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01-12-2020 | Spondylolisthesis | Research article

Standalone oblique lateral interbody fusion vs. combined with percutaneous pedicle screw in spondylolisthesis

Authors: Wei He, Da He, Yuqing Sun, Yonggang Xing, Jiankun Wen, Weiheng Wang, Yanhai Xi, Mingming Liu, Wei Tian, Xiaojian Ye

Published in: BMC Musculoskeletal Disorders | Issue 1/2020

Abstract

Background

To compare standalone oblique lateral interbody fusion (OLIF) vs. OLIF combined with posterior bilateral percutaneous pedicle screw fixation (OLIF combined) for the treatment of lumbar spondylolisthesis.

Methods

This was a retrospective study of patients who underwent standalone OLIF or combined OLIF between 07/2014 and 08/2017 at two hospitals in China. Direct decompressions were not performed. Visual analog scale (VAS), Oswestry Disability Index (ODI), satisfaction rate, anterior/posterior disc heights (DH), foraminal height (FH), foraminal width (FW), cage subsidence, cage retropulsion, fusion rate, and complications were analyzed. All imaging examinations were read independently by two physicians and the mean measurements were used for analysis.

Results

A total of 73 patients were included: 32 with standalone OLIF and 41 with combined OLIF. The total complication rate was 25.0% with standalone OLIF and 26.8% with combined OLIF. There were no differences in VAS and ODI scores by 2 years of follow-up, but the scores were better with standalone OLIF at 1 week and 3 months (P < 0.05). PDH and FW was smaller in the combined OLIF group compared with the standalone OLIF group before and after surgery (all P < 0.05). There were significant differences in FH before surgery and at 1 week and 3 months between the two groups (all P < 0.05), but the difference disappeared by 2 years (P = 0.111). Cage subsidence occurred in 7.3% (3/41) and 7.3% (3/41) of the patients at 3 and 24 months, respectively, in the combined OLIF group, compared with 6.3% (2/32) and 15.6% (5/32), respectively, in the standalone OLIF group at the same time points (P = 0.287). There was no cage retropulsion in both groups at 2 years. The fusion rate was 85.4%(35/41) in the combined OLIF group and 84.4% (27/32) in the standalone OLIF group at 3 months(P = 0.669). At 24 months, the fusion rate was 100.0% in the combined OLIF group and 93.8% (30/32) in the standalone OLIF group (P = 0.066).

Conclusion

Standalone OLIF may achieve equivalent clinical and radiological outcomes than OLIF combined with fixation for spondylolisthesis. The rate of complications was similar between the two groups. Patients who are osteoporotic might be better undergoing combined rather than standalone OLIF. The possibilty of proof lies within a future prospective study, preferably an RCT.

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Title: Standalone oblique lateral interbody fusion vs. combined with percutaneous pedicle screw in spondylolisthesis
Authors: Wei He
Da He
Yuqing Sun
Yonggang Xing
Jiankun Wen
Weiheng Wang
Yanhai Xi
Mingming Liu
Wei Tian
Xiaojian Ye
Publication date: 01-12-2020
Publisher: BioMed Central
Keyword: Spondylolisthesis
Published in: BMC Musculoskeletal Disorders / Issue 1/2020
Electronic ISSN: 1471-2474
DOI: https://doi.org/10.1186/s12891-020-03192-7

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Standalone oblique lateral interbody fusion vs. combined with percutaneous pedicle screw in spondylolisthesis

Abstract

Background

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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