Comparison between intervertebral oblique lumbar interbody fusion and transforaminal lumbar interbody fusion: a multicenter study

Comparison between intervertebral oblique lumbar interbody fusion and transforaminal lumbar interbody fusion: a multicenter study

Abstract This study aimed to perform a comparative analysis of postoperative results between lumbar degenerative spondylolisthesis (LDS) treated with oblique lateral interbody fusion (OLIF) and transforaminal lumbar interbody fusion (TLIF) from the Chiba spine surgery registry database. Sixty-five p...

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Autores principales: Hiromitsu Takaoka, Kazuhide Inage, Yawara Eguchi, Yasuhiro Shiga, Takeo Furuya, Satoshi Maki, Yasuchika Aoki, Masahiro Inoue, Takayuki Fujiyoshi, Takuya Miyamoto, Yuji Noguchi, Shinichiro Nakamura, Tomoaki Kinoshita, Takahito Kamada, Hiroshi Takahashi, Junya Saito, Masaki Norimoto, Toshiaki Kotani, Tsuyoshi Sakuma, Yasushi Iijima, Tetsuhiro Ishikawa, Tomotaka Umimura, Mitsutoshi Ohta, Miyako Suzuki-Narita, Keigo Enomoto, Takashi Sato, Masashi Sato, Masahiro Suzuki, Takashi Hozumi, Geundong Kim, Norichika Mizuki, Ryuto Tsuchiya, Takuma Otagiri, Tomohito Mukaihata, Takahisa Hishiya, Seiji Ohtori, Sumihisa Orita
Formato: article
Lenguaje:EN
Publicado: Nature Portfolio 2021
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Medicine
R
Science
Q
Acceso en línea:https://doaj.org/article/1174d028a6a24ecc9b1850aea2845bb4
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Sumario:Abstract This study aimed to perform a comparative analysis of postoperative results between lumbar degenerative spondylolisthesis (LDS) treated with oblique lateral interbody fusion (OLIF) and transforaminal lumbar interbody fusion (TLIF) from the Chiba spine surgery registry database. Sixty-five patients who underwent single-level OLIF (O group) for LDS with ≥ 3 years’ follow-up were retrospectively reviewed. The control group comprised 78 patients who underwent single-level TLIF (T group). The analyzed variables included global alignment, radiological parameters of fused segments, asymptomatic and symptomatic ASD incidence, clinical outcomes at 3 years postoperatively using the Japanese Orthopedic Association Back Pain Evaluation Questionnaire data, visual analogue scale scores for low back pain, lower extremity pain, and lower extremity numbness. There was no significant change in global alignment between the two groups. The rate of improvement in anterior intervertebral disc height was not significantly different between the groups at 1-month postoperatively. However, at the final evaluation, the anterior intervertebral disc height and incidence of asymptomatic ASD were significantly higher in the O group. There was no significant difference in symptomatic ASD, reoperation cases, or clinical results between groups. Thus, single-level OLIF can maintain the corrected disc height, but as it has no effect on global alignment, its benefit is limited.

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