Limits...
Mini-Open Anterior Retroperitoneal Lumbar Interbody Fusion: Oblique Lateral Interbody Fusion for Degenerated Lumbar Spinal Kyphoscoliosis.

Ohtori S, Mannoji C, Orita S, Yamauchi K, Eguchi Y, Ochiai N, Kishida S, Kuniyoshi K, Aoki Y, Nakamura J, Ishikawa T, Miyagi M, Kamoda H, Suzuki M, Kubota G, Sakuma Y, Oikawa Y, Inage K, Sainoh T, Sato J, Shiga Y, Abe K, Fujimoto K, Kanamoto H, Toyone T, Inoue G, Takahashi K - Asian Spine J (2015)

Bottom Line: Pain scores significantly improved after surgery (p<0.05).Fusion rate was found to be 90%, balance parameters also improved after surgery (p<0.05), and average total blood loss was less than 350 mL.There was no spinal nerve, major vessel, peritoneal, or urinary injury, or breakage of instrumentation.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.

ABSTRACT

Study design: Prospective case series.

Purpose: To examine the clinical efficacy of mini-open anterior retroperitoneal lumbar interbody fusion: oblique lateral interbody fusion (OLIF) for degenerated lumbar spinal kyphoscoliosis.

Overview of literature: The existing surgical procedures for the treatment of spinal kyphotic deformity, including Smith-Petersen osteotomy, pedicle subtraction osteotomy, and vertebral column resection procedures, are invasive in nature. Extreme lateral interbody fusion to provide less invasive treatment of the deformity has been reported, but complications including spinal nerve and psoas muscle injury have been noted. In the current study, we examined the clinical efficacy and complications of OLIF for degenerated lumbar spinal kyphoscoliosis.

Methods: Twelve patients with degenerated lumbar spinal kyphoscoliosis were examined. All patients underwent OLIF surgery (using a cage and bone graft from the iliac crest) with open pedicle screws or percutaneous pedicle screws, without real-time monitoring by electromyography. Visual analog scale score and Oswestry disability index were evaluated before and 12 months after surgery, and fusion rate at OLIF cage, correction of the deformity, total blood loss, and surgical complications were also evaluated.

Results: Pain scores significantly improved after surgery (p<0.05). Fusion rate was found to be 90%, balance parameters also improved after surgery (p<0.05), and average total blood loss was less than 350 mL. There was no spinal nerve, major vessel, peritoneal, or urinary injury, or breakage of instrumentation.

Conclusions: OLIF surgery for degenerated lumbar spinal kyphoscoliosis is less invasive than other procedures and good surgical results were produced without major complications.

No MeSH data available.


Related in: MedlinePlus

A 68-year-old woman with hemodialysis over 30 years showing kyphoscoliosis. X-ray images showing severe kyphoscoliosis. (A, B) Improvement in kyphoscoliosis, (C, D) after surgery (3-level oblique lateral interbody fusion and open pedicle screws with posterior decompression).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4522447&req=5

Figure 3: A 68-year-old woman with hemodialysis over 30 years showing kyphoscoliosis. X-ray images showing severe kyphoscoliosis. (A, B) Improvement in kyphoscoliosis, (C, D) after surgery (3-level oblique lateral interbody fusion and open pedicle screws with posterior decompression).

Mentions: SVA and Cobb angle of the coronal plane and LL were significantly improved at the final follow-up compared with the values before surgery (p<0.05) (Table 2, Figs. 3, 4). SVA was 27 mm (less than 50 mm); PT was 23° (less than 25°); LL was 37°; and PI was 45° after surgery. The difference between LL and PI was 8° after surgery.


Mini-Open Anterior Retroperitoneal Lumbar Interbody Fusion: Oblique Lateral Interbody Fusion for Degenerated Lumbar Spinal Kyphoscoliosis.

Ohtori S, Mannoji C, Orita S, Yamauchi K, Eguchi Y, Ochiai N, Kishida S, Kuniyoshi K, Aoki Y, Nakamura J, Ishikawa T, Miyagi M, Kamoda H, Suzuki M, Kubota G, Sakuma Y, Oikawa Y, Inage K, Sainoh T, Sato J, Shiga Y, Abe K, Fujimoto K, Kanamoto H, Toyone T, Inoue G, Takahashi K - Asian Spine J (2015)

A 68-year-old woman with hemodialysis over 30 years showing kyphoscoliosis. X-ray images showing severe kyphoscoliosis. (A, B) Improvement in kyphoscoliosis, (C, D) after surgery (3-level oblique lateral interbody fusion and open pedicle screws with posterior decompression).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4522447&req=5

Figure 3: A 68-year-old woman with hemodialysis over 30 years showing kyphoscoliosis. X-ray images showing severe kyphoscoliosis. (A, B) Improvement in kyphoscoliosis, (C, D) after surgery (3-level oblique lateral interbody fusion and open pedicle screws with posterior decompression).
Mentions: SVA and Cobb angle of the coronal plane and LL were significantly improved at the final follow-up compared with the values before surgery (p<0.05) (Table 2, Figs. 3, 4). SVA was 27 mm (less than 50 mm); PT was 23° (less than 25°); LL was 37°; and PI was 45° after surgery. The difference between LL and PI was 8° after surgery.

Bottom Line: Pain scores significantly improved after surgery (p<0.05).Fusion rate was found to be 90%, balance parameters also improved after surgery (p<0.05), and average total blood loss was less than 350 mL.There was no spinal nerve, major vessel, peritoneal, or urinary injury, or breakage of instrumentation.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.

ABSTRACT

Study design: Prospective case series.

Purpose: To examine the clinical efficacy of mini-open anterior retroperitoneal lumbar interbody fusion: oblique lateral interbody fusion (OLIF) for degenerated lumbar spinal kyphoscoliosis.

Overview of literature: The existing surgical procedures for the treatment of spinal kyphotic deformity, including Smith-Petersen osteotomy, pedicle subtraction osteotomy, and vertebral column resection procedures, are invasive in nature. Extreme lateral interbody fusion to provide less invasive treatment of the deformity has been reported, but complications including spinal nerve and psoas muscle injury have been noted. In the current study, we examined the clinical efficacy and complications of OLIF for degenerated lumbar spinal kyphoscoliosis.

Methods: Twelve patients with degenerated lumbar spinal kyphoscoliosis were examined. All patients underwent OLIF surgery (using a cage and bone graft from the iliac crest) with open pedicle screws or percutaneous pedicle screws, without real-time monitoring by electromyography. Visual analog scale score and Oswestry disability index were evaluated before and 12 months after surgery, and fusion rate at OLIF cage, correction of the deformity, total blood loss, and surgical complications were also evaluated.

Results: Pain scores significantly improved after surgery (p<0.05). Fusion rate was found to be 90%, balance parameters also improved after surgery (p<0.05), and average total blood loss was less than 350 mL. There was no spinal nerve, major vessel, peritoneal, or urinary injury, or breakage of instrumentation.

Conclusions: OLIF surgery for degenerated lumbar spinal kyphoscoliosis is less invasive than other procedures and good surgical results were produced without major complications.

No MeSH data available.


Related in: MedlinePlus