Comparison of Simultaneous Single-Position Oblique Lumbar Interbody Fusion and Percutaneous Pedicle Screw Fixation with Posterior Lumbar Interbody Fusion Using O-arm Navigated Technique for Lumbar Degenerative Diseases

Minimally invasive posterior or transforaminal lumbar interbody fusion (MI-PLIF/TLIF) are widely accepted procedures for lumbar instability due to degenerative or traumatic diseases. Oblique lateral interbody fusion (OLIF) is currently receiving considerable attention because of the reductions in da...

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Autores principales:	Ying Tan, Masato Tanaka, Sumeet Sonawane, Koji Uotani, Yoshiaki Oda, Yoshihiro Fujiwara, Shinya Arataki, Taro Yamauchi, Tomoyuki Takigawa, Yasuo Ito
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	O-arm navigation simultaneous single-position oblique lateral interbody fusion indirect decompression Medicine R
Acceso en línea:	https://doaj.org/article/8cb34319df0245588cbc2ac33acddf6c
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spelling	oai:doaj.org-article:8cb34319df0245588cbc2ac33acddf6c2021-11-11T17:34:34ZComparison of Simultaneous Single-Position Oblique Lumbar Interbody Fusion and Percutaneous Pedicle Screw Fixation with Posterior Lumbar Interbody Fusion Using O-arm Navigated Technique for Lumbar Degenerative Diseases10.3390/jcm102149382077-0383https://doaj.org/article/8cb34319df0245588cbc2ac33acddf6c2021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/4938https://doaj.org/toc/2077-0383Minimally invasive posterior or transforaminal lumbar interbody fusion (MI-PLIF/TLIF) are widely accepted procedures for lumbar instability due to degenerative or traumatic diseases. Oblique lateral interbody fusion (OLIF) is currently receiving considerable attention because of the reductions in damage to the back muscles and neural tissue. The aim of this study was to compare clinical and radiographic outcomes of simultaneous single-position OLIF and percutaneous pedicle screw (PPS) fixation with MI-PLIF/TLIF. This retrospective comparative study included 98 patients, comprising 63 patients with single-position OLIF (Group SO) and 35 patients with MI-PLIF/TLIF (Group P/T). Cases with more than 1 year of follow-up were included in this study. Mean follow-up was 32.9 ± 7.0 months for Group SO and 33.7 ± 7.5 months for Group P/T. Clinical and radiological evaluations were performed. Comparing Group SO to Group P/T, surgical time and blood loss were 118 versus 172 min (<i>p</i> < 0.01) and 139 versus 374 mL (<i>p</i> < 0.01), respectively. Cage height, change in disk height, and postoperative foraminal height were significantly higher in Group SO than in Group P/T. The fusion rate was 96.8% in Group SO, similar to the 94.2% in Group P/T (<i>p</i> = 0.985). The complication rate was 6.3% in Group SO and 14.1% in Group P/T (<i>p</i> = 0.191). Simultaneous single position O-arm-navigated OLIF reduces the surgical time, blood loss, and time to ambulation after surgery. Good indirect decompression can be achieved with this method.Ying TanMasato TanakaSumeet SonawaneKoji UotaniYoshiaki OdaYoshihiro FujiwaraShinya AratakiTaro YamauchiTomoyuki TakigawaYasuo ItoMDPI AGarticleO-arm navigationsimultaneous single-position oblique lateral interbody fusionindirect decompressionMedicineRENJournal of Clinical Medicine, Vol 10, Iss 4938, p 4938 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	O-arm navigation simultaneous single-position oblique lateral interbody fusion indirect decompression Medicine R
spellingShingle	O-arm navigation simultaneous single-position oblique lateral interbody fusion indirect decompression Medicine R Ying Tan Masato Tanaka Sumeet Sonawane Koji Uotani Yoshiaki Oda Yoshihiro Fujiwara Shinya Arataki Taro Yamauchi Tomoyuki Takigawa Yasuo Ito Comparison of Simultaneous Single-Position Oblique Lumbar Interbody Fusion and Percutaneous Pedicle Screw Fixation with Posterior Lumbar Interbody Fusion Using O-arm Navigated Technique for Lumbar Degenerative Diseases
description	Minimally invasive posterior or transforaminal lumbar interbody fusion (MI-PLIF/TLIF) are widely accepted procedures for lumbar instability due to degenerative or traumatic diseases. Oblique lateral interbody fusion (OLIF) is currently receiving considerable attention because of the reductions in damage to the back muscles and neural tissue. The aim of this study was to compare clinical and radiographic outcomes of simultaneous single-position OLIF and percutaneous pedicle screw (PPS) fixation with MI-PLIF/TLIF. This retrospective comparative study included 98 patients, comprising 63 patients with single-position OLIF (Group SO) and 35 patients with MI-PLIF/TLIF (Group P/T). Cases with more than 1 year of follow-up were included in this study. Mean follow-up was 32.9 ± 7.0 months for Group SO and 33.7 ± 7.5 months for Group P/T. Clinical and radiological evaluations were performed. Comparing Group SO to Group P/T, surgical time and blood loss were 118 versus 172 min (<i>p</i> < 0.01) and 139 versus 374 mL (<i>p</i> < 0.01), respectively. Cage height, change in disk height, and postoperative foraminal height were significantly higher in Group SO than in Group P/T. The fusion rate was 96.8% in Group SO, similar to the 94.2% in Group P/T (<i>p</i> = 0.985). The complication rate was 6.3% in Group SO and 14.1% in Group P/T (<i>p</i> = 0.191). Simultaneous single position O-arm-navigated OLIF reduces the surgical time, blood loss, and time to ambulation after surgery. Good indirect decompression can be achieved with this method.
format	article
author	Ying Tan Masato Tanaka Sumeet Sonawane Koji Uotani Yoshiaki Oda Yoshihiro Fujiwara Shinya Arataki Taro Yamauchi Tomoyuki Takigawa Yasuo Ito
author_facet	Ying Tan Masato Tanaka Sumeet Sonawane Koji Uotani Yoshiaki Oda Yoshihiro Fujiwara Shinya Arataki Taro Yamauchi Tomoyuki Takigawa Yasuo Ito
author_sort	Ying Tan
title	Comparison of Simultaneous Single-Position Oblique Lumbar Interbody Fusion and Percutaneous Pedicle Screw Fixation with Posterior Lumbar Interbody Fusion Using O-arm Navigated Technique for Lumbar Degenerative Diseases
title_short	Comparison of Simultaneous Single-Position Oblique Lumbar Interbody Fusion and Percutaneous Pedicle Screw Fixation with Posterior Lumbar Interbody Fusion Using O-arm Navigated Technique for Lumbar Degenerative Diseases
title_full	Comparison of Simultaneous Single-Position Oblique Lumbar Interbody Fusion and Percutaneous Pedicle Screw Fixation with Posterior Lumbar Interbody Fusion Using O-arm Navigated Technique for Lumbar Degenerative Diseases
title_fullStr	Comparison of Simultaneous Single-Position Oblique Lumbar Interbody Fusion and Percutaneous Pedicle Screw Fixation with Posterior Lumbar Interbody Fusion Using O-arm Navigated Technique for Lumbar Degenerative Diseases
title_full_unstemmed	Comparison of Simultaneous Single-Position Oblique Lumbar Interbody Fusion and Percutaneous Pedicle Screw Fixation with Posterior Lumbar Interbody Fusion Using O-arm Navigated Technique for Lumbar Degenerative Diseases
title_sort	comparison of simultaneous single-position oblique lumbar interbody fusion and percutaneous pedicle screw fixation with posterior lumbar interbody fusion using o-arm navigated technique for lumbar degenerative diseases
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/8cb34319df0245588cbc2ac33acddf6c
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Comparison of Simultaneous Single-Position Oblique Lumbar Interbody Fusion and Percutaneous Pedicle Screw Fixation with Posterior Lumbar Interbody Fusion Using O-arm Navigated Technique for Lumbar Degenerative Diseases

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