Cargando…

Clinical Evaluation of Microendoscopy-Assisted Oblique Lateral Interbody Fusion

Background and objectives: Oblique Lateral Interbody Fusion (OLIF) is a widely performed, minimally invasive technique to achieve lumbar lateral interbody fusion. However, some complications can arise due to constraints posed by the limited surgical space and visual field. The purpose of this study...

Descripción completa

Detalles Bibliográficos
Autores principales: Segawa, Tomohide, Koga, Hisashi, Oshina, Masahito, Ishibashi, Katsuhiko, Takano, Yuichi, Iwai, Hiroki, Inanami, Hirohiko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7913526/
https://www.ncbi.nlm.nih.gov/pubmed/33546404
http://dx.doi.org/10.3390/medicina57020135
_version_ 1783656822460121088
author Segawa, Tomohide
Koga, Hisashi
Oshina, Masahito
Ishibashi, Katsuhiko
Takano, Yuichi
Iwai, Hiroki
Inanami, Hirohiko
author_facet Segawa, Tomohide
Koga, Hisashi
Oshina, Masahito
Ishibashi, Katsuhiko
Takano, Yuichi
Iwai, Hiroki
Inanami, Hirohiko
author_sort Segawa, Tomohide
collection PubMed
description Background and objectives: Oblique Lateral Interbody Fusion (OLIF) is a widely performed, minimally invasive technique to achieve lumbar lateral interbody fusion. However, some complications can arise due to constraints posed by the limited surgical space and visual field. The purpose of this study was to assess the short-term postoperative clinical outcomes of microendoscopy-assisted OLIF (ME-OLIF) compared to conventional OLIF. Materials and Methods: We retrospectively investigated 75 consecutive patients who underwent OLIF or ME-OLIF. The age, sex, diagnosis, and number of fused levels were obtained from medical records. Operation time, estimated blood loss (EBL), and intraoperative complications were also collected. Operation time and EBL were only measured per level required for the lateral procedure, excluding the posterior fixation surgery. The primary outcome measure was assessed using the Japanese Orthopedic Association Back Pain Evaluation Questionnaire (JOABPEQ). The secondary outcome measure was assessed using the Oswestry Disability Index (ODI) and the European Quality of Life–5 Dimensions (EQ-5D), measured preoperatively and 1-year postoperatively. Results: This case series consisted of 14 patients in the OLIF group and 61 patients in the ME-OLIF group. There was no significant difference between the two groups in terms of the mean operative time and EBL (p = 0.90 and p = 0.50, respectively). The perioperative complication rate was 21.4% in the OLIF group and 21.3% in the ME-OLIF group (p = 0.99). In both groups, the postoperative JOABPEQ, EQ-5D, and ODI scores improved significantly (p < 0.001). Conclusions: Although there was no significant difference in clinical results between the two surgical methods, the results suggest that both are safe surgical methods and that microendoscopy-assisted OLIF could serve as a potential alternative to the conventional OLIF procedure.
format Online
Article
Text
id pubmed-7913526
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-79135262021-02-28 Clinical Evaluation of Microendoscopy-Assisted Oblique Lateral Interbody Fusion Segawa, Tomohide Koga, Hisashi Oshina, Masahito Ishibashi, Katsuhiko Takano, Yuichi Iwai, Hiroki Inanami, Hirohiko Medicina (Kaunas) Article Background and objectives: Oblique Lateral Interbody Fusion (OLIF) is a widely performed, minimally invasive technique to achieve lumbar lateral interbody fusion. However, some complications can arise due to constraints posed by the limited surgical space and visual field. The purpose of this study was to assess the short-term postoperative clinical outcomes of microendoscopy-assisted OLIF (ME-OLIF) compared to conventional OLIF. Materials and Methods: We retrospectively investigated 75 consecutive patients who underwent OLIF or ME-OLIF. The age, sex, diagnosis, and number of fused levels were obtained from medical records. Operation time, estimated blood loss (EBL), and intraoperative complications were also collected. Operation time and EBL were only measured per level required for the lateral procedure, excluding the posterior fixation surgery. The primary outcome measure was assessed using the Japanese Orthopedic Association Back Pain Evaluation Questionnaire (JOABPEQ). The secondary outcome measure was assessed using the Oswestry Disability Index (ODI) and the European Quality of Life–5 Dimensions (EQ-5D), measured preoperatively and 1-year postoperatively. Results: This case series consisted of 14 patients in the OLIF group and 61 patients in the ME-OLIF group. There was no significant difference between the two groups in terms of the mean operative time and EBL (p = 0.90 and p = 0.50, respectively). The perioperative complication rate was 21.4% in the OLIF group and 21.3% in the ME-OLIF group (p = 0.99). In both groups, the postoperative JOABPEQ, EQ-5D, and ODI scores improved significantly (p < 0.001). Conclusions: Although there was no significant difference in clinical results between the two surgical methods, the results suggest that both are safe surgical methods and that microendoscopy-assisted OLIF could serve as a potential alternative to the conventional OLIF procedure. MDPI 2021-02-03 /pmc/articles/PMC7913526/ /pubmed/33546404 http://dx.doi.org/10.3390/medicina57020135 Text en © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Segawa, Tomohide
Koga, Hisashi
Oshina, Masahito
Ishibashi, Katsuhiko
Takano, Yuichi
Iwai, Hiroki
Inanami, Hirohiko
Clinical Evaluation of Microendoscopy-Assisted Oblique Lateral Interbody Fusion
title Clinical Evaluation of Microendoscopy-Assisted Oblique Lateral Interbody Fusion
title_full Clinical Evaluation of Microendoscopy-Assisted Oblique Lateral Interbody Fusion
title_fullStr Clinical Evaluation of Microendoscopy-Assisted Oblique Lateral Interbody Fusion
title_full_unstemmed Clinical Evaluation of Microendoscopy-Assisted Oblique Lateral Interbody Fusion
title_short Clinical Evaluation of Microendoscopy-Assisted Oblique Lateral Interbody Fusion
title_sort clinical evaluation of microendoscopy-assisted oblique lateral interbody fusion
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7913526/
https://www.ncbi.nlm.nih.gov/pubmed/33546404
http://dx.doi.org/10.3390/medicina57020135
work_keys_str_mv AT segawatomohide clinicalevaluationofmicroendoscopyassistedobliquelateralinterbodyfusion
AT kogahisashi clinicalevaluationofmicroendoscopyassistedobliquelateralinterbodyfusion
AT oshinamasahito clinicalevaluationofmicroendoscopyassistedobliquelateralinterbodyfusion
AT ishibashikatsuhiko clinicalevaluationofmicroendoscopyassistedobliquelateralinterbodyfusion
AT takanoyuichi clinicalevaluationofmicroendoscopyassistedobliquelateralinterbodyfusion
AT iwaihiroki clinicalevaluationofmicroendoscopyassistedobliquelateralinterbodyfusion
AT inanamihirohiko clinicalevaluationofmicroendoscopyassistedobliquelateralinterbodyfusion