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A modified oblique lumbar interbody fusion: A better way to establish an exposure under direct microscopic vision
STUDY DESIGN: This is a retrospective study. OBJECTIVE: To demonstrate a modified oblique lumbar interbody fusion (OILF) technique for L1–L5. METHODS: The modified technique splits anterior portion of psoas belly to access the oblique corridor (OC) anteroinferior to psoas, minimizing psoas manipulat...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10025467/ https://www.ncbi.nlm.nih.gov/pubmed/36950057 http://dx.doi.org/10.3389/fsurg.2023.1130489 |
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author | Wang, Kai Zhang, Xiangyu Zhao, Zirun Chou, Dean Jian, Fengzeng Wu, Hao |
author_facet | Wang, Kai Zhang, Xiangyu Zhao, Zirun Chou, Dean Jian, Fengzeng Wu, Hao |
author_sort | Wang, Kai |
collection | PubMed |
description | STUDY DESIGN: This is a retrospective study. OBJECTIVE: To demonstrate a modified oblique lumbar interbody fusion (OILF) technique for L1–L5. METHODS: The modified technique splits anterior portion of psoas belly to access the oblique corridor (OC) anteroinferior to psoas, minimizing psoas manipulation and retraction and avoiding nerve injury while offering excellent microscopic visualization. Psoas weakness and neurovascular complication rates in patients treated with traditional OLIF (T-OLIF) or anteroinferior psoas OLIF (AP-OLIF) were retrospectively reviewed. Clinical outcomes were also reviewed. RESULTS: A total of 162 cases treated with T-OLIF (n = 73) and AP-OLIF (n = 89) for degenerative lumbar disease were included. The mean operative time and blood loss were less with AP-OLIF (P < 0.01). Approach related complications were 14 (19.1%) with T-OLIF and 4 (4.5%) with AP-OLIF. Postoperative visual analog scale (VAS) and Oswestry Disability Index (ODI) scores improved in both T-OIF and AP-OIF groups (P < 0.01). CONCLUSION: The modified OLIF technique (AP-OLIF) is characterized by an easy exposure of the lumbar spine under direct microscopic vision, resulting in less psoas weakness and neurovascular injury. |
format | Online Article Text |
id | pubmed-10025467 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-100254672023-03-21 A modified oblique lumbar interbody fusion: A better way to establish an exposure under direct microscopic vision Wang, Kai Zhang, Xiangyu Zhao, Zirun Chou, Dean Jian, Fengzeng Wu, Hao Front Surg Surgery STUDY DESIGN: This is a retrospective study. OBJECTIVE: To demonstrate a modified oblique lumbar interbody fusion (OILF) technique for L1–L5. METHODS: The modified technique splits anterior portion of psoas belly to access the oblique corridor (OC) anteroinferior to psoas, minimizing psoas manipulation and retraction and avoiding nerve injury while offering excellent microscopic visualization. Psoas weakness and neurovascular complication rates in patients treated with traditional OLIF (T-OLIF) or anteroinferior psoas OLIF (AP-OLIF) were retrospectively reviewed. Clinical outcomes were also reviewed. RESULTS: A total of 162 cases treated with T-OLIF (n = 73) and AP-OLIF (n = 89) for degenerative lumbar disease were included. The mean operative time and blood loss were less with AP-OLIF (P < 0.01). Approach related complications were 14 (19.1%) with T-OLIF and 4 (4.5%) with AP-OLIF. Postoperative visual analog scale (VAS) and Oswestry Disability Index (ODI) scores improved in both T-OIF and AP-OIF groups (P < 0.01). CONCLUSION: The modified OLIF technique (AP-OLIF) is characterized by an easy exposure of the lumbar spine under direct microscopic vision, resulting in less psoas weakness and neurovascular injury. Frontiers Media S.A. 2023-03-06 /pmc/articles/PMC10025467/ /pubmed/36950057 http://dx.doi.org/10.3389/fsurg.2023.1130489 Text en © 2023 Wang, Zhang, Zhao, Chou, Jian and Wu. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Surgery Wang, Kai Zhang, Xiangyu Zhao, Zirun Chou, Dean Jian, Fengzeng Wu, Hao A modified oblique lumbar interbody fusion: A better way to establish an exposure under direct microscopic vision |
title | A modified oblique lumbar interbody fusion: A better way to establish an exposure under direct microscopic vision |
title_full | A modified oblique lumbar interbody fusion: A better way to establish an exposure under direct microscopic vision |
title_fullStr | A modified oblique lumbar interbody fusion: A better way to establish an exposure under direct microscopic vision |
title_full_unstemmed | A modified oblique lumbar interbody fusion: A better way to establish an exposure under direct microscopic vision |
title_short | A modified oblique lumbar interbody fusion: A better way to establish an exposure under direct microscopic vision |
title_sort | modified oblique lumbar interbody fusion: a better way to establish an exposure under direct microscopic vision |
topic | Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10025467/ https://www.ncbi.nlm.nih.gov/pubmed/36950057 http://dx.doi.org/10.3389/fsurg.2023.1130489 |
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