Efficacy and radiographic analysis of oblique lumbar interbody fusion in treating adult spinal deformity.

Adult spinal deformity (ASD) is usually rigid and requires a combined anterior-posterior approach for deformity correction. Anterior lumbar interbody fusion (ALIF) allows direct access to the disc space and placement of a large interbody graft. A larger interbody graft facilitates correction of ASD....

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Autores principales:	Dae-Jean Jo, Eun-Min Seo
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/183c0b19937d429abd8c2367c906097d
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spelling	oai:doaj.org-article:183c0b19937d429abd8c2367c906097d2021-12-02T20:06:19ZEfficacy and radiographic analysis of oblique lumbar interbody fusion in treating adult spinal deformity.1932-620310.1371/journal.pone.0257316https://doaj.org/article/183c0b19937d429abd8c2367c906097d2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0257316https://doaj.org/toc/1932-6203Adult spinal deformity (ASD) is usually rigid and requires a combined anterior-posterior approach for deformity correction. Anterior lumbar interbody fusion (ALIF) allows direct access to the disc space and placement of a large interbody graft. A larger interbody graft facilitates correction of ASD. However, an anterior approach carries significant risks. Lateral lumbar interbody fusion (LLIF) through a minimally invasive approach has recently been used for ASD. The present study was performed to evaluate the effectiveness of oblique lumbar interbody fusion (OLIF) in the treatment of ASD. We performed a retrospective study utilizing the data of 74 patients with ASD. The inclusion criteria were lumbar coronal Cobb angle > 20°, pelvic incidence (PI)-lumbar lordosis (LL) mismatch > 10°, and minimum follow-up of 2 years. Patients were divided into two groups: ALIF combined with posterior spinal fixation (ALIF+PSF) (n = 38) and OLIF combined with posterior spinal fixation (OLIF+PSF) (n = 36). The perioperative spinal deformity radiographic parameters, complications, and health-related quality of life (HRQoL) outcomes were assessed and compared between the two groups. The preoperative sagittal vertical axis (SVA), LL, PI-LL mismatch, and lumbar Cobb angles were similar between the two groups. Patients in the OLIF+PSF group had a slightly higher mean number of interbody fusion levels than those in the ALIF+PSF group. At the final follow-up, all radiographic parameters and HRQoL scores were similar between the two groups. However, the rates of perioperative complications were higher in the ALIF+PSF than OLIF+PSF group. The ALIF+PSF and OLIF+PSF groups showed similar radiographic and HRQoL outcomes. These observations suggest that OLIF is a safe and reliable surgical treatment option for ASD.Dae-Jean JoEun-Min SeoPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 9, p e0257316 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Dae-Jean Jo Eun-Min Seo Efficacy and radiographic analysis of oblique lumbar interbody fusion in treating adult spinal deformity.
description	Adult spinal deformity (ASD) is usually rigid and requires a combined anterior-posterior approach for deformity correction. Anterior lumbar interbody fusion (ALIF) allows direct access to the disc space and placement of a large interbody graft. A larger interbody graft facilitates correction of ASD. However, an anterior approach carries significant risks. Lateral lumbar interbody fusion (LLIF) through a minimally invasive approach has recently been used for ASD. The present study was performed to evaluate the effectiveness of oblique lumbar interbody fusion (OLIF) in the treatment of ASD. We performed a retrospective study utilizing the data of 74 patients with ASD. The inclusion criteria were lumbar coronal Cobb angle > 20°, pelvic incidence (PI)-lumbar lordosis (LL) mismatch > 10°, and minimum follow-up of 2 years. Patients were divided into two groups: ALIF combined with posterior spinal fixation (ALIF+PSF) (n = 38) and OLIF combined with posterior spinal fixation (OLIF+PSF) (n = 36). The perioperative spinal deformity radiographic parameters, complications, and health-related quality of life (HRQoL) outcomes were assessed and compared between the two groups. The preoperative sagittal vertical axis (SVA), LL, PI-LL mismatch, and lumbar Cobb angles were similar between the two groups. Patients in the OLIF+PSF group had a slightly higher mean number of interbody fusion levels than those in the ALIF+PSF group. At the final follow-up, all radiographic parameters and HRQoL scores were similar between the two groups. However, the rates of perioperative complications were higher in the ALIF+PSF than OLIF+PSF group. The ALIF+PSF and OLIF+PSF groups showed similar radiographic and HRQoL outcomes. These observations suggest that OLIF is a safe and reliable surgical treatment option for ASD.
format	article
author	Dae-Jean Jo Eun-Min Seo
author_facet	Dae-Jean Jo Eun-Min Seo
author_sort	Dae-Jean Jo
title	Efficacy and radiographic analysis of oblique lumbar interbody fusion in treating adult spinal deformity.
title_short	Efficacy and radiographic analysis of oblique lumbar interbody fusion in treating adult spinal deformity.
title_full	Efficacy and radiographic analysis of oblique lumbar interbody fusion in treating adult spinal deformity.
title_fullStr	Efficacy and radiographic analysis of oblique lumbar interbody fusion in treating adult spinal deformity.
title_full_unstemmed	Efficacy and radiographic analysis of oblique lumbar interbody fusion in treating adult spinal deformity.
title_sort	efficacy and radiographic analysis of oblique lumbar interbody fusion in treating adult spinal deformity.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/183c0b19937d429abd8c2367c906097d
work_keys_str_mv	AT daejeanjo efficacyandradiographicanalysisofobliquelumbarinterbodyfusionintreatingadultspinaldeformity AT eunminseo efficacyandradiographicanalysisofobliquelumbarinterbodyfusionintreatingadultspinaldeformity
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Efficacy and radiographic analysis of oblique lumbar interbody fusion in treating adult spinal deformity.

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