Mini-Open Anterior Retroperitoneal Lumbar Interbody Fusion: Oblique Lateral Interbody Fusion for Lumbar Spinal Degeneration Disease

Overview

Journal Yonsei Med J

Specialty General Medicine

Date 2015 Jun 13

PMID 26069130

Citations 72

Authors

Seiji Ohtori

Sumihisa Orita

Kazuyo Yamauchi

Yawara Eguchi

Nobuyasu Ochiai

Shunji Kishida

Kazuki Kuniyoshi

Yasuchika Aoki

Junichi Nakamura

Tetsuhiro Ishikawa

Masayuki Miyagi

Hiroto Kamoda

Miyako Suzuki

Gou Kubota

Yoshihiro Sakuma

Yasuhiro Oikawa

Kazuhide Inage

Takeshi Sainoh

Jun Sato

Kazuki Fujimoto

Yasuhiro Shiga

Koki Abe

Tomoaki Toyone

Gen Inoue

Kazuhisa Takahashi

Affiliations

Soon will be listed here.

Abstract

Purpose: Surgery for lumbar spinal degeneration disease is widely performed. While posterior decompression and fusion are popular, anterior lumbar interbody fusion (ALIF) is also used for treatment. Extreme lateral interbody fusion (XLIF) is commonly used for noninvasive ALIF; however, several complications, such as spinal nerve and psoas muscle injury, have been reported. In the current study, we examined the clinical efficacy and complications of oblique lateral interbody fusion (OLIF) for lumbar spinal degeneration disease.

Materials And Methods: Thirty-five patients with degenerated spondylolisthesis, discogenic pain, and kyphoscoliosis were examined. All patients underwent OLIF surgery (using a cage and bone graft from the iliac crest) with or without posterior decompression, without real-time electromyography monitoring. Posterior screws were used in all patients. Visual analog scale (VAS) score and Oswestry Disability Index (ODI) were evaluated before and 6 months after surgery. Surgical complications were also evaluated.

Results: Pain scores significantly improved after surgery, compared to those before surgery (p<0.05). There was no patient who underwent revision surgery. There was no spinal nerve, major vessel, peritoneal, or urinary injury. Few patients showed symptoms from psoas invasion.

Conclusion: OLIF surgery produced good surgical results without any major complication.

Citing Articles

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A magnetic resonance imaging-based morphometric analysis of bilateral L1-L5 oblique lumbar interbody fusion corridor: feasibility of safe surgical approach and influencing factors.

Goyal A, Guha M, Mahajan R Asian Spine J. 2024; 18(6):757-764.

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Finite element analysis of biomechanical investigation on diverse internal fixation techniques in oblique lumbar interbody fusion.

Yu Q, Zou Z, Lu H, Pan X, Hu X, Shen Z BMC Musculoskelet Disord. 2024; 25(1):804.

PMID: 39395967 PMC: 11470635. DOI: 10.1186/s12891-024-07887-z.

Clinical values of oblique lumbar interbody fusion on the treatment of single-level degenerative lumbar diseases.

Yu Y Front Surg. 2024; 11:1424262.

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An Update in Complication Rates Associated With Anterior Lumbar Surgery: A Systematic Review and Meta-Analysis.

Issa T, Ezeonu T, Sellig M, Donnally 3rd C, Narayanan R, Karamian B Global Spine J. 2024; 15(2):1419-1434.

PMID: 39197439 PMC: 11571399. DOI: 10.1177/21925682241279526.

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