Efficacy and radiographic analysis of oblique lumbar interbody fusion for degenerative lumbar spondylolisthesis

Wu, Menghui; Li, Jia; Zhang, Mengxin; Ding, Xufeng; Qi, Dongxu; Li, Guimiao; Shen, Yong

doi:10.1186/s13018-019-1416-2

Cited by 21 publications

(24 citation statements)

References 24 publications

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“…Among the patients in the present study, the OLIF procedure was an effective method for restoring disc height, regardless of the xation pattern used, which was consistent with the results of previous studies [36][37][38]. In all three groups, loss of disc height had occurred by 6 months after surgery.…”

Section: Discussionsupporting

confidence: 91%

Comparison of clinical outcomes achieved with oblique lateral interbody fusion with or without supplementary instrumentation in patients with single-level lumbar degenerative disease

Lang

Sun

Yuan

et al. 2021

Preprint

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Background Oblique lateral interbody fusion (OLIF) is applied often to treat degenerative disc disease in the lumbar spine. Stand-alone OLIF prevents morbidities associated with supplemental fixation and is less expensive. However, it remains controversial whether stand-alone OLIF is sufficient to avoid subsidence for single-level diseases. Additionally, bilateral pedicle screw (BPS) and bilateral transfacet screw (BTS) fixation are well-established posterior fixation methods that can offer improved biomechanical stability. But the comparison of clinical outcomes of OLIF with and without supplementary instrumentation is lack. Methods We retrospectively examined 20 patients who underwent single-level stand-alone OLIF for symptomatic lumbar degenerative disease at L1–L5 (SA group). Groups of patients treated with OLIF plus BPS (n = 20, BPS group) or BTS (n = 20, BTS group) were matched for age, sex, diagnosis, operative level, body mass index, and bone mineral density. The disk height index (DHI), segmental lordotic (SL) angle, and lumbar lordotic (LL) angle were measured preoperatively and at 3 days and 6 months postoperatively. Clinical outcomes were evaluated. Results Significant disc height loss was observed in all groups, but was greater in the SA and BTS groups than in the BPS group at the 6-month follow-up. The SL and LL angles were not affected in any group. The operative time was significantly less in the SA group, and the estimated blood loss was significantly higher in the BPS group. At 6 months post-surgery, improvements in clinical outcomes were evident in all groups, but the VAS (back pain), JOA, and ODI scores were worse in the SA group than in the other groups. Conclusions Stand-alone OLIF was associated with greater subsidence and poorer clinical outcomes compared with OLIF plus supplementary instrumentation. The addition of BTS did not decrease the degree of subsidence, but provided clinical outcomes comparable to those achieved with BPS.

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Section: Discussionsupporting

confidence: 91%

Comparison of clinical outcomes achieved with oblique lateral interbody fusion with or without supplementary instrumentation in patients with single-level lumbar degenerative disease

Lang

Sun

Yuan

et al. 2021

Preprint

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“…There is minimum literature available till now which discusses contralateral radiculopathy following Minimal access Oblique Lumbar Interbody Fusion (OLIF) in degenerative Lumbar spine disorders. As the application of this approach is gradually being used as means of indirect decompression in such disorders [14][15][16][17], it is imperative to understand the possible mechanisms and solutions to contralateral radiculopathy. However, this complication has been widely discussed when it occurs following TLIF [18][19][20].…”

Section: Discussionmentioning

confidence: 99%

A Review of Full-endoscopic Interlaminar Discectomy for Lumbar Disc Disease: A Historical and Technical Overview

Liu¹,

Kim²,

Chen³

et al. 2021

J Minim Invasive Spine Surg Tech

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To understand the etiology and solution for postoperative contralateral radiculopathy following Minimally Invasive oblique Lumbar Interbody Fusion (MIS OLIF) performed in degenerative lumbar spine disorders. There is lack of sufficient data on contralateral radiculopathy occurring after MIS OLIF. OLIF is an increasingly used procedure performed for degenerative lumbar spine disorders. So, it is important to understand the etiology and solution of potentially avoidable complication. Methods: Retrospective analysis of 74 consecutive patients with total 97 segments operated was done from May 2016 to December 2019 in whom minimal access oblique lumbar interbody fusion was carried out. All the perioperative complications were noted and patients with contralateral radiculopathy were analyzed clinically and radiologically and etiology for this complication. All these patients followed up at 1, 3, 6 and 12 months postoperatively. Results: Contralateral radiculopathy was noted in 6 patients (8.1%). Four patients had only pain in opposite limb, 1 patient had partial sensory loss and 1 patient had partial motor loss in addition to pain. Direct decompression was performed in 3 patients whereas 3 patients were managed conservatively. All the patients had complete resolution of pain at 3 months follow-up and there was partial motor and sensory recovery in affected patients. Conclusion: Contralateral radiculopathy is a potential complication of MIS OLIF. It can be avoided with proper execution of surgical steps especially during cage preparation and proper patient selection is an important key too. Management can be surgical or non-surgical depending upon the etiology of this complication (design of study: retrospective study).

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“…Meanwhile, the psychological, economic and social costs of the postoperative period should not be underestimated. Therefore, various types of minimally invasive (MIS) spine surgeries have been attempted to treat LDD [2][3][4][5]. These MIS techniques have resulted in less pain, reduced blood loss and shorter hospital stays for patients, enabling spinal surgeons to offer fusion surgery to those who may otherwise be wary of it [6].…”

Section: Introductionmentioning

confidence: 99%

Endoscopic Versus Minimally Invasive Transforaminal Lumbar Interbody Fusion in 1-Segment Lumbar Spondylolisthesis: A Prospective Randomised Pilot Study

Lv¹,

Chen²,

Qin³

et al. 2021

Preprint

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BackgroundThere are currently several minimally invasive techniques for lumbar spine interbody fusion that have been shown to minimize surgical and perioperative morbidity. We aimed to evaluate the curative efficacy of endoscopic transforaminal lumbar interbody fusion (Endo-TLIF) by comparing perioperative characteristics and 1.5-year observational outcomes in 1-segment lumbar spondylolisthesis between the minimally invasive TLIF (MIS-TLIF) technique and the optimized Endo-TLIF technique. MethodsOne hundred and two patients treated by MIS-TLIF (48 cases) or Endo-TLIF (54 cases) were included from January 2017 to January 2019. Perioperative parameters and clinical outcomes were evaluated. Inflammatory biomarkers were measured for postoperative traumatic stress and muscle injury. Fusion rates were determined at 18 months after surgery by CT and the necessity of recombinant human bone morphogenetic protein-2 (rhBMP-2) application in Endo-TLIF was also observed. ResultsThe Endo-TLIF group had similar incision length, return to work time and rate (p>0.05). Blood loss, left bed time and analgesic ratio were significantly less in Endo-TLIF group (p<0.05). The Endo-TLIF group had a significantly longer operative and radiation exposure time compared with MIS-TLIF group (p<0.05). The CRP and ESR levels were lower in the Endo-TLIF group compared with the MIS-TLIF group (p<0.05). The VAS and ODI improved significantly in both groups after surgery. Significant decreases in low back VAS in the Endo-TLIF group were found at postoperative day 1 and 3 months after surgery (p<0.05). The fusion rate in the Endo-TLIF/rhBMP-2 group (75%) was lower than that in the MIS-TLIF group (95.8%)，but it was similar to that in the Endo-TLIF/rhBMP-2 group (90%).ConclusionsEndo-TLIF has comparable perioperative analysis and clinical outcomes in comparison to MIS-TLIF and manifests a greater improvement in less multifidus muscle damage, inflammation and faster patient recovery. Thus, Endo-TLIF should be considered as a feasible and effective technique for 1-segment lumbar spondylolisthesis patients.Trial registration: ChiCTR1800015197, 13 March 2018. Trial registry: Chinese Clinical Trial Registry.

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Efficacy and radiographic analysis of oblique lumbar interbody fusion for degenerative lumbar spondylolisthesis

Cited by 21 publications

References 24 publications

Comparison of clinical outcomes achieved with oblique lateral interbody fusion with or without supplementary instrumentation in patients with single-level lumbar degenerative disease

Comparison of clinical outcomes achieved with oblique lateral interbody fusion with or without supplementary instrumentation in patients with single-level lumbar degenerative disease

A Review of Full-endoscopic Interlaminar Discectomy for Lumbar Disc Disease: A Historical and Technical Overview

Endoscopic Versus Minimally Invasive Transforaminal Lumbar Interbody Fusion in 1-Segment Lumbar Spondylolisthesis: A Prospective Randomised Pilot Study

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