Minimally Invasive Surgery Oblique Lumbar Interbody Debridement and Fusion for the Treatment of Lumbar Spondylodiscitis

Wang, Bingjin; Chen, Chao; Hua, Wenbin; Ke, Wencan; Lu, Shuaicheng; Zhang, Yukun; Zeng, Xiaofeng; Yang, Cao

doi:10.1111/os.12711

Cited by 6 publications

(3 citation statements)

References 36 publications

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“…Recently, multiple retrospective studies have reported greater improvement in sagittal alignment with instrumentations [72]. TLIF technique may be the best familiar pathway to achieve complete debridement, access the disc space, remove an avascular disc, achieve circumferential fusion, and avoid the unfamiliar anterior approach [21,23,[73][74][75][76]. In our series of 19 patients, we achieved reasonable mean operative time, EBL, less LOH, fewer complication rates, and quick improved back pain VAS (Tables 3, 4).…”

Section: Discussionmentioning

confidence: 60%

Postoperative Lumbar Spondylodiscitis Following Transforaminal Endoscopy and Outcomes of Transforaminal Lumbar Interbody Fusion

Krishnan¹,

Chauhan²,

Degulmadi³

et al. 2023

J Minim Invasive Spine Surg Tech

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Objective: To describe the presentation spectrum of postoperative spondylodiscitis (POSe) following transforaminal endoscopic lumbar discectomy and to report the outcomes of transforaminal lumbar interbody fusion (TLIF).Methods: This study analyzed all patients with the classic features of POSe who underwent index surgery elsewhere and presented to us. They had not responded to conservative care for 3 weeks and were operated further with open TLIF. The treatment response was judged by the declining values of inflammatory markers, improvements in mobility, and decreases in pain. Patients’ outcomes were analyzed using a visual analogue scale (VAS), the Oswestry Disability Index (ODI), and the occurrence of complications. Radiological outcomes were assessed by fusion and implant stability. The spectrum of the demographic presentation was analyzed. PubMed was searched to find the incidence of POSe and the spectrum of organisms involved.Results: Fifteen patients were operated primarily by interventionalists and four by surgeons among 19 POSe patients who finally underwent TLIF at Stavya Spine Hospital & Research Institute. Organism culture positivity was found in 10 and no culture results were present in 9 cases. All TLIF cases had a follow-up of 52.94 ± 13.66 months (range, 28–71 months). The preoperative back pain VAS improved from 9.47 ± 0.61 (8–10) to 0.42 ± 0.50 (0–1). The leg pain VAS improved from 5.78 ± 4.19 (6–10) to 0.52 ± 0.61 (0–1). The preoperative ODI improved from 87.01 ± 7.70 (73.33–97.79) to 7.36 ± 8.14 (0–26.67). No major complications occurred. Cure of infection and stable reconstruction with fusion were achieved in all patients.Conclusion: POSe has a very low reported incidence. Standardization of training and sterilization would further reduce its incidence. However, aggressive early TLIF in patients with nonresponding POSe produces beneficial results.

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Section: Discussionmentioning

confidence: 60%

Postoperative Lumbar Spondylodiscitis Following Transforaminal Endoscopy and Outcomes of Transforaminal Lumbar Interbody Fusion

Krishnan¹,

Chauhan²,

Degulmadi³

et al. 2023

J Minim Invasive Spine Surg Tech

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“…In conclusion, we would like to note the versatility of this method of fusion: it can be used for a wide range of degenerative diseases of the lumbar spine, deformities, traumatic injuries, infections, and tumor lesions [ 62 , 63 ].…”

Section: Resultsmentioning

confidence: 99%

Lumbar Spinal Fusion Using Lateral Oblique (Pre-psoas) Approach (Review)

Aleinik¹,

Mlyavykh²,

Qureshi³

2021

Sovrem Tehnol Med

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Lumbar spinal fusion is one of the most common operations in spinal surgery. For its implementation, anterolateral (pre-psoas) approach (oblique lumbar interbody fusion, OLIF) is now increasingly used due to its high efficacy and safety. However, there is still little information on the clinical and radiological results of using this technique. The aim of the study was to analyze the safety and efficacy of OLIF in the treatment of lumbar spine disorders as presented in the literature. Materials and Methods The systematic electronic search was performed using the Ovid Medline, PubMed, and eLIBRARY.RU electronic databases. The following search key words were used: Oblique Lumbar Interbody Fusion, OLIF, Anterior to Psoas Lumbar Interbody Fusion, and ATP. Results For the final analysis, 17 sources were selected; with a total of 2900 patients. Total complication rate was 13.9% (403 cases). The incidence of severe persistent complications was less than 1%. Based on the data obtained, we compared the clinical and radiological results of OLIF with other lumbar fusion methods. Conclusion OLIF is an effective, versatile, and minimally traumatic option for lumbar fusion with relatively few complications, which makes it superior to other retroperitoneal approaches. However, the OLIF technique is not completely free of complications associated with the ventral approach, and it cannot provide adequate decompression of the spinal canal in all cases. In addition, anterior approach surgery is still of limited use in cases of spinal deformities; adequate correction of deformity is achievable mainly in combination with posterior surgery.

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“…The late complications such as fusion cage displacement and sink and breakage of internal fixation were detected. VAS is one of the most commonly used index to measure the degree of pain 27 and ODI is a condition‐specific outcome measure for spinal disorders. 28 …”

Section: Methodsmentioning

confidence: 99%

Application of Oblique Lateral Interbody Fusion Combined with Bridge‐Locking Cage in Adjacent Segment Disease After Lumbar Fusion

Zhang

Yin

2022

Orthopaedic Surgery

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Objective: Adjacent segment disease (ASD) is considered any abnormal process that develops in the mobile segment next to spinal fusion, accompanied by related symptoms. To evaluate the efficacy and complications of oblique lateral interbody fusion (OLIF) combined with bridge-locking fusion on ASD after lumbar fusion.Methods: A total of 35 ASD patients who required re-operation after lumbar fusion in our hospital from March 2014 to March 2020 were retrospectively analyzed, among which 13 cases (seven males and six females; 62.3 AE 11.3 years old) received the treatment of OLIF + bridge-locking cage internal fixation (OLIF group), and 22 cases (14 males and eight females; 52.3 AE 17.8 years old) received the treatment of transforaminal lumbar interbody fusion (TLIF) + pedicle screw fixation (TLIF group). The comparison of the operation time, intraoperative blood loss, postoperative drainage volume, and length of hospital stay between the two groups of patients was performed using the t-test. The comparison of Visual Analogue Scale (VAS) and Oswestry Disability Index (ODI) at different time points before and after the operation was performed using analysis of variance for repeated measurement data. The fusion rate and postoperative complications of the two groups of patients were also evaluated. Results:The operation time of patients in the OLIF group (55.4 AE 12.4 min) was significantly shorter than that of patients in the TLIF group (94.3 AE 22.9 min) (P < 0.05), the length of stay of patients in the OLIF group (7.4 AE 2.3 day) was significantly shorter than that of patients in the TLIF group (12.4 AE 3.2 day) (P < 0.05); the intraoperative blood loss (62.2 AE 30.1 mL) and postoperative drainage (47.3 AE 22.4 mL) of patients in the OLIF group were significantly less than those of patients in the TLIF group with intraoperative blood loss (363.4 AE 120.2 mL) and postoperative drainage (285.5 AE 57.8 mL) (all Ps < 0.05). Besides, the VAS and ODI scores of the two groups of patients were improved 3 months after the operation and at the last follow-up (all Ps < 0.05). Three patients in the OLIF group developed complications such as hip flexion weakness and fusion cage sink, with an incidence of 23.1%. Three patients in the TLIF group developed complications including wound infection and intraoperative nerve injury, with an incidence of 22.7%. Conclusion:The combination of OLIF and bridge-locking cage may be a safe and effective therapy for ASD patients after lumbar fusion operation.

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Minimally Invasive Surgery Oblique Lumbar Interbody Debridement and Fusion for the Treatment of Lumbar Spondylodiscitis

Cited by 6 publications

References 36 publications

Postoperative Lumbar Spondylodiscitis Following Transforaminal Endoscopy and Outcomes of Transforaminal Lumbar Interbody Fusion

Postoperative Lumbar Spondylodiscitis Following Transforaminal Endoscopy and Outcomes of Transforaminal Lumbar Interbody Fusion

Lumbar Spinal Fusion Using Lateral Oblique (Pre-psoas) Approach (Review)

Application of Oblique Lateral Interbody Fusion Combined with Bridge‐Locking Cage in Adjacent Segment Disease After Lumbar Fusion

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