Oblique Lumbar Interbody Fusion Using a Stand-Alone Construct for the Treatment of Adjacent-Segment Lumbar Degenerative Disease

Overview

Journal Front Surg

Specialty General Surgery

Date 2022 Apr 18

PMID 35433807

Authors

Wang Kai

Cheng Cheng

Qingyu Yao

Can Zhang

Fengzeng Jian

Hao Wu

Affiliations

Soon will be listed here.

Abstract

Objective: Adjacent-segment disease (ASD) is common in patients undergone previous lumbar fusion. A typical revision treatment from posterior approach requires management of postoperative scar tissue and previously implanted instrumentation. An oblique lumbar interbody fusion (OLIF) approach allows surgeon to reduce the potential risk of posterior approach. This study aimed to analyze the clinical and radiographic efficacy of stand-alone OLIF for the treatment of lumbar adjacent-segment disease.

Methods: A total of 13 consecutive patients who underwent stand-alone OLIF for the treatment of adjacent-segment disease from December 2016 to January 2019 were reviewed. Visual analog scale (VAS) of back pain and leg pain and the Oswestry Disability Index (ODI) before surgery and at last postoperative clinic visits were obtained. Radiography, CT and MRI before and at last follow-up after surgery was evaluated in all patients.

Results: During the study period, 13 cases were successfully treated with stand-alone OLIF. The mean follow-up was 17.7 ± 8.3 months. The back pain VAS improved from 6.2 ± 1.0 to 2.0 ± 1.1 ( < 0.01), and the leg pain VAS improved from 7.0 ± 1.9 to 1.0 ± 0.9 ( < 0.01). ODI improved from 28.0 ± 7.5 to 10.8 ± 4.0 ( < 0.01). The disc height (DH) increased from 9 ± 2 to 12 ± 2 mm ( < 0.01), the cross-sectional area (CSA) of spinal canal increased from 85 ± 26 to 132 ± 24 mm ( < 0.01), the foraminal height increased from 17 ± 2 to 21 ± 3 mm ( < 0.01) and the CSA of foramen increased from 95 ± 25 to 155 ± 36 mm ( < 0.01). Cage subsidence was observed in 2 cases.

Conclusions: Stand-alone OLIF provides a safe and effective alternative way to treat ASD.

Citing Articles

Defining cage subsidence in anterior, oblique, and lateral lumbar spine fusion approaches: a systematic review of the literature.

Aguirre A, Soliman M, Kuo C, Kassay A, Parmar G, Kruk M Neurosurg Rev. 2024; 47(1):332.

PMID: 39009745 DOI: 10.1007/s10143-024-02551-5.

Comparison of instrumented and stand-alone lateral lumbar interbody fusion for lumbar degenerative disease: a systematic review and meta-analysis.

Jiang L, Liu L, Dong L, Xu Z, Zhang X, Qian L BMC Musculoskelet Disord. 2024; 25(1):108.

PMID: 38310205 PMC: 10837938. DOI: 10.1186/s12891-024-07214-6.

Oblique lateral internal fusion combined with percutaneous pedicle screw fixation in severe lumbar spinal stenosis: clinical and radiographic outcome.

Liu C, Geng Y, Li Y J Orthop Surg Res. 2023; 18(1):882.

PMID: 37981677 PMC: 10658976. DOI: 10.1186/s13018-023-04373-5.

Comparison of Oblique Lumbar Interbody Fusion Combined with Posterior Decompression (OLIF-PD) and Posterior Lumbar Interbody Fusion (PLIF) in the Treatment of Adjacent Segmental Disease(ASD).

Zhang B, Hu Y, Kong Q, Feng P, Liu J, Ma J J Pers Med. 2023; 13(2).

PMID: 36836602 PMC: 9966658. DOI: 10.3390/jpm13020368.

Characteristics and hotspots of the 50 most cited articles in the field of pre-psoas oblique lumbar interbody fusion.

Lin G, Chen C, Jhang S, Zhu M, Lyu P, Hu B Front Surg. 2022; 9:1004839.

PMID: 36311953 PMC: 9597085. DOI: 10.3389/fsurg.2022.1004839.

References

Buchowski J, Liu G, Bunmaprasert T, Rose P, Riew K . Anterior cervical fusion assessment: surgical exploration versus radiographic evaluation. Spine (Phila Pa 1976). 2008; 33(11):1185-91. DOI: 10.1097/BRS.0b013e318171927c. View

Marchi L, Abdala N, Oliveira L, Amaral R, Coutinho E, Pimenta L . Radiographic and clinical evaluation of cage subsidence after stand-alone lateral interbody fusion. J Neurosurg Spine. 2013; 19(1):110-8. DOI: 10.3171/2013.4.SPINE12319. View

Hilibrand A, Robbins M . Adjacent segment degeneration and adjacent segment disease: the consequences of spinal fusion?. Spine J. 2004; 4(6 Suppl):190S-194S. DOI: 10.1016/j.spinee.2004.07.007. View

Bocahut N, Audureau E, Poignard A, Delambre J, Queinnec S, Flouzat Lachaniette C . Incidence and impact of implant subsidence after stand-alone lateral lumbar interbody fusion. Orthop Traumatol Surg Res. 2018; 104(3):405-410. DOI: 10.1016/j.otsr.2017.11.018. View

Fujibayashi S, Hynes R, Otsuki B, Kimura H, Takemoto M, Matsuda S . Effect of indirect neural decompression through oblique lateral interbody fusion for degenerative lumbar disease. Spine (Phila Pa 1976). 2014; 40(3):E175-82. DOI: 10.1097/BRS.0000000000000703. View

Cheh G, Bridwell K, Lenke L, Buchowski J, Daubs M, Kim Y . Adjacent segment disease followinglumbar/thoracolumbar fusion with pedicle screw instrumentation: a minimum 5-year follow-up. Spine (Phila Pa 1976). 2007; 32(20):2253-7. DOI: 10.1097/BRS.0b013e31814b2d8e. View

Hussain N, Perez-Cruet M . Complication management with minimally invasive spine procedures. Neurosurg Focus. 2011; 31(4):E2. DOI: 10.3171/2011.8.FOCUS11165. View

Adogwa O, Carr R, Kudyba K, Karikari I, Bagley C, Ziya L Gokaslan . Revision lumbar surgery in elderly patients with symptomatic pseudarthrosis, adjacent-segment disease, or same-level recurrent stenosis. Part 1. Two-year outcomes and clinical efficacy: clinical article. J Neurosurg Spine. 2012; 18(2):139-46. DOI: 10.3171/2012.11.SPINE12224. View

Lee J, Choi S . Adjacent Segment Pathology after Lumbar Spinal Fusion. Asian Spine J. 2015; 9(5):807-17. PMC: 4591457. DOI: 10.4184/asj.2015.9.5.807. View

10.

Zhang C, Wang K, Jian F, Wu H . Efficacy of Oblique Lateral Interbody Fusion in Treatment of Degenerative Lumbar Disease. World Neurosurg. 2018; . DOI: 10.1016/j.wneu.2018.11.139. View

11.

Parker S, Mendenhall S, Shau D, Adogwa O, Cheng J, Anderson W . Determination of minimum clinically important difference in pain, disability, and quality of life after extension of fusion for adjacent-segment disease. J Neurosurg Spine. 2011; 16(1):61-7. DOI: 10.3171/2011.8.SPINE1194. View

12.

Moller D, Slimack N, Acosta Jr F, Koski T, Fessler R, Liu J . Minimally invasive lateral lumbar interbody fusion and transpsoas approach-related morbidity. Neurosurg Focus. 2011; 31(4):E4. DOI: 10.3171/2011.7.FOCUS11137. View

13.

Khan I, Sonig A, Thakur J, Bollam P, Nanda A . Perioperative complications in patients undergoing open transforaminal lumbar interbody fusion as a revision surgery. J Neurosurg Spine. 2012; 18(3):260-4. DOI: 10.3171/2012.11.SPINE12558. View

14.

Ohtori S, Orita S, Yamauchi K, Eguchi Y, Ochiai N, Kishida S . Mini-Open Anterior Retroperitoneal Lumbar Interbody Fusion: Oblique Lateral Interbody Fusion for Lumbar Spinal Degeneration Disease. Yonsei Med J. 2015; 56(4):1051-9. PMC: 4479835. DOI: 10.3349/ymj.2015.56.4.1051. View

15.

Parker S, Shau D, Mendenhall S, McGirt M . Factors influencing 2-year health care costs in patients undergoing revision lumbar fusion procedures. J Neurosurg Spine. 2012; 16(4):323-8. DOI: 10.3171/2011.12.SPINE11750. View

16.

Ostelo R, Deyo R, Stratford P, Waddell G, Croft P, Von Korff M . Interpreting change scores for pain and functional status in low back pain: towards international consensus regarding minimal important change. Spine (Phila Pa 1976). 2008; 33(1):90-4. DOI: 10.1097/BRS.0b013e31815e3a10. View

17.

Khan J, Harada G, Basques B, Nolte M, Louie P, Iloanya M . Patients with predominantly back pain at the time of lumbar fusion for low-grade spondylolisthesis experience similar clinical improvement to patients with predominantly leg pain: mid-term results. Spine J. 2019; 20(2):276-282. DOI: 10.1016/j.spinee.2019.09.021. View

18.

Cheh G, Lenke L, Lehman Jr R, Kim Y, Nunley R, Bridwell K . The reliability of preoperative supine radiographs to predict the amount of curve flexibility in adolescent idiopathic scoliosis. Spine (Phila Pa 1976). 2007; 32(24):2668-72. DOI: 10.1097/BRS.0b013e31815a5269. View

19.

Zhu G, Hao Y, Yu L, Cai Y, Yang X . Comparing stand-alone oblique lumbar interbody fusion with posterior lumbar interbody fusion for revision of rostral adjacent segment disease: A STROBE-compliant study. Medicine (Baltimore). 2018; 97(40):e12680. PMC: 6200540. DOI: 10.1097/MD.0000000000012680. View

20.

Smorgick Y, Baker K, Bachison C, Herkowitz H, Montgomery D, Fischgrund J . Hidden blood loss during posterior spine fusion surgery. Spine J. 2013; 13(8):877-81. DOI: 10.1016/j.spinee.2013.02.008. View