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Simultaneous Single-Position Oblique Lateral Interbody Fusion Combined With Unilateral Percutaneous Pedicle Screw Fixation for Single-Level Lumbar Tuberculosis: A 3-Year Retrospective Comparative Study – Lumbar Fusion

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The article discusses the use of simultaneous single-position oblique lateral interbody fusion (SPOLIF) combined with unilateral percutaneous pedicle screw fixation in the treatment of single-level lumbar tuberculosis. The study compared this approach to a posterior-only approach in terms of clinical and radiographic evaluations. The retrospective review included 136 patients who underwent surgeries for single-level lumbar tuberculosis. The results showed that the SP-OLIF group had significantly shorter operative time, less blood loss, and shorter hospital stay, with a lower complication rate. The SP-OLIF group also had better pain and disability scores in the early postoperative period and lower levels of inflammatory markers. The study concludes that SP-OLIF is an effective and minimally invasive protocol for treating single-level lumbar tuberculosis, leading to earlier clinical improvement and reduced surgical complications compared to the posterior-only approach

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : innovative day surgery spinal centre in UK

Published article

: SP-OLIF was an efficient minimally invasive protocol for single-level lumbar tuberculosis, facilitating earlier clinical improvement, with decreased blood loss, operative time and hospital stay compared with posterior-only approach.

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Neurospine. 2023 Dec;20(4):1306-1318. doi: 10.14245/ns.2346692.346. Epub 2023 Dec 31.ABSTRACTOBJECTIVE: To illustrate a simultaneous single-position oblique lateral interbody fusion (SPOLIF) combined with unilateral percutaneous pedicle screw fixation in treating single-level lumbar tuberculosis, compared with posterior-only approach in clinical and radiographic evaluations.METHODS: Consecutive patients who had undergone surgeries for single-level lumbar tuberculosis from January 2018 to December,

Neurospine. 2023 Dec;20(4):1306-1318. doi: 10.14245/ns.2346692.346. Epub 2023 Dec 31.

ABSTRACT

OBJECTIVE: To illustrate a simultaneous single-position oblique lateral interbody fusion (SPOLIF) combined with unilateral percutaneous pedicle screw fixation in treating single-level lumbar tuberculosis, compared with posterior-only approach in clinical and radiographic evaluations.

METHODS: Consecutive patients who had undergone surgeries for single-level lumbar tuberculosis from January 2018 to December 2020 were retrospectively reviewed. The patients included were divided into SP-OLIF and posterior-only groups according to surgical methods applied, with follow-up for at least 36 months. Outcomes included estimated blood loss, operative time, and complications for safety evaluation; visual analogue scale (VAS), Oswestry Disability Index (ODI) for efficacy evaluation; erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) for evaluating tuberculosis activity; x-ray and computed tomography scan were used for radiographic evaluation.

RESULTS: A total of 136 patients had been enrolled in the study (60 for SP-OLIF and 76 for Posterior-only). The median operative time, blood loss, and hospital stay in SP-OLIF group were significantly less, with a lower complication rate. Meanwhile, the SP-OLIF group showed substantially lower VAS in 1 and 7 days and decreased ODI in the first month postoperatively, without significant difference afterward. Similarly, the median CRP and ESR in SP-OLIF group were significantly lower in 3 and 7 days postoperatively. All indicators had reduced to normal after 3 months. No recurrence had been reported throughout the whole follow-up.

: SP-OLIF was an efficient minimally invasive protocol for single-level lumbar tuberculosis, facilitating earlier clinical improvement, with decreased blood loss, operative time and hospital stay compared with posterior-only approach.

PMID:38171298 | DOI:10.14245/ns.2346692.346

The London Spine Unit : innovative day surgery spinal centre in UK

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Simultaneous Single-Position Oblique Lateral Interbody Fusion Combined With Unilateral Percutaneous Pedicle Screw Fixation for Single-Level Lumbar Tuberculosis: A 3-Year Retrospective Comparative Study

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Neurospine. 2023 Dec;20(4):1306-1318. doi: 10.14245/ns.2346692.346. Epub 2023 Dec 31.ABSTRACTOBJECTIVE: To illustrate a simultaneous single-position oblique lateral interbody fusion (SPOLIF) combined with unilateral percutaneous pedicle screw fixation in treating single-level lumbar tuberculosis, compared with posterior-only approach in clinical and radiographic evaluations.METHODS: Consecutive patients who had undergone surgeries for single-level lumbar tuberculosis from January 2018 to December

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