Perioperative Complications in 155 Patients Who Underwent Oblique Lateral Interbody Fusion Surgery

Abe, Koki; Orita, Sumihisa; Mannoji, Chikato; Motegi, Hiroyuki; Aramomi, Masaaki; Ishikawa, Tetsuhiro; Kotani, Toshiaki; Akazawa, Tsutomu; Morinaga, Takao; Fujiyoshi, Takayuki; Hasue, Fumio; Yamagata, Masatsune; Hashimoto, Mitsuhiro; Yamauchi, Tomonori; Eguchi, Yawara; Suzuki, Mitsuaki; Hanaoka, Eiji; Inage, Kazuhide; Sato, Jun; Fujimoto, Kazuki; Shiga, Yasuhiro; Kanamoto, Hirohito; Yamauchi, Kazuyo; Nakamura, Junichi; Suzuki, Takane; Hynes, Richard A.; Aoki, Yasuchika; Takahashi, Kazuhisa; Ohtori, Seiji

doi:10.1097/brs.0000000000001650

Cited by 225 publications

(170 citation statements)

References 40 publications

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“…Our study's results indicate that surgeons should insert an OLIF cage with a height of up to 10 mm in zone II to gain the most lordosis correction and fewest endplate injuries. Possible involvement of endplate injury and subsidence during OLIF surgery have been reported in the previous study 24) . The current study has some limitations.…”

Section: Discussionmentioning

confidence: 97%

Evaluation of the location of intervertebral cages during oblique lateral interbody fusion surgery to achieve sagittal correction

Orita

Inage

Sato

et al. 2017

Spine Surg Relat Res

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Abstract:Introduction: Oblique lateral interbody fusion (OLIF) can achieve recovery of lumbar lordosis (LL) in minimally invasive manner. The current study aimed to evaluate the location of lateral intervertebral cages during OLIF in terms of LL correction.Methods: The subjects were patients who underwent OLIF for lumbar degenerative diseases, including lumbar spinal stenosis, spondylolisthesis, and discogenic low back pain. Their clinical outcome was evaluated using visual analogue scale on lower back pain (LBP), leg pain and numbness. The following parameters were retrospectively evaluated on plain radiographic images and computed tomography scans before and at 1 year after OLIF: the intervertebral height, vertebral translation, and sagittal angle. The cage position was defined by equally dividing the caudal endplate into five zones (I to V), and its association with segmental lordosis restoration was analyzed. Subjects were also evaluated for a postoperative endplate injury.Results: Eighty patients (121 fused levels) with lumbar degeneration who underwent OLIF were included. There were no significant specific distribution in preoperative disc pathology such as disc angle, height, and translation. After OLIF, sagittal alignment was improved with an average correction angle of 3.8 at the instrumented segments in a level-independent fashion. All cases showed significant improvement in clinical outcomes, and had improvement in the radiological parameters (P<0.05). A detailed analysis of the cage position showed that the most significant sagittal correction and the most postoperative endplate injuries occurred in the farthest anterior zone (I). Cages with a 12-mm height were associated with more endplate injuries compared with shorter cages (8 or 10 mm).Conclusions: OLIF improves sagittal alignment with an average correction angle of 3.8 at the instrumented segments. We suggest that the optimal cage position for better lordosis correction and the fewest endplate injuries is zone II with a cage height of up to 10 mm.

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Section: Discussionmentioning

confidence: 97%

Evaluation of the location of intervertebral cages during oblique lateral interbody fusion surgery to achieve sagittal correction

Orita

Inage

Sato

et al. 2017

Spine Surg Relat Res

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“…The process of traversing the spinal canal, which may have formed adhesions to surrounding tissues, is an especially difficult phase. The incidences of neurological complications and dural tearing are not influenced by empirical considerations, but rather are common intraoperative complications experienced by both senior surgeons as well as trainees . Therefore, we should all strive to avoid surgical manipulation of this area to the greatest extent possible.…”

Section: Discussionmentioning

confidence: 99%

Three cases of adjacent segment disease post‐posterior spinal fusion, treated successfully by oblique lateral interbody fusion: A clinical series

Sakamoto

Abe

Orita

et al. 2018

Clinical Case Reports

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“…In addition, there was no significant difference in operation time, intraoperative bleeding volume, and hospitalization time between the two groups, and the clinical effect was similar. Abe reported that in 155 patients, the incidence of complications was 48.3%; 44.5% of these were intraoperative complications. The most common complications were endplate fractures.…”

Section: Development Of Oblique Lumbar Interbody Fusionmentioning

confidence: 99%

Development and Application of Oblique Lumbar Interbody Fusion

Zhou

2020

Orthopaedic Surgery

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The present study reviewed the relevant recent literature regarding the development and application of oblique lumbar interbody fusion (OLIF), with a particular focus on its application and associated complications. The study evaluated the rationality of this technique and demonstrated the direction of future research by collecting data on previous operative outcomes and complications. A literature search was performed in Pubmed and Web of Science, including the following keywords and abbreviations: anterior lumbar interbody fusion (ALIF), lateral lumbar interbody fusion (LLIF), direct lateral interbody fusion (DLIF), extreme lateral interbody fusion (XLIF), oblique lateral interbody fusion (OLIF), adjacent segment disease (ASD), and adult degenerative scoliosis (ADS). A search of literature published from January 2005 to January 2019 was conducted and all studies evaluating development and application of OLIF were included in the review. According to the literature, the indications for OLIF are various. OLIF has excellent orthopaedic effects in degenerative scoliosis patients and the incidence of bony fusion is higher than for other approaches. It also provides a better choice for revision surgery. It has various advantages in many aspects, but the complications cannot be ignored. As a new minimally invasive technique, the advantages of OLIF are obvious, but further evaluation is needed to compare its operation-related data with that of traditional open surgery. In addition, more prospective studies are required to compare minimally invasive and open spinal surgery to confirm its specific efficacy, risk, advantages, learning curve, and ultimate clinical efficacy.

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Perioperative Complications in 155 Patients Who Underwent Oblique Lateral Interbody Fusion Surgery

Abstract: 3.

Cited by 225 publications

References 40 publications

Evaluation of the location of intervertebral cages during oblique lateral interbody fusion surgery to achieve sagittal correction

Evaluation of the location of intervertebral cages during oblique lateral interbody fusion surgery to achieve sagittal correction

Three cases of adjacent segment disease post‐posterior spinal fusion, treated successfully by oblique lateral interbody fusion: A clinical series

Development and Application of Oblique Lumbar Interbody Fusion

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