Single-Position Oblique Lumbar Interbody Fusion and Percutaneous Pedicle Screw Fixation under O-Arm Navigation: A Retrospective Comparative Study
The insertion of pedicle screws in the lateral position without a position change has been reported. We completed a retrospective comparison of the radiologic and clinical outcomes of 36 patients who underwent either single-position oblique lateral lumbar interbody fusion (SP-OLIF) using the O-arm (...
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MDPI AG
2022-12-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/1/312 |
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| author | Hyung Cheol Kim Yeong Ha Jeong Sung Han Oh Jong Min Lee Chang Kyu Lee Seong Yi Yoon Ha Keung Nyun Kim Dong Ah Shin |
| author_facet | Hyung Cheol Kim Yeong Ha Jeong Sung Han Oh Jong Min Lee Chang Kyu Lee Seong Yi Yoon Ha Keung Nyun Kim Dong Ah Shin |
| author_sort | Hyung Cheol Kim |
| collection | DOAJ |
| description | The insertion of pedicle screws in the lateral position without a position change has been reported. We completed a retrospective comparison of the radiologic and clinical outcomes of 36 patients who underwent either single-position oblique lateral lumbar interbody fusion (SP-OLIF) using the O-arm (36 cases) or conventional OLIF (C-OLIF) using the C-arm (20 cases) for L2–5 single-level lumbar degenerative diseases. Radiological parameters were analyzed, including screw accuracy (Gertzbein-Robbins classification system; GRS), segmental instability, and fusion status. Screw misplacement was defined as a discrepancy of ≥2 mm. Clinical outcomes, including visual analog scale, Oswestry Disability Index (ODI), 36-Item Short Form Health Survey (SF-36), and postoperative complications, were assessed. The spinal fusion rate was not different between the SP-OLIF and C-OLIF groups one year after surgery (<i>p =</i> 0.536). The ODI score was lower (<i>p =</i> 0.015) in the SP-OLIF than the C-OLIF group. Physical (<i>p =</i> 0.000) and mental component summaries (<i>p =</i> 0.000) of the SF-36 were significantly higher in the SP-OLIF group. Overall complication rates, including revision, surgical site infection, ipsilateral weakness, and radicular pain/numbness, were not significantly different. SP-OLIF using the O-arm procedure is feasible, with acceptable accuracy, fusion rate, and complication rate. This may be an alternative to conventional two-stage operations. |
| first_indexed | 2024-03-11T09:57:08Z |
| format | Article |
| id | doaj.art-9f267f3619694a60b5246fd3326256a5 |
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| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T09:57:08Z |
| publishDate | 2022-12-01 |
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| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-9f267f3619694a60b5246fd3326256a52023-11-16T15:44:24ZengMDPI AGJournal of Clinical Medicine2077-03832022-12-0112131210.3390/jcm12010312Single-Position Oblique Lumbar Interbody Fusion and Percutaneous Pedicle Screw Fixation under O-Arm Navigation: A Retrospective Comparative StudyHyung Cheol Kim0Yeong Ha Jeong1Sung Han Oh2Jong Min Lee3Chang Kyu Lee4Seong Yi5Yoon Ha6Keung Nyun Kim7Dong Ah Shin8Department of Neurosurgery, Bundang Jesaeng General Hospital, 20, Seohyeon-ro 180 beon-gil, Bundang-gu, Seongnam-si 13590, Republic of KoreaDepartment of Neurosurgery, International St. Mary’s Hospital, College of Medicine, Catholic Kwandong University, 25, Simgok-ro 100 gil, Seo-gu, Incheon 54671, Republic of KoreaDepartment of Neurosurgery, Bundang Jesaeng General Hospital, 20, Seohyeon-ro 180 beon-gil, Bundang-gu, Seongnam-si 13590, Republic of KoreaDepartment of Neurosurgery, Spine and Spinal Cord Institute, Severance Hospital, Yonsei University College of Medicine, 50-1, Yonsei-ro, Seodaemun-gu, Seoul 03722, Republic of KoreaDepartment of Neurosurgery, Spine and Spinal Cord Institute, Severance Hospital, Yonsei University College of Medicine, 50-1, Yonsei-ro, Seodaemun-gu, Seoul 03722, Republic of KoreaDepartment of Neurosurgery, Spine and Spinal Cord Institute, Severance Hospital, Yonsei University College of Medicine, 50-1, Yonsei-ro, Seodaemun-gu, Seoul 03722, Republic of KoreaDepartment of Neurosurgery, Spine and Spinal Cord Institute, Severance Hospital, Yonsei University College of Medicine, 50-1, Yonsei-ro, Seodaemun-gu, Seoul 03722, Republic of KoreaDepartment of Neurosurgery, Spine and Spinal Cord Institute, Severance Hospital, Yonsei University College of Medicine, 50-1, Yonsei-ro, Seodaemun-gu, Seoul 03722, Republic of KoreaDepartment of Neurosurgery, Spine and Spinal Cord Institute, Severance Hospital, Yonsei University College of Medicine, 50-1, Yonsei-ro, Seodaemun-gu, Seoul 03722, Republic of KoreaThe insertion of pedicle screws in the lateral position without a position change has been reported. We completed a retrospective comparison of the radiologic and clinical outcomes of 36 patients who underwent either single-position oblique lateral lumbar interbody fusion (SP-OLIF) using the O-arm (36 cases) or conventional OLIF (C-OLIF) using the C-arm (20 cases) for L2–5 single-level lumbar degenerative diseases. Radiological parameters were analyzed, including screw accuracy (Gertzbein-Robbins classification system; GRS), segmental instability, and fusion status. Screw misplacement was defined as a discrepancy of ≥2 mm. Clinical outcomes, including visual analog scale, Oswestry Disability Index (ODI), 36-Item Short Form Health Survey (SF-36), and postoperative complications, were assessed. The spinal fusion rate was not different between the SP-OLIF and C-OLIF groups one year after surgery (<i>p =</i> 0.536). The ODI score was lower (<i>p =</i> 0.015) in the SP-OLIF than the C-OLIF group. Physical (<i>p =</i> 0.000) and mental component summaries (<i>p =</i> 0.000) of the SF-36 were significantly higher in the SP-OLIF group. Overall complication rates, including revision, surgical site infection, ipsilateral weakness, and radicular pain/numbness, were not significantly different. SP-OLIF using the O-arm procedure is feasible, with acceptable accuracy, fusion rate, and complication rate. This may be an alternative to conventional two-stage operations.https://www.mdpi.com/2077-0383/12/1/312oblique lateral lumbar interbody fusionminimally invasive surgeryO-arm navigationC-armspinal fusion |
| spellingShingle | Hyung Cheol Kim Yeong Ha Jeong Sung Han Oh Jong Min Lee Chang Kyu Lee Seong Yi Yoon Ha Keung Nyun Kim Dong Ah Shin Single-Position Oblique Lumbar Interbody Fusion and Percutaneous Pedicle Screw Fixation under O-Arm Navigation: A Retrospective Comparative Study Journal of Clinical Medicine oblique lateral lumbar interbody fusion minimally invasive surgery O-arm navigation C-arm spinal fusion |
| title | Single-Position Oblique Lumbar Interbody Fusion and Percutaneous Pedicle Screw Fixation under O-Arm Navigation: A Retrospective Comparative Study |
| title_full | Single-Position Oblique Lumbar Interbody Fusion and Percutaneous Pedicle Screw Fixation under O-Arm Navigation: A Retrospective Comparative Study |
| title_fullStr | Single-Position Oblique Lumbar Interbody Fusion and Percutaneous Pedicle Screw Fixation under O-Arm Navigation: A Retrospective Comparative Study |
| title_full_unstemmed | Single-Position Oblique Lumbar Interbody Fusion and Percutaneous Pedicle Screw Fixation under O-Arm Navigation: A Retrospective Comparative Study |
| title_short | Single-Position Oblique Lumbar Interbody Fusion and Percutaneous Pedicle Screw Fixation under O-Arm Navigation: A Retrospective Comparative Study |
| title_sort | single position oblique lumbar interbody fusion and percutaneous pedicle screw fixation under o arm navigation a retrospective comparative study |
| topic | oblique lateral lumbar interbody fusion minimally invasive surgery O-arm navigation C-arm spinal fusion |
| url | https://www.mdpi.com/2077-0383/12/1/312 |
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