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Journal of Orthopaedic Surgery and Research

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Open Access 01-12-2019 | Spondylolisthesis | Research article

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

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

Published in: Journal of Orthopaedic Surgery and Research | Issue 1/2019

Abstract

Background

To compare the clinical efficacy and radiographic analysis of oblique lumbar interbody fusion (OLIF) and traditional posterior lumbar interbody fusion (PLIF) in treating degenerative lumbar spondylolisthesis (DLS).

Methods

Grade I DLS patients admitted to the Third Hospital of Hebei Medical University were retrospectively reviewed. In sum, 78 patients that underwent OLIF (n = 31) and PLIF (n = 47) treatment of DLS were recruited. Clinical data including clinical and radiological evaluations were collected pre-operatively and at each follow-up. Japanese Orthopaedic Association (JOA) scores, Oswestry Disability Index (ODI), lumbar lordosis (LL), disc height (DH), and fusion rates were compared between the OLIF and PLIF groups.

Results

The operation time for both groups was 131.3 ± 14.6 min in the OLIF group and 156.9 ± 37.4 min in the PLIF group (P < 0.001). The intraoperative blood loss was 163.6 ± 63.9 ml in the OLIF group and 496.8 ± 122.6 ml in the PLIF group (P < 0.001). The length of the surgical incision was 4.63 ± 0.57 cm in the OLIF group and 11.83 ± 1.37 cm in the PLIF group (P < 0.001). The number of intraoperative and post-operative complications for both groups was 10 in the OLIF group and 20 in the PLIF group. Significant clinical improvement (P < 0.05) was observed in JOA scores and ODI when comparing pre-operative evaluation and final follow-up. After statistical analysis, there was no significant difference in the preoperative JOA scores between the two groups. There was no significant difference when comparing pre-operative LL and DH for either group. Post-operative reexamination was improved as compared to pre-operative exams. And the improvement of DH was better in the OLIF group as compared to the PLIF group.

Conclusions

For DLS patients, both OLIF and PLIF can achieve good results. Furthermore, OLIF displays marked advantages including smaller surgical incisions, shorter anesthesia times, decreased intraoperative blood loss, and post-operative pain better relieved.

Fredrickson BE, Baker D, McHolick WJ, Yuan HA, Lubicky JP. J bone joint Surg am. The natural history of spondylolysis and spondylolisthesis. J Bone Joint Surg Am, 1984, 66(5): 699–707.CrossRef

Silvestre C, Mac-Thiong JM, Hilmi R, Roussouly P. Complications and morbidities of mini-open anterior retroperitoneal lumbar interbody fusion: oblique lumbar interbody fusion in 179 patients. Asian Spine J. 2012;6(2):89–97.CrossRef

Mayer HM. A new microsurgical technique for minimally invasive anterior lumbar interbody fusion. Spine. 1997;22(6):691–700.CrossRef

Labelle H, Roussouly P, Berthonnaud E, Transfeldt E, O'Brien M, Chopin D, Hresko T, Dimnet J. Pelvic incidence, and spinopelvic balance: a correlation study. Spine. 2004;29(18):2049–54.CrossRef

Roussouly P, Gollogly S, Berthonnaud E, Labelle H, Weidenbaum M. Sagittal alignment of the spine and pelvis in the presence of L5-S1 isthmic lysis and low-grade spondylolisthesis. Spine. 2006;31(21):2484–90.CrossRef

Barrey C, Jund J, Perrin G, et al. Spinopelvic alignment of patients with degenerative spondylolisthesis. Neurosurgery. 2007;61(5):981–6.CrossRef

Labelle H, Mac-Thiong J-M, Roussouly P. Spinopelvic sagittal balance of spondylolisthesis: a review and classification. Eur Spine J. 2011;20(Suppl 5):641–6.CrossRef

Jun S, Hua RZ, Lu TJ, et al. Are endoscopic grading and scoring systems in inflammatory bowel disease the same. Saudi Med J. 2008;29(10):1432–7.PubMed

Jun S, Hua RZ, Lu TJ, Xiang C, Dong XS. A radiographic assessment of the ability of the extreme lateral interbody fusion procedure to indirectly decompress the neural elements. Spine. 2010;35(26 Suppl):S331–7.

10.

Fujibayashi S, Hynes RA, Otsuki B, Kimura H, Takemoto M, Matsuda S. Effect of indirect neural decompression through oblique lateral interbody fusion for degenerative lumbar disease. Spine. 2015;40(3):E175–82.CrossRef

11.

Arnold PM, Anderson KK, Mc Guire RA Jr. The lateral transpsoas approach to the lumbar and thoracic spine: a review. Surg Neurol Int. 2012;3(Suppl 3):S198–215.CrossRef

12.

Li CC, Chang TH, Wu WJ, Ke HL, Huang SP, Tsai PC, Chang SJ, Shen JT, Chou YH, Huang CH. Significant predictive factors for prognosis of primary upper urinary tract cancer after radical nephroureterectomy in taiwanese patients. Eur Urol. 2008;54(5):1127–34. Doi. https://doi.org/10.1016/j.eururo.2008.01.054.CrossRefPubMed

13.

Kim KT, Lee SH, Suk KS, Bae SC. The quantitative analysis of tissue injury markers after mini-open lumbar fusion. Spine. 2006;31(6):712–6.CrossRef

14.

Lin GX, Akbary K, Kotheeranurak V, Quillo-Olvera J, Jo HJ, Yang XW, Mahatthanatrakul A, Kim JS. Clinical and radiologic outcomes of direct versus indirect decompression with lumbar interbody fusion: a matched-pair comparison analysis. World Neurosurgery. 2018;119:e898–909.CrossRef

15.

Woods KR, Billys JB, Hynes RA. Technical description of oblique lateral interbody fusion at L1-L5 (OLIF25) and at L5-S1 (OLIF51) and evaluation of complication and fusion rates. Spine J Official J North American Spine Society. 2017;17(4):545.CrossRef

16.

Gragnaniello C, Seex K. Anterior to psoas (ATP) fusion of the lumbar spine: evolution of a technique facilitated by changes in equipment. J Spine Surg. 2016;2(4):256.CrossRef

17.

Udby PM, Bech-Azeddine R. Clinical outcome of stand-alone ALIF compared to posterior instrumentation for degenerative disc disease: a pilot study and a literature review. Clin Neurol Neurosurg. 2015 Jun;133:64–9. https://doi.org/10.1016/j.clineuro.2015.03.008.CrossRefPubMed

18.

Freudenberger C, Lindley EM, Beard DW, Reckling WC, Williams A, Burger EL, Patel VV. Posterior versus anterior lumbar interbody fusion with anterior tension band plating: retrospective analysis. Orthopedics. 2009;32(7):492. https://doi.org/10.3928/01477447-20090527-12.CrossRefPubMed

19.

Roland M, Fairbank J. The Roland-Morris disability questionnaire and the Oswestry disability questionnaire[J]. Spine, 2000, 25(24):3115–3124.CrossRef

20.

Suk S-II, Lee C-K, Kim W-J, Lee J-H, Cho K-J, Kim H-G. Adding posterior lumbar inter-body fusion to pedicle screw fixation and posterolateral fusion after decompression in spondylolytic spondylolisthesis. Spine. 1997;22(2):210–20.CrossRef

21.

Berjano P, Balsano M, Buric J, et al. Direct lateral access lumbar and thoracolumbar fusion: preliminary results. Eur Spine J. 2012;21(Suppl 1):S37–42.CrossRef

22.

Ozgur BM, Agarwal V, Nail E, Pimenta L. Two-year clinical and radiographic success of minimally invasive lateral transpsoas approach for the treatment of degenerative lumbar conditions. SAS J. 2010;4(2):41–6. https://doi.org/10.1016/j.esas.2010.03.005 eCollection 2010.CrossRefPubMedPubMedCentral

23.

Pimenta L, Oliveira L, Schaffa T, Coutinho E, Marchi L. Lumbar total disc replacement from an extreme lateral approach: clinical experience with a minimum of 2 years’ follow-up. J Neurosurg Spine. 2011;14(1):38–45.CrossRef

24.

Li JX, Phan K, Mobbs R. Oblique lumbar interbody fusion: technical aspects, operative outcomes, and complications. World Neu⁃rosurg. 2017;98(2):113–23.CrossRef

25.

Abe K, Orita S, Mannoji C. Perioperative complications in 155 patients who underwent oblique lateral interbody fusion surgery: perspectives and indications from a retrospective, multi-center survey. Spine (Phila Pa 1976). 2017;42(1):55–62.CrossRef

26.

Labelle H, Mac-Thiong JM, Roussouly P. Spino-pelvic sagittal balance of spondylolisthesis: a review and classification. Eur Spine J. 2011;20(Suppl 5):641–6.CrossRef

Title: Efficacy and radiographic analysis of oblique lumbar interbody fusion for degenerative lumbar spondylolisthesis
Authors: Menghui Wu
Jia Li
Mengxin Zhang
Xufeng Ding
Dongxu Qi
Guimiao Li
Yong Shen
Publication date: 01-12-2019
Publisher: BioMed Central
Keywords: Spondylolisthesis
Incision
Published in: Journal of Orthopaedic Surgery and Research / Issue 1/2019
Electronic ISSN: 1749-799X
DOI: https://doi.org/10.1186/s13018-019-1416-2

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

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

Abstract

Background

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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