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.
journal_name
Yonsei Med Jjournal_title
Yonsei medical journalauthors
Ohtori S,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,Fujimoto K,Shiga Y,Abe K,Toyone Tdoi
10.3349/ymj.2015.56.4.1051subject
Has Abstractpub_date
2015-07-01 00:00:00pages
1051-9issue
4eissn
0513-5796issn
1976-2437pii
2015071051journal_volume
56pub_type
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