Oblique Lateral Interbody Fusion versus Transforaminal Lumbar Interbody Fusion in Degenerative Lumbar Spondylolisthesis: A Single-Center Retrospective Comparative Study

被引:34
作者
Du, Xing [1 ]
She, Yuxiao [1 ]
Ou, Yunsheng [1 ]
Zhu, Yong [1 ]
Luo, Wei [1 ]
Jiang, Dianming [1 ]
机构
[1] Chongqing Med Univ, Dept Orthoped, Affiliated Hosp 1, Chongqing 400016, Peoples R China
关键词
INDIRECT DECOMPRESSION; LIGAMENTUM-FLAVUM; TUBERCULOSIS; FIXATION; OUTCOMES;
D O I
10.1155/2021/6693446
中图分类号
Q81 [生物工程学(生物技术)]; Q93 [微生物学];
学科分类号
071005 ; 0836 ; 090102 ; 100705 ;
摘要
Objective. To compare the efficacy of oblique lateral interbody fusion (OLIF) and transforaminal lumbar interbody fusion (TLIF) in single-level degenerative lumbar spondylolisthesis (DLS). Methods. A retrospective analysis of patients who underwent single-level DLS surgery in our department from 2015 to 2018 was performed. According to the surgical method, the enrolled patients were divided into two groups, namely, the OLIF group who underwent OLIF combined with percutaneous pedicle screw fixation (PPSF) and the TLIF group. Clinical outcomes included operation time, operation blood loss, postoperative drainage, hospital stay, visual analog scale (VAS) score, Oswestry disability index (ODI), and complications, and imaging outcomes included upper vertebral slip, intervertebral space height (ISH), intervertebral foramen height (IFH), intervertebral space angle (ISA), lumbar lordosis (LL), and bone fusion rate. All outcomes were recorded and analyzed. Results. A total of 65 patients were finally included, and there were 28 patients and 37 patients in the OLIF group and the TLIF group, respectively. The OLIF group showed shorter operation time, less blood loss, less postoperative drainage, and shorter hospital stay than the TLIF group (P < 0.05). The ISH, IFH, ISA, and LL were all larger in the OLIF group at postoperative and last follow-up (P < 0.05), but the degree of upper vertebral slip was found no difference between the two groups (P > 0.05). The bone graft fusion rate of OLIF group and TLIF group at 3 months, 6 months, and last follow-up was 78.57%, 92.86%, and 100% and 70.27%, 86.49%, and 97.30%, respectively, and no significant differences were found (P > 0.05). Compared with the TLIF group, the OLIF group showed a superior improvement in VAS and ODI at 1 month, 3 months, and 6 months postoperative (P < 0.05), but no differences were found at 12 months postoperative and the last follow-up (P > 0.05). There was no significant difference in complications between the two groups, with 4 patients and 6 patients in the OLIF group and TLIF group, respectively (P > 0.05). Conclusions. Compared with TLIF, OLIF showed the advantages of less surgical invasion, better decompression effect, and faster postoperative recovery in single-level DLS surgery.
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页数:14
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共 39 条
[1]   STROCSS 2019 Guideline: Strengthening the reporting of cohort studies in surgery [J].
Agha, Riaz ;
Abdall-Razak, Ali ;
Crossley, Eleanor ;
Dowlut, Naeem ;
Iosifidis, Christos ;
Mathew, Ginimol ;
Beamishaj ;
Bashashati, Mohammad ;
Millham, Frederick H. ;
Orgill, Dennis P. ;
Noureldin, Ashraf ;
James, Iain ;
Alsawadi, Abdulrahman ;
Bradley, Patrick J. ;
Giordano, Salvatore ;
Laskin, Daniel M. ;
Basu, Somprakas ;
Johnston, Maximilian ;
Muensterer, Oliver J. ;
Mukherjee, Indraneil ;
Chi-Yong, James Ngu ;
Valmasoni, Michele ;
Pagano, Duilio ;
Vasudevan, Baskaran ;
Rosin, Richard David ;
McCaul, James Anthony ;
Albrecht, Jorg ;
Hoffman, Jerome R. ;
Thorat, Mangesh A. ;
Massarut, Samuele ;
Thoma, Achilles ;
Kirshtein, Boris ;
Afifi, Raafat Yahia ;
Farooq, Naheed ;
Challacombe, Ben ;
Pai, Prathamesh S. ;
Perakath, Benjamin ;
Kadioglu, Huseyin ;
Aronson, Jeffrey K. ;
Raveendran, Kandiah ;
Machado-Aranda, David ;
Klappenbach, Roberto ;
Healy, Donagh ;
Miguel, Diana ;
Leles, Claudio Rodrigues ;
Ather, M. Hammad .
INTERNATIONAL JOURNAL OF SURGERY, 2019, 72 :156-165
[2]  
BRIDWELL KH, 1995, SPINE, V20, P1410, DOI 10.1097/00007632-199520120-00014
[3]   Degenerative Lumbar Spondylolisthesis Definition, Natural History, Conservative Management, and Surgical Treatment [J].
Bydon, Mohamad ;
Alvi, Mohammed Ali ;
Goyal, Anshit .
NEUROSURGERY CLINICS OF NORTH AMERICA, 2019, 30 (03) :299-+
[4]   Summary of Guidelines for the Treatment of Lumbar Spondylolisthesis [J].
Chan, Andrew K. ;
Sharma, Viraj ;
Robinson, Leslie C. ;
Mummaneni, Praveen V. .
NEUROSURGERY CLINICS OF NORTH AMERICA, 2019, 30 (03) :353-+
[5]   Impact of Preoperative Diagnosis on Clinical Outcomes of Oblique Lateral Interbody Fusion for Lumbar Degenerative Disease in a Single-institution Prospective Cohort [J].
Chang, Sam Yeol ;
Nam, Yunjin ;
Lee, Jeongik ;
Chang, Bong-Soon ;
Lee, Choo-Ki ;
Kim, Hyoungmin .
ORTHOPAEDIC SURGERY, 2019, 11 (01) :66-74
[6]   Clinical and radiographic outcomes of bilateral decompression via a unilateral approach with transforaminal lumbar interbody fusion for degenerative lumbar spondylolisthesis with stenosis [J].
Cheng, Xiaofei ;
Zhang, Kai ;
Sun, Xiaojiang ;
Zhao, Changqing ;
Li, Hua ;
Ni, Bin ;
Zhao, Jie .
SPINE JOURNAL, 2017, 17 (08) :1127-1133
[7]   Comparison of Anterior Approach and Posterior Approach to Instrumented Interbody Fusion for Spondylolisthesis: A Meta-analysis [J].
Cho, Jae Young ;
Goh, Tae Sik ;
Son, Seung Min ;
Kim, Dong Suk ;
Lee, Jung Sub .
WORLD NEUROSURGERY, 2019, 129 :E286-E293
[8]   SPINO-PELVIC ALIGNMENT, BALANCE, AND FUNCTIONAL DISABILITY IN PATIENTS WITH LOW-GRADE DEGENERATIVE LUMBAR SPONDYLOLISTHESIS [J].
Chuang, Chien-Yi ;
Liaw, Mei-Yun ;
Wang, Lin-Yi ;
Huang, Yu-Chi ;
Pong, Ya-Ping ;
Chen, Chien-Wei ;
Wu, Re-Wen ;
Lau, Yiu-Chung .
JOURNAL OF REHABILITATION MEDICINE, 2018, 50 (10) :898-907
[9]   Oblique lateral interbody fusion combined percutaneous pedicle screw fixation in the surgical treatment of single-segment lumbar tuberculosis: A single-center retrospective comparative study [J].
Du, Xing ;
Ou, Yun-sheng ;
Zhu, Yong ;
Luo, Wei ;
Jiang, Guan-yin ;
Jiang, Dian-ming .
INTERNATIONAL JOURNAL OF SURGERY, 2020, 83 :39-46
[10]   Comparison of three different bone graft methods for single segment lumbar tuberculosis: A retrospective single-center cohort study [J].
Du, Xing ;
Ou, Yun-sheng ;
Xu, Shuai ;
He, Bin ;
Luo, Wei ;
Jiang, Dian-ming .
INTERNATIONAL JOURNAL OF SURGERY, 2020, 79 :95-102