propensity score-matched analysis |
| title_fullStr | Comparison of transfacet and pedicle screws in oblique lateral interbody fusion for single-level degenerative lumbar spine diseases: a retrospective propensity score-matched analysis |
| title_full_unstemmed | Comparison of transfacet and pedicle screws in oblique lateral interbody fusion for single-level degenerative lumbar spine diseases: a retrospective propensity score-matched analysis |
| title_short | Comparison of transfacet and pedicle screws in oblique lateral interbody fusion for single-level degenerative lumbar spine diseases: a retrospective propensity score-matched analysis |
| title_sort | comparison of transfacet and pedicle screws in oblique lateral interbody fusion for single level degenerative lumbar spine diseases a retrospective propensity score matched analysis |
| topic | Oblique lateral interbody fusion Disc height Segmental lordotic angle Pedicle screw Transfacet screw Degenerative lumbar disease |
| url | https://doi.org/10.1186/s12893-022-01880-w |
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