Comparison of Outcomes of Oblique Lateral Interbody Fusion with Percutaneous Posterior Fixation in Lateral Position and Minimally Invasive Transforaminal Lumbar Interbody Fusion for Degenerative Spondylolisthesis
Study Design Single-center retrospective study. Purpose To compare the physical function and quality of life (QOL) parameters of two minimally invasive surgical (MIS) procedures: oblique lateral interbody fusion with percutaneous posterior fixation in lateral position (OLIF-LPF) and minimally invasi...
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| Format: | Article |
| Language: | English |
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Korean Spine Society
2021-02-01
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| Series: | Asian Spine Journal |
| Subjects: | |
| Online Access: | http://www.asianspinejournal.org/upload/pdf/asj-2019-0342.pdf |
| _version_ | 1819050699453890560 |
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| author | Yoshinao Koike Yoshihisa Kotani Hidemasa Terao Norimasa Iwasaki |
| author_facet | Yoshinao Koike Yoshihisa Kotani Hidemasa Terao Norimasa Iwasaki |
| author_sort | Yoshinao Koike |
| collection | DOAJ |
| description | Study Design Single-center retrospective study. Purpose To compare the physical function and quality of life (QOL) parameters of two minimally invasive surgical (MIS) procedures: oblique lateral interbody fusion with percutaneous posterior fixation in lateral position (OLIF-LPF) and minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) for single-level degenerative spondylolisthesis (DS). Overview of Literature To date, many options for the surgical treatment of lumbar DS and reports have described the effectiveness of minimally invasive lateral access surgery and MIS-TLIF. However, there is still a paucity of comparative data regarding the physical function and QOL outcomes of OLIF and MIS-TLIF. Methods Eighty-six patients were enrolled in this study (group O: OLIF-LPF, n=38; group T: MIS-TLIF, n=48). We evaluated the operation time, estimated blood loss (EBL), postoperative laboratory data, preoperative and postoperative radiographic parameters, overall functional outcome with the Japanese Orthopedic Association Back Pain Evaluation Questionnaire (JOABPEQ) effectiveness rate, and Visual Analog Scale (VAS) score for low back pain, leg pain, and leg numbness. Results No statistical differences in operation time, EBL, and C-reactive protein level, 5 days postoperatively, between groups O and T. With respect to radiological outcome, preoperative and postoperative disc height change was significantly greater in group O than in group T (3.8 vs. 1.8 mm, p<0.05). Both groups showed postoperative improvements in the clinical outcome scores of all JOABPEQ domains, but the effectiveness rate increase in the psychological domain was significantly higher in group O than in group T (47.1% vs. 14.6%, p<0.05). No differences in the preoperative and postoperative VAS score change were noted between the two groups in any of the items. Conclusions The changes in physical function and QOL parameters after OLIF-LPF and MIS-TLIF were almost equivalent; however, OLIF-LPF had significant superiority in the psychological domain. |
| first_indexed | 2024-12-21T11:52:12Z |
| format | Article |
| id | doaj.art-986a56c7e54748d0b9337a26d4b18d1e |
| institution | Directory Open Access Journal |
| issn | 1976-1902 1976-7846 |
| language | English |
| last_indexed | 2024-12-21T11:52:12Z |
| publishDate | 2021-02-01 |
| publisher | Korean Spine Society |
| record_format | Article |
| series | Asian Spine Journal |
| spelling | doaj.art-986a56c7e54748d0b9337a26d4b18d1e2022-12-21T19:05:01ZengKorean Spine SocietyAsian Spine Journal1976-19021976-78462021-02-011519710610.31616/asj.2019.03421217Comparison of Outcomes of Oblique Lateral Interbody Fusion with Percutaneous Posterior Fixation in Lateral Position and Minimally Invasive Transforaminal Lumbar Interbody Fusion for Degenerative SpondylolisthesisYoshinao Koike0Yoshihisa Kotani1Hidemasa Terao2Norimasa Iwasaki3 Spine and Spinal Cord Center, Department of Orthopaedic Surgery, Steel Memorial Muroran Hospital, Muroran, Japan Spine and Spinal Cord Center, Department of Orthopaedic Surgery, Steel Memorial Muroran Hospital, Muroran, Japan Spine and Spinal Cord Center, Department of Orthopaedic Surgery, Steel Memorial Muroran Hospital, Muroran, Japan Department of Orthopedic Surgery, Hokkaido University Graduate School of Medicine, Sapporo, JapanStudy Design Single-center retrospective study. Purpose To compare the physical function and quality of life (QOL) parameters of two minimally invasive surgical (MIS) procedures: oblique lateral interbody fusion with percutaneous posterior fixation in lateral position (OLIF-LPF) and minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) for single-level degenerative spondylolisthesis (DS). Overview of Literature To date, many options for the surgical treatment of lumbar DS and reports have described the effectiveness of minimally invasive lateral access surgery and MIS-TLIF. However, there is still a paucity of comparative data regarding the physical function and QOL outcomes of OLIF and MIS-TLIF. Methods Eighty-six patients were enrolled in this study (group O: OLIF-LPF, n=38; group T: MIS-TLIF, n=48). We evaluated the operation time, estimated blood loss (EBL), postoperative laboratory data, preoperative and postoperative radiographic parameters, overall functional outcome with the Japanese Orthopedic Association Back Pain Evaluation Questionnaire (JOABPEQ) effectiveness rate, and Visual Analog Scale (VAS) score for low back pain, leg pain, and leg numbness. Results No statistical differences in operation time, EBL, and C-reactive protein level, 5 days postoperatively, between groups O and T. With respect to radiological outcome, preoperative and postoperative disc height change was significantly greater in group O than in group T (3.8 vs. 1.8 mm, p<0.05). Both groups showed postoperative improvements in the clinical outcome scores of all JOABPEQ domains, but the effectiveness rate increase in the psychological domain was significantly higher in group O than in group T (47.1% vs. 14.6%, p<0.05). No differences in the preoperative and postoperative VAS score change were noted between the two groups in any of the items. Conclusions The changes in physical function and QOL parameters after OLIF-LPF and MIS-TLIF were almost equivalent; however, OLIF-LPF had significant superiority in the psychological domain.http://www.asianspinejournal.org/upload/pdf/asj-2019-0342.pdfdegenerative spondylolisthesisminimally invasive surgical proceduresoblique lateral interbody fusiontransforaminal lumbar interbody fusion |
| spellingShingle | Yoshinao Koike Yoshihisa Kotani Hidemasa Terao Norimasa Iwasaki Comparison of Outcomes of Oblique Lateral Interbody Fusion with Percutaneous Posterior Fixation in Lateral Position and Minimally Invasive Transforaminal Lumbar Interbody Fusion for Degenerative Spondylolisthesis Asian Spine Journal degenerative spondylolisthesis minimally invasive surgical procedures oblique lateral interbody fusion transforaminal lumbar interbody fusion |
| title | Comparison of Outcomes of Oblique Lateral Interbody Fusion with Percutaneous Posterior Fixation in Lateral Position and Minimally Invasive Transforaminal Lumbar Interbody Fusion for Degenerative Spondylolisthesis |
| title_full | Comparison of Outcomes of Oblique Lateral Interbody Fusion with Percutaneous Posterior Fixation in Lateral Position and Minimally Invasive Transforaminal Lumbar Interbody Fusion for Degenerative Spondylolisthesis |
| title_fullStr | Comparison of Outcomes of Oblique Lateral Interbody Fusion with Percutaneous Posterior Fixation in Lateral Position and Minimally Invasive Transforaminal Lumbar Interbody Fusion for Degenerative Spondylolisthesis |
| title_full_unstemmed | Comparison of Outcomes of Oblique Lateral Interbody Fusion with Percutaneous Posterior Fixation in Lateral Position and Minimally Invasive Transforaminal Lumbar Interbody Fusion for Degenerative Spondylolisthesis |
| title_short | Comparison of Outcomes of Oblique Lateral Interbody Fusion with Percutaneous Posterior Fixation in Lateral Position and Minimally Invasive Transforaminal Lumbar Interbody Fusion for Degenerative Spondylolisthesis |
| title_sort | comparison of outcomes of oblique lateral interbody fusion with percutaneous posterior fixation in lateral position and minimally invasive transforaminal lumbar interbody fusion for degenerative spondylolisthesis |
| topic | degenerative spondylolisthesis minimally invasive surgical procedures oblique lateral interbody fusion transforaminal lumbar interbody fusion |
| url | http://www.asianspinejournal.org/upload/pdf/asj-2019-0342.pdf |
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