Simultaneous Single-Position Oblique Lateral Interbody Fusion Combined With Unilateral Percutaneous Pedicle Screw Fixation for Single-Level Lumbar Tuberculosis: A 3-Year Retrospective Comparative Study
Objective To illustrate a simultaneous single-position oblique lateral interbody fusion (SP-OLIF) combined with unilateral percutaneous pedicle screw fixation in treating single-level lumbar tuberculosis, compared with posterior-only approach in clinical and radiographic evaluations. Methods Consecu...
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| Format: | Article |
| Language: | English |
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Korean Spinal Neurosurgery Society
2023-12-01
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| Series: | Neurospine |
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| Online Access: | http://e-neurospine.org/upload/pdf/ns-2346692-346.pdf |
| _version_ | 1797326959139618816 |
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| author | Jinyue He Jiezhong Deng Yusheng Yang Tingting Zheng Fei Luo Jianzhong Xu Zehua Zhang |
| author_facet | Jinyue He Jiezhong Deng Yusheng Yang Tingting Zheng Fei Luo Jianzhong Xu Zehua Zhang |
| author_sort | Jinyue He |
| collection | DOAJ |
| description | Objective To illustrate a simultaneous single-position oblique lateral interbody fusion (SP-OLIF) combined with unilateral percutaneous pedicle screw fixation in treating single-level lumbar tuberculosis, compared with posterior-only approach in clinical and radiographic evaluations. Methods Consecutive patients who had undergone surgeries for single-level lumbar tuberculosis from January 2018 to December 2020 were retrospectively reviewed. The patients included were divided into SP-OLIF and posterior-only groups according to surgical methods applied, with follow-up for at least 36 months. Outcomes included estimated blood loss, operative time, and complications for safety evaluation; visual analogue scale (VAS), Oswestry Disability Index (ODI) for efficacy evaluation; erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) for evaluating tuberculosis activity; x-ray and computed tomography scan were used for radiographic evaluation. Results A total of 136 patients had been enrolled in the study (60 for SP-OLIF and 76 for Posterior-only). The median operative time, blood loss, and hospital stay in SP-OLIF group were significantly less, with a lower complication rate. Meanwhile, the SP-OLIF group showed substantially lower VAS in 1 and 7 days and decreased ODI in the first month postoperatively, without significant difference afterward. Similarly, the median CRP and ESR in SP-OLIF group were significantly lower in 3 and 7 days postoperatively. All indicators had reduced to normal after 3 months. No recurrence had been reported throughout the whole follow-up. Conclusion SP-OLIF was an efficient minimally invasive protocol for single-level lumbar tuberculosis, facilitating earlier clinical improvement, with decreased blood loss, operative time and hospital stay compared with posterior-only approach. |
| first_indexed | 2024-03-08T06:31:38Z |
| format | Article |
| id | doaj.art-bbc5af1fac0d46cc965a511da9e16d30 |
| institution | Directory Open Access Journal |
| issn | 2586-6583 2586-6591 |
| language | English |
| last_indexed | 2024-03-08T06:31:38Z |
| publishDate | 2023-12-01 |
| publisher | Korean Spinal Neurosurgery Society |
| record_format | Article |
| series | Neurospine |
| spelling | doaj.art-bbc5af1fac0d46cc965a511da9e16d302024-02-03T11:19:39ZengKorean Spinal Neurosurgery SocietyNeurospine2586-65832586-65912023-12-012041306131810.14245/ns.2346692.3461502Simultaneous Single-Position Oblique Lateral Interbody Fusion Combined With Unilateral Percutaneous Pedicle Screw Fixation for Single-Level Lumbar Tuberculosis: A 3-Year Retrospective Comparative StudyJinyue He0Jiezhong Deng1Yusheng Yang2Tingting Zheng3Fei Luo4Jianzhong Xu5Zehua Zhang6 Department of Orthopedics, Southwest Hospital, Army Medical University, Chongqing, China Department of Orthopedics, Southwest Hospital, Army Medical University, Chongqing, China Department of Orthopedics, Southwest Hospital, Army Medical University, Chongqing, China Department of Orthopedics, Southwest Hospital, Army Medical University, Chongqing, China Department of Orthopedics, Southwest Hospital, Army Medical University, Chongqing, China Department of Orthopedics, Southwest Hospital, Army Medical University, Chongqing, China Department of Orthopedics, Southwest Hospital, Army Medical University, Chongqing, ChinaObjective To illustrate a simultaneous single-position oblique lateral interbody fusion (SP-OLIF) combined with unilateral percutaneous pedicle screw fixation in treating single-level lumbar tuberculosis, compared with posterior-only approach in clinical and radiographic evaluations. Methods Consecutive patients who had undergone surgeries for single-level lumbar tuberculosis from January 2018 to December 2020 were retrospectively reviewed. The patients included were divided into SP-OLIF and posterior-only groups according to surgical methods applied, with follow-up for at least 36 months. Outcomes included estimated blood loss, operative time, and complications for safety evaluation; visual analogue scale (VAS), Oswestry Disability Index (ODI) for efficacy evaluation; erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) for evaluating tuberculosis activity; x-ray and computed tomography scan were used for radiographic evaluation. Results A total of 136 patients had been enrolled in the study (60 for SP-OLIF and 76 for Posterior-only). The median operative time, blood loss, and hospital stay in SP-OLIF group were significantly less, with a lower complication rate. Meanwhile, the SP-OLIF group showed substantially lower VAS in 1 and 7 days and decreased ODI in the first month postoperatively, without significant difference afterward. Similarly, the median CRP and ESR in SP-OLIF group were significantly lower in 3 and 7 days postoperatively. All indicators had reduced to normal after 3 months. No recurrence had been reported throughout the whole follow-up. Conclusion SP-OLIF was an efficient minimally invasive protocol for single-level lumbar tuberculosis, facilitating earlier clinical improvement, with decreased blood loss, operative time and hospital stay compared with posterior-only approach.http://e-neurospine.org/upload/pdf/ns-2346692-346.pdfspinal tuberculosisdebridementoblique lateral interbody fusionsingle position |
| spellingShingle | Jinyue He Jiezhong Deng Yusheng Yang Tingting Zheng Fei Luo Jianzhong Xu Zehua Zhang Simultaneous Single-Position Oblique Lateral Interbody Fusion Combined With Unilateral Percutaneous Pedicle Screw Fixation for Single-Level Lumbar Tuberculosis: A 3-Year Retrospective Comparative Study Neurospine spinal tuberculosis debridement oblique lateral interbody fusion single position |
| title | Simultaneous Single-Position Oblique Lateral Interbody Fusion Combined With Unilateral Percutaneous Pedicle Screw Fixation for Single-Level Lumbar Tuberculosis: A 3-Year Retrospective Comparative Study |
| title_full | Simultaneous Single-Position Oblique Lateral Interbody Fusion Combined With Unilateral Percutaneous Pedicle Screw Fixation for Single-Level Lumbar Tuberculosis: A 3-Year Retrospective Comparative Study |
| title_fullStr | Simultaneous Single-Position Oblique Lateral Interbody Fusion Combined With Unilateral Percutaneous Pedicle Screw Fixation for Single-Level Lumbar Tuberculosis: A 3-Year Retrospective Comparative Study |
| title_full_unstemmed | Simultaneous Single-Position Oblique Lateral Interbody Fusion Combined With Unilateral Percutaneous Pedicle Screw Fixation for Single-Level Lumbar Tuberculosis: A 3-Year Retrospective Comparative Study |
| title_short | Simultaneous Single-Position Oblique Lateral Interbody Fusion Combined With Unilateral Percutaneous Pedicle Screw Fixation for Single-Level Lumbar Tuberculosis: A 3-Year Retrospective Comparative Study |
| title_sort | simultaneous single position oblique lateral interbody fusion combined with unilateral percutaneous pedicle screw fixation for single level lumbar tuberculosis a 3 year retrospective comparative study |
| topic | spinal tuberculosis debridement oblique lateral interbody fusion single position |
| url | http://e-neurospine.org/upload/pdf/ns-2346692-346.pdf |
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