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

被引：150

作者：

Ohtori, Seiji ^{[1
]}

Mannoji, Chikato ^{[1
]}

Orita, Sumihisa ^{[1
]}

Yamauchi, Kazuyo ^{[1
]}

Eguchi, Yawara ^{[1
]}

Ochiai, Nobuyasu ^{[1
]}

Kishida, Shunji ^{[1
]}

Kuniyoshi, Kazuki ^{[1
]}

Aoki, Yasuchika ^{[1
]}

Nakamura, Junichi ^{[1
]}

Ishikawa, Tetsuhiro ^{[1
]}

Miyagi, Masayuki ^{[1
]}

Kamoda, Hiroto ^{[1
]}

Suzuki, Miyako ^{[1
]}

Kubota, Gou ^{[1
]}

Sakuma, Yoshihiro ^{[1
]}

Oikawa, Yasuhiro ^{[1
]}

Inage, Kazuhide ^{[1
]}

Sainoh, Takeshi ^{[1
]}

Sato, Jun ^{[1
]}

Shiga, Yasuhiro ^{[1
]}

Abe, Koki ^{[1
]}

Fujimoto, Kazuki ^{[1
]}

Kanamoto, Hiroto ^{[1
]}

Toyone, Tomoaki ^{[1
]}

Inoue, Gen ^{[1
]}

Takahashi, Kazuhisa ^{[1
]}

机构：

[1] Chiba Univ, Grad Sch Med, Dept Orthopaed Surg, Chiba, Japan

来源：

ASIAN SPINE JOURNAL | 2015年 / 9卷 / 04期

关键词：

Lumbar; Kyphoscoliosis; Nerve; Injury; Surgery;

D O I：

10.4184/asj.2015.9.4.565

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

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.

引用

页码：565 / 572

页数：8

共 20 条

[1]

Changes in coronal and sagittal plane alignment following minimally invasive direct lateral interbody fusion for the treatment of degenerative lumbar disease in adults: a radiographic study [J].