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
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Publicado: Public Library of Science (PLoS) 2021
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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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