Correction of marked sagittal deformity with circumferential minimally invasive surgery using oblique lateral interbody fusion in adult spinal deformity

Park, Seung Won; Ko, Myeong Jin; Kim, Young Baeg; Huec, Jean Charles Le

doi:10.1186/s13018-020-1545-7

Cited by 36 publications

(52 citation statements)

References 46 publications

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“…Lateral-access cage insertion techniques via the retroperitoneal space have been invented to reduce the problems related to TLIF procedures, including lateral lumbar interbody fusion (LLIF) or oblique lateral interbody fusion (OLIF) [ 2 , 4 , 7 , 11 , 12 , 13 , 14 , 15 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 ]. LLIF is conducted via the intermuscular approach dissecting the psoas muscle; thus, it can cause psoas muscle-related complications, including anterior thigh pain, leg weakness, nerve root injury, and others [ 2 , 4 , 11 , 13 , 14 , 25 , 29 ].…”

Section: Introductionmentioning

confidence: 99%

Transforaminal Lumbar Interbody Fusion (TLIF) versus Oblique Lumbar Interbody Fusion (OLIF) in Interbody Fusion Technique for Degenerative Spondylolisthesis: A Systematic Review and Meta-Analysis

Lee

Kim

Choo

et al. 2021

Life

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Preoperative pathology requiring fusion surgery has a great impact on postoperative outcomes. However, the previous clinical and meta-analysis studies did not control for the pathology. In this systematic review, the authors aimed to compare oblique lumbar interbody fusion (OLIF) with transforaminal interbody fusion (TLIF) as an interbody fusion technique in lumbar fusion surgery for patients with degenerative spondylolisthesis (DS). We systematically searched for relevant articles in the available databases. Among the 3022 articles, three studies were identified and met the inclusion criteria. In terms of radiological outcome, the amount of disc height restoration was greater in the OLIF group than in the TLIF group, but there was no significant difference between the two surgical techniques (p = 0.18). In the clinical outcomes, the pain improvement was not significantly different between the two surgical techniques. In terms of surgical outcomes, OLIF resulted in a shorter length of hospital stay and less blood loss than TLIF (p < 0.0001 and p = 0.02, respectively). The present meta-analysis indicated no significant difference in clinical, radiological outcomes, and surgical time between TLIF and OLIF for DS, but the lengths of hospital stay and blood loss were better in OLIF than TLIF. Though encouraging, these findings were based on low-quality evidence from a small number of retrospective studies that are prone to bias.

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Section: Introductionmentioning

confidence: 99%

Transforaminal Lumbar Interbody Fusion (TLIF) versus Oblique Lumbar Interbody Fusion (OLIF) in Interbody Fusion Technique for Degenerative Spondylolisthesis: A Systematic Review and Meta-Analysis

Lee

Kim

Choo

et al. 2021

Life

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“…To be precise, other than degenerative disc disease, sagittal or coronal deformity correction were also considered to be an indication for OLIF [ 38 ]. The synergistic effect in sagittal correction via OLIF may amplify the angle observed and over-rate the lordosis restoration [ 39 ]. The intrinsically greater lordotic curvature in more distal segments could be the confounding factor when comparing the angle corrected between the two groups [ 40 ].…”

Section: Discussionmentioning

confidence: 99%

The Morphological Changes in Adjacent Segments Amongst Patients Receiving Anterior and Oblique Lumbar Interbody Fusion: A Retrospective Study

Tung

Hsu

et al. 2021

JCM

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Adjacent segment disease (ASD) is troublesome condition that has proved to be highly related to spinal malalignment after spinal surgery. Hence, we aimed to evaluate the morphological changes after anterior lumbar interbody fusion (ALIF) and oblique LIF (OLIF) to establish the differences between the two surgical methods in terms of possible ASD avoidance. Fifty patients, half of whom received ALIF while the other half received OLIF, were analyzed with image studies and functional outcomes during the pre-operative and post-operative periods, and 2 years after surgery. Image measurements obtained included spinal-pelvic parameters, index lordosis (IL), segmental lordosis (SL), anterior disc height (ADH), posterior disc height (PDH) and adjacent segment disc angle (ASDA). The ADH and PDH in the adjacent segment decreased in the two groups while OLIF showed greater decrease without radiological ASD noted at 2-year follow-up. Both groups showed an increase in IL after surgery while ALIF showed greater improvement. No statistical difference was identified in functional outcomes between LIFs. We suggest that both ALIF and OLIF can restore adequate lordosis and prevent ASD after surgery. However, it should be noted that patient selection remains crucial when making any decision involving which of the two methods to use.

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“…According to Yilgor et al 37 , 50%-80% of the LL exists at the lower 2 levels. More recently, Le Huec et al 13 in 2016 and Park et al 20,21 in 2020 stressed the importance of increasing the LL in the lower 2 segments. It should be noted that LL did not decrease in the AIS and CS groups not fused to the sacrum.…”

Section: Discussionmentioning

confidence: 99%

Sagittal Balance After Posterior Fusion in Adolescent Idiopathic Scoliosis Versus Congenital Scoliosis

Gad

Elmorshidy

Hassan

et al. 2021

Egyptian Spine Journal

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Background Data: Although long-segment spinal fusion is well-established in achieving coronal balance in scoliotic deformities, its ability to achieve sagittal balance is variable. In some patients, the fusion needs to be extended to the sacrum/pelvis, which could be challenging.Purpose: This study aimed to compare the sagittal balance of adolescent idiopathic scoliosis (AIS) and congenital scoliosis (CS) patients after posterior spinal fusion and to assess the effect of extending the fusion to the sacrum/pelvis on sagittal balance. Study Design: Retrospective cohort study.Patients and Methods: The study protocol was approved by our institution review board. All available AIS and CS patients who underwent long-segment posterior spinal fusion were included in this study. Whole spine radiographs were taken at three time points: preoperative, 2-months postoperative, and at 2-year follow-up. The spinopelvic parameters were measured in lateral views. The fusion to the sacrum/ pelvis was also recorded. Comparison of the radiological parameters at the three time points between the AIS and CS patients and those with and without fusion to the sacrum/pelvis was performed. Results: The sagittal vertical axis was significantly higher in CS patients with fusion to the sacrum/ pelvis (53.4 mm postoperatively and 54.4 mm at follow-up) than in those without fusion (14.8 mm postoperatively and 11.9 mm at follow-up) and AIS patients with or without fusion to the sacrum/pelvis. In CS patients who needed fusion to the sacrum/pelvis, lumbar lordosis (LL) decreased significantly to 31° postoperatively and 34.1° at follow-up. Conclusion: AIS patients have a better chance to achieve a normal sagittal alignment than CS patients, especially if the fusion was extended to the sacrum. Patients with CS at the lumbar region have a retroverted pelvis, which is difficult to correct by posterior spinal fusion alone, and an additional posterior osteotomy may be needed to create an adequate LL matching their pelvic incidence. Saving a distal mobile segment preserves a compensatory mechanism and decreases the incidence of postoperative sagittal malalignment. (2020ESJ219)

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Correction of marked sagittal deformity with circumferential minimally invasive surgery using oblique lateral interbody fusion in adult spinal deformity

Cited by 36 publications

References 46 publications

Transforaminal Lumbar Interbody Fusion (TLIF) versus Oblique Lumbar Interbody Fusion (OLIF) in Interbody Fusion Technique for Degenerative Spondylolisthesis: A Systematic Review and Meta-Analysis

Transforaminal Lumbar Interbody Fusion (TLIF) versus Oblique Lumbar Interbody Fusion (OLIF) in Interbody Fusion Technique for Degenerative Spondylolisthesis: A Systematic Review and Meta-Analysis

The Morphological Changes in Adjacent Segments Amongst Patients Receiving Anterior and Oblique Lumbar Interbody Fusion: A Retrospective Study

Sagittal Balance After Posterior Fusion in Adolescent Idiopathic Scoliosis Versus Congenital Scoliosis

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