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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: Jo, Dae-Jean, Seo, Eun-Min
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8432864/
https://www.ncbi.nlm.nih.gov/pubmed/34506593
http://dx.doi.org/10.1371/journal.pone.0257316
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author Jo, Dae-Jean
Seo, Eun-Min
author_facet Jo, Dae-Jean
Seo, Eun-Min
author_sort Jo, Dae-Jean
collection PubMed
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.
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spelling pubmed-84328642021-09-11 Efficacy and radiographic analysis of oblique lumbar interbody fusion in treating adult spinal deformity Jo, Dae-Jean Seo, Eun-Min PLoS One Research Article 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. Public Library of Science 2021-09-10 /pmc/articles/PMC8432864/ /pubmed/34506593 http://dx.doi.org/10.1371/journal.pone.0257316 Text en © 2021 Jo, Seo https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Jo, Dae-Jean
Seo, Eun-Min
Efficacy and radiographic analysis of oblique lumbar interbody fusion in treating adult spinal deformity
title 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_short 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
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8432864/
https://www.ncbi.nlm.nih.gov/pubmed/34506593
http://dx.doi.org/10.1371/journal.pone.0257316
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