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Lateral access minimally invasive spine surgery in adult spinal deformity – Lumbar Fusion

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The article discusses a study that retrospectively analyzed the use of oblique lumbar interbody fusion (OLIF) with percutaneous posterior approach for screw fixation (PPS) in adult patients with spinal deformity (ASD). The study included 54 patients with an average age of 71.5 years and a mean follow-up period of 29.2 months. Clinical outcomes, including the Oswestry disability index (ODI) and visual analogue scale (VAS) for back pain, were assessed. Radiographic measurements were also taken preoperatively and postoperatively. The results showed that OLIF and PPS were effective in treating ASD, with improvements in ODI, VAS, and radiographic measurements. However, complications such as adjacent segment disease and rod breakage were reported in some cases. In , OLIF and PPS were found to be successful in treating ASD, but careful consideration of potential complications is important

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Published article

: Clinical and imagistic results of OLIF and PPS for ASD were excellent. The radiographic measurements revealed that OLIF51 created good L5-S1 lordosis and significant L5-S1 disc height. CT-MRI fusion images were very useful for evaluating vascular anatomy for OLIF51.

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J Orthop. 2023 Sep 27;45:26-32. doi: 10.1016/j.jor.2023.09.007. eCollection 2023 Nov.ABSTRACTBACKGROUND: Oblique lumbar interbody fusion (OLIF) and percutaneous posterior approach for screw fixation (PPS) is the latest minimal invasive treatment for spinal deformity in adult patients (ASD). This study aims to design and highlight key points for ASD correction.MATERIALS AND METHODS: We retrospectively analyzed 54 patients,

J Orthop. 2023 Sep 27;45:26-32. doi: 10.1016/j.jor.2023.09.007. eCollection 2023 Nov.

ABSTRACT

BACKGROUND: Oblique lumbar interbody fusion (OLIF) and percutaneous posterior approach for screw fixation (PPS) is the latest minimal invasive treatment for spinal deformity in adult patients (ASD). This study aims to design and highlight key points for ASD correction.

MATERIALS AND METHODS: We retrospectively analyzed 54 patients who had undergone OLIF with PPS for ASD from October 2019 to January 2022 (average 71.5 ± 6.2 years-old, male 4, female 50) with a mean follow-up period of 29.2 months. Clinical outcomes are expressed by values including the Oswestry disability index (ODI) and visual analogue scale (VAS) for back pain. The imagistic assessment was also performed preoperatively and at 12, and 24 months postoperatively. For OLIF51, CT- MRI fusion images were obtained before surgery.

RESULTS: Postoperative ODI and VAS were 30.5 ± 18.9% and 31.2 ± 6.9 mm, respectively. The average operating time and blood loss during the surgical exposure was 490.9 ± 85.4 min and 1195.2 ± 653.8 ml. Preoperative SVA, PI-LL, and PT were 96.5 ± 55.9 mm, 39.3 ± 22.1°, 34.5 ± 11.0°, respectively. Postoperatively, SVA and PT became normal (24.1 ± 39.0 mm, 17.1 ± 10.3°) and PI-LL was ideal (2.4 ± 12.6°). Postoperative ODI and VAS were 30.5 ± 18.9% and 31.2 ± 6.9 mm. For OLIF51, the results revealed gain in L5-S1 lordosis and intervertebral disc height 9.4° and 4.2 mm respectively. The complications consisted of PJK in 21 cases (38.9%), rod breakage in 5 cases (9.3%), deep or superficial wound infection in 2 cases (3.7%).

: Clinical and imagistic results of OLIF and PPS for ASD were excellent. The radiographic measurements revealed that OLIF51 created good L5-S1 lordosis and significant L5-S1 disc height. CT-MRI fusion images were very useful for evaluating vascular anatomy for OLIF51.

PMID:37822643 | PMC:PMC10562616 | DOI:10.1016/j.jor.2023.09.007

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Lateral access minimally invasive spine surgery in adult spinal deformity

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J Orthop. 2023 Sep 27;45:26-32. doi: 10.1016/j.jor.2023.09.007. eCollection 2023 Nov.ABSTRACTBACKGROUND: Oblique lumbar interbody fusion (OLIF) and percutaneous posterior approach for screw fixation (PPS) is the latest minimal invasive treatment for spinal deformity in adult patients (ASD). This study aims to design and highlight key points for ASD correction.MATERIALS AND METHODS: We retrospectively analyzed 54 patients

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