Comparison of Simultaneous Single-Position Oblique Lumbar Interbody Fusion and Percutaneous Pedicle Screw Fixation with Posterior Lumbar Interbody Fusion Using O-arm Navigated Technique for Lumbar Degenerative Diseases
Minimally invasive posterior or transforaminal lumbar interbody fusion (MI-PLIF/TLIF) are widely accepted procedures for lumbar instability due to degenerative or traumatic diseases. Oblique lateral interbody fusion (OLIF) is currently receiving considerable attention because of the reductions in da...
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| Format: | Article |
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MDPI AG
2021-10-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/21/4938 |
| _version_ | 1797512298303062016 |
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| author | Ying Tan Masato Tanaka Sumeet Sonawane Koji Uotani Yoshiaki Oda Yoshihiro Fujiwara Shinya Arataki Taro Yamauchi Tomoyuki Takigawa Yasuo Ito |
| author_facet | Ying Tan Masato Tanaka Sumeet Sonawane Koji Uotani Yoshiaki Oda Yoshihiro Fujiwara Shinya Arataki Taro Yamauchi Tomoyuki Takigawa Yasuo Ito |
| author_sort | Ying Tan |
| collection | DOAJ |
| description | Minimally invasive posterior or transforaminal lumbar interbody fusion (MI-PLIF/TLIF) are widely accepted procedures for lumbar instability due to degenerative or traumatic diseases. Oblique lateral interbody fusion (OLIF) is currently receiving considerable attention because of the reductions in damage to the back muscles and neural tissue. The aim of this study was to compare clinical and radiographic outcomes of simultaneous single-position OLIF and percutaneous pedicle screw (PPS) fixation with MI-PLIF/TLIF. This retrospective comparative study included 98 patients, comprising 63 patients with single-position OLIF (Group SO) and 35 patients with MI-PLIF/TLIF (Group P/T). Cases with more than 1 year of follow-up were included in this study. Mean follow-up was 32.9 ± 7.0 months for Group SO and 33.7 ± 7.5 months for Group P/T. Clinical and radiological evaluations were performed. Comparing Group SO to Group P/T, surgical time and blood loss were 118 versus 172 min (<i>p</i> < 0.01) and 139 versus 374 mL (<i>p</i> < 0.01), respectively. Cage height, change in disk height, and postoperative foraminal height were significantly higher in Group SO than in Group P/T. The fusion rate was 96.8% in Group SO, similar to the 94.2% in Group P/T (<i>p</i> = 0.985). The complication rate was 6.3% in Group SO and 14.1% in Group P/T (<i>p</i> = 0.191). Simultaneous single position O-arm-navigated OLIF reduces the surgical time, blood loss, and time to ambulation after surgery. Good indirect decompression can be achieved with this method. |
| first_indexed | 2024-03-10T05:59:53Z |
| format | Article |
| id | doaj.art-8cb34319df0245588cbc2ac33acddf6c |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T05:59:53Z |
| publishDate | 2021-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-8cb34319df0245588cbc2ac33acddf6c2023-11-22T21:04:56ZengMDPI AGJournal of Clinical Medicine2077-03832021-10-011021493810.3390/jcm10214938Comparison of Simultaneous Single-Position Oblique Lumbar Interbody Fusion and Percutaneous Pedicle Screw Fixation with Posterior Lumbar Interbody Fusion Using O-arm Navigated Technique for Lumbar Degenerative DiseasesYing Tan0Masato Tanaka1Sumeet Sonawane2Koji Uotani3Yoshiaki Oda4Yoshihiro Fujiwara5Shinya Arataki6Taro Yamauchi7Tomoyuki Takigawa8Yasuo Ito9Department of Orthopaedic Surgery, Okayama Rosai Hospital, Okayama 702-8055, JapanDepartment of Orthopaedic Surgery, Okayama Rosai Hospital, Okayama 702-8055, JapanDepartment of Orthopaedic Surgery, Okayama Rosai Hospital, Okayama 702-8055, JapanDepartment of Orthopaedic Surgery, Okayama Rosai Hospital, Okayama 702-8055, JapanDepartment of Orthopaedic Surgery, Okayama Rosai Hospital, Okayama 702-8055, JapanDepartment of Orthopaedic Surgery, Okayama Rosai Hospital, Okayama 702-8055, JapanDepartment of Orthopaedic Surgery, Okayama Rosai Hospital, Okayama 702-8055, JapanDepartment of Orthopaedic Surgery, Okayama Rosai Hospital, Okayama 702-8055, JapanDepartment of Orthopaedic Surgery, Kobe Red Cross Hospital, Hyogo 651-0073, JapanDepartment of Orthopaedic Surgery, Kobe Red Cross Hospital, Hyogo 651-0073, JapanMinimally invasive posterior or transforaminal lumbar interbody fusion (MI-PLIF/TLIF) are widely accepted procedures for lumbar instability due to degenerative or traumatic diseases. Oblique lateral interbody fusion (OLIF) is currently receiving considerable attention because of the reductions in damage to the back muscles and neural tissue. The aim of this study was to compare clinical and radiographic outcomes of simultaneous single-position OLIF and percutaneous pedicle screw (PPS) fixation with MI-PLIF/TLIF. This retrospective comparative study included 98 patients, comprising 63 patients with single-position OLIF (Group SO) and 35 patients with MI-PLIF/TLIF (Group P/T). Cases with more than 1 year of follow-up were included in this study. Mean follow-up was 32.9 ± 7.0 months for Group SO and 33.7 ± 7.5 months for Group P/T. Clinical and radiological evaluations were performed. Comparing Group SO to Group P/T, surgical time and blood loss were 118 versus 172 min (<i>p</i> < 0.01) and 139 versus 374 mL (<i>p</i> < 0.01), respectively. Cage height, change in disk height, and postoperative foraminal height were significantly higher in Group SO than in Group P/T. The fusion rate was 96.8% in Group SO, similar to the 94.2% in Group P/T (<i>p</i> = 0.985). The complication rate was 6.3% in Group SO and 14.1% in Group P/T (<i>p</i> = 0.191). Simultaneous single position O-arm-navigated OLIF reduces the surgical time, blood loss, and time to ambulation after surgery. Good indirect decompression can be achieved with this method.https://www.mdpi.com/2077-0383/10/21/4938O-arm navigationsimultaneous single-position oblique lateral interbody fusionindirect decompression |
| spellingShingle | Ying Tan Masato Tanaka Sumeet Sonawane Koji Uotani Yoshiaki Oda Yoshihiro Fujiwara Shinya Arataki Taro Yamauchi Tomoyuki Takigawa Yasuo Ito Comparison of Simultaneous Single-Position Oblique Lumbar Interbody Fusion and Percutaneous Pedicle Screw Fixation with Posterior Lumbar Interbody Fusion Using O-arm Navigated Technique for Lumbar Degenerative Diseases Journal of Clinical Medicine O-arm navigation simultaneous single-position oblique lateral interbody fusion indirect decompression |
| title | Comparison of Simultaneous Single-Position Oblique Lumbar Interbody Fusion and Percutaneous Pedicle Screw Fixation with Posterior Lumbar Interbody Fusion Using O-arm Navigated Technique for Lumbar Degenerative Diseases |
| title_full | Comparison of Simultaneous Single-Position Oblique Lumbar Interbody Fusion and Percutaneous Pedicle Screw Fixation with Posterior Lumbar Interbody Fusion Using O-arm Navigated Technique for Lumbar Degenerative Diseases |
| title_fullStr | Comparison of Simultaneous Single-Position Oblique Lumbar Interbody Fusion and Percutaneous Pedicle Screw Fixation with Posterior Lumbar Interbody Fusion Using O-arm Navigated Technique for Lumbar Degenerative Diseases |
| title_full_unstemmed | Comparison of Simultaneous Single-Position Oblique Lumbar Interbody Fusion and Percutaneous Pedicle Screw Fixation with Posterior Lumbar Interbody Fusion Using O-arm Navigated Technique for Lumbar Degenerative Diseases |
| title_short | Comparison of Simultaneous Single-Position Oblique Lumbar Interbody Fusion and Percutaneous Pedicle Screw Fixation with Posterior Lumbar Interbody Fusion Using O-arm Navigated Technique for Lumbar Degenerative Diseases |
| title_sort | comparison of simultaneous single position oblique lumbar interbody fusion and percutaneous pedicle screw fixation with posterior lumbar interbody fusion using o arm navigated technique for lumbar degenerative diseases |
| topic | O-arm navigation simultaneous single-position oblique lateral interbody fusion indirect decompression |
| url | https://www.mdpi.com/2077-0383/10/21/4938 |
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