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Clinical and radiographic outcomes of oblique lumbar interbody fusion with anterolateral screw and rod instrumentation in osteopenia patients: a retrospective study – Lumbar Fusion

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This article evaluates the clinical and radiographic outcomes of oblique lumbar interbody fusion (OLIF) in patients with L4/5 degenerative lumbar spondylolisthesis (DLS) and osteopenia. A total of 94 patients underwent OLIF and were divided into two groups based on bone mineral density. The primary outcomes measured were VAS, JOA, and ODI, while secondary outcomes included disc height, cross-sectional height of the intervertebral foramina, cross-sectional area of the dural sac, lumbar lordosis, pelvic tilt, pelvic incidence, and sacrum slope. After a follow-up period of at least 1 year, all patients showed good outcomes, with significant increases observed in disc height, cross-sectional height, and cross-sectional area. The study concludes that OLIF with anterolateral screw and rod instrumentation is feasible and effective in osteopenia patients with degenerative spondylolisthesis

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Published article

: Oblique lumbar interbody fusion with anterolateral screw and rod instrumentation is feasible to be performed in osteopenia patients who diagnosed with degenerative spondylolisthesis.

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BMC Musculoskelet Disord. 2023 Sep 26;24(1):760. doi: 10.1186/s12891-023-06873-1.ABSTRACTPURPOSE: The purpose of this paper is to evaluate the clinical and radiographic outcomes of oblique lumbar interbody fusion (OLIF) to perform in L4/5 degenerative lumbar spondylolisthesis (DLS) patients who diagnosed with osteopenia.METHODS: From December 2018 to 2021 March, 94 patients were diagnosed with degenerative spondylolisthesis underwent OLIF,

BMC Musculoskelet Disord. 2023 Sep 26;24(1):760. doi: 10.1186/s12891-023-06873-1.

ABSTRACT

PURPOSE: The purpose of this paper is to evaluate the clinical and radiographic outcomes of oblique lumbar interbody fusion (OLIF) to perform in L4/5 degenerative lumbar spondylolisthesis (DLS) patients who diagnosed with osteopenia.

METHODS: From December 2018 to 2021 March, 94 patients were diagnosed with degenerative spondylolisthesis underwent OLIF and divided into two groups with different bone mineral density. Anterolateral screw and rod instrumentation was applied in two groups. The primary outcomes were VAS, JOA and ODI. The secondary outcomes included disc height (DH), cross-sectional height of the intervertebral foramina (CSH), cross-sectional area of the dural sac (CSA), lumbar lordorsis (LL), pelvic titlt (PT), pelvic incidence (PI) and sacrum slop (SS).

RESULTS: All patients finished at least 1 years follow-up with 21.05 ± 4.42 months in the group A and 21.09 ± 4.28 months in the group B. The clinical symptoms were evaluated by VAS, JOA and ODI and 94 patients showed good outcomes at final follow-up (P < 0.05), with significant increases in DH, CSH and CSA. In group A, DH increased from 8.54 ± 2.48 to 11.11 ± 2.63 mm, while increased from 8.60 ± 2.29 to 11.23 ± 1.88 were recorded in group B. No statistical difference was found in DH between the two groups (P > 0.05). The cage subsidence was 1.14 ± 0.83 mm in group A and 0.87 ± 1.05 mm in group B (P > 0.05). There was no significant difference in the adjusted parameters of spino-pelvic between two groups (P > 0.05).

: Oblique lumbar interbody fusion with anterolateral screw and rod instrumentation is feasible to be performed in osteopenia patients who diagnosed with degenerative spondylolisthesis.

PMID:37749502 | DOI:10.1186/s12891-023-06873-1

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Clinical and radiographic outcomes of oblique lumbar interbody fusion with anterolateral screw and rod instrumentation in osteopenia patients: a retrospective study

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BMC Musculoskelet Disord. 2023 Sep 26;24(1):760. doi: 10.1186/s12891-023-06873-1.ABSTRACTPURPOSE: The purpose of this paper is to evaluate the clinical and radiographic outcomes of oblique lumbar interbody fusion (OLIF) to perform in L4/5 degenerative lumbar spondylolisthesis (DLS) patients who diagnosed with osteopenia.METHODS: From December 2018 to 2021 March, 94 patients were diagnosed with degenerative spondylolisthesis underwent OLIF

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