The Navigated Oblique Lumbar Interbody Fusion: Accuracy Rate, Effect on Surgical Time, and Complications
Objective The oblique lumbar interbody fusion (OLIF) can be done with either fluoroscopy or navigation. However, it is unclear how navigation affects the overall flow of the procedure. We wished to report on the accuracy of this technique using navigation and on how navigation affects surgical time...
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| Format: | Article |
| Language: | English |
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Korean Spinal Neurosurgery Society
2020-03-01
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| Series: | Neurospine |
| Subjects: | |
| Online Access: | http://www.e-neurospine.org/upload/pdf/ns-1938358-179.pdf |
| _version_ | 1827362283282497536 |
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| author | Zhuo Xi Dean Chou Praveen V. Mummaneni Shane Burch |
| author_facet | Zhuo Xi Dean Chou Praveen V. Mummaneni Shane Burch |
| author_sort | Zhuo Xi |
| collection | DOAJ |
| description | Objective The oblique lumbar interbody fusion (OLIF) can be done with either fluoroscopy or navigation. However, it is unclear how navigation affects the overall flow of the procedure. We wished to report on the accuracy of this technique using navigation and on how navigation affects surgical time and complications. Methods A retrospective review was undertaken to evaluate patients who underwent OLIF using spinal navigation at University of California San Francisco. Data collected were demographic variables, perioperative variables, and radiographic images. Postoperative lateral radiographs were analyzed for accuracy of cage placement. The disc space was divided into 4 quadrants from anterior to posterior, zone 1 being anterior, and zone 4 being posterior. The accuracy of cage placement was assessed by placement. Results There were 214 patients who met the inclusion criteria. A total of 350 levels were instrumented from L1 to L5 using navigation. The mean follow-up time was 17.42 months. The mean surgical time was 211 minutes, and the average surgical time per level was 129.01 minutes. After radiographic analysis, 94.86% of cages were placed within quartiles 1 to 3. One patient (0.47%) underwent revision surgery because of suboptimal cage placement. For approach-related complications, transient neurological symptoms were 10.28%, there was no vascular injury. Conclusion The use of navigation to perform OLIF from L1 to L5 resulted in a cage placement accuracy rate of 94.86% in 214 patients. |
| first_indexed | 2024-03-08T07:22:52Z |
| format | Article |
| id | doaj.art-fb1b185194e14957bbce56919789e2fe |
| institution | Directory Open Access Journal |
| issn | 2586-6583 2586-6591 |
| language | English |
| last_indexed | 2024-03-08T07:22:52Z |
| publishDate | 2020-03-01 |
| publisher | Korean Spinal Neurosurgery Society |
| record_format | Article |
| series | Neurospine |
| spelling | doaj.art-fb1b185194e14957bbce56919789e2fe2024-02-02T22:53:03ZengKorean Spinal Neurosurgery SocietyNeurospine2586-65832586-65912020-03-0117126026710.14245/ns.1938358.179962The Navigated Oblique Lumbar Interbody Fusion: Accuracy Rate, Effect on Surgical Time, and ComplicationsZhuo Xi0Dean Chou1Praveen V. Mummaneni2Shane Burch3 Department of Neurosurgery, University of California San Francisco, San Francisco, CA, USA Department of Neurosurgery, University of California San Francisco, San Francisco, CA, USA Department of Neurosurgery, University of California San Francisco, San Francisco, CA, USA Department of Orthopedic Surgery, University of California San Francisco, San Francisco, CA, USAObjective The oblique lumbar interbody fusion (OLIF) can be done with either fluoroscopy or navigation. However, it is unclear how navigation affects the overall flow of the procedure. We wished to report on the accuracy of this technique using navigation and on how navigation affects surgical time and complications. Methods A retrospective review was undertaken to evaluate patients who underwent OLIF using spinal navigation at University of California San Francisco. Data collected were demographic variables, perioperative variables, and radiographic images. Postoperative lateral radiographs were analyzed for accuracy of cage placement. The disc space was divided into 4 quadrants from anterior to posterior, zone 1 being anterior, and zone 4 being posterior. The accuracy of cage placement was assessed by placement. Results There were 214 patients who met the inclusion criteria. A total of 350 levels were instrumented from L1 to L5 using navigation. The mean follow-up time was 17.42 months. The mean surgical time was 211 minutes, and the average surgical time per level was 129.01 minutes. After radiographic analysis, 94.86% of cages were placed within quartiles 1 to 3. One patient (0.47%) underwent revision surgery because of suboptimal cage placement. For approach-related complications, transient neurological symptoms were 10.28%, there was no vascular injury. Conclusion The use of navigation to perform OLIF from L1 to L5 resulted in a cage placement accuracy rate of 94.86% in 214 patients.http://www.e-neurospine.org/upload/pdf/ns-1938358-179.pdfaccuracyinterbody fusionminimally invasive surgerynavigationoblique lateraloblique lateral lumbar interbody fusion |
| spellingShingle | Zhuo Xi Dean Chou Praveen V. Mummaneni Shane Burch The Navigated Oblique Lumbar Interbody Fusion: Accuracy Rate, Effect on Surgical Time, and Complications Neurospine accuracy interbody fusion minimally invasive surgery navigation oblique lateral oblique lateral lumbar interbody fusion |
| title | The Navigated Oblique Lumbar Interbody Fusion: Accuracy Rate, Effect on Surgical Time, and Complications |
| title_full | The Navigated Oblique Lumbar Interbody Fusion: Accuracy Rate, Effect on Surgical Time, and Complications |
| title_fullStr | The Navigated Oblique Lumbar Interbody Fusion: Accuracy Rate, Effect on Surgical Time, and Complications |
| title_full_unstemmed | The Navigated Oblique Lumbar Interbody Fusion: Accuracy Rate, Effect on Surgical Time, and Complications |
| title_short | The Navigated Oblique Lumbar Interbody Fusion: Accuracy Rate, Effect on Surgical Time, and Complications |
| title_sort | navigated oblique lumbar interbody fusion accuracy rate effect on surgical time and complications |
| topic | accuracy interbody fusion minimally invasive surgery navigation oblique lateral oblique lateral lumbar interbody fusion |
| url | http://www.e-neurospine.org/upload/pdf/ns-1938358-179.pdf |
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