Deprecated: Array and string offset access syntax with curly braces is deprecated in /home/stemookh/backpaindoctor.co.uk/wp-content/plugins/ol_scrapes/classes/class-ol-scrapes.php on line 3293

Deprecated: Unparenthesized `a ? b : c ? d : e` is deprecated. Use either `(a ? b : c) ? d : e` or `a ? b : (c ? d : e)` in /home/stemookh/backpaindoctor.co.uk/wp-content/plugins/premium-seo-pack/aa-framework/framework.class.php on line 3162
Correction of marked sagittal deformity with circumferential minimally invasive surgery using oblique lateral interbody fusion in adult spinal deformity. – Back Pain Doctor Harley Street

Correction of marked sagittal deformity with circumferential minimally invasive surgery using oblique lateral interbody fusion in adult spinal deformity.


Deprecated: Array and string offset access syntax with curly braces is deprecated in /home/stemookh/backpaindoctor.co.uk/wp-content/plugins/premium-seo-pack/lib/scripts/php-query/php-query.php on line 2196

Deprecated: Array and string offset access syntax with curly braces is deprecated in /home/stemookh/backpaindoctor.co.uk/wp-content/plugins/premium-seo-pack/lib/scripts/php-query/php-query.php on line 2220

Deprecated: Array and string offset access syntax with curly braces is deprecated in /home/stemookh/backpaindoctor.co.uk/wp-content/plugins/premium-seo-pack/lib/scripts/php-query/php-query.php on line 2262

Deprecated: Array and string offset access syntax with curly braces is deprecated in /home/stemookh/backpaindoctor.co.uk/wp-content/plugins/premium-seo-pack/lib/scripts/php-query/php-query.php on line 2264

Deprecated: Array and string offset access syntax with curly braces is deprecated in /home/stemookh/backpaindoctor.co.uk/wp-content/plugins/premium-seo-pack/lib/scripts/php-query/php-query.php on line 2265

BACKGROUND:

Spinal surgery performed entirely with minimally invasive surgery is referred to as circumferential MIS (cMIS). However, cMIS still has a limited sagittal correction capability for adult spinal deformity (ASD) with a marked sagittal deformity. We investigated the effectiveness of cMIS using oblique lateral interbody fusion (OLIF) and percutaneous posterior spine fixation in correcting marked sagittal deformity.

METHODS:

This study retrospectively evaluated 23 patients with ASD with marked sagittal deformity who underwent cMIS using OLIF without osteotomy and were followed-up for at least 24 months (whole group). The whole group was divided into the following two groups according to the type of interbody fusion at L5-S1: the OLIF51 group (n = 13) underwent OLIF at L1-L5 and L5-S1 and the TLIF51 group (n = 10) underwent OLIF at L1-L5 and transforaminal lumbar interbody fusion (TLIF) at L5-S1.

RESULTS:

Sagittal vertebral axis (SVA; 125.7 vs. 29.5 mm, p < 0.001), lumbar lordosis (LL; 18.2° vs. 51.7°, p < 0.001), and pelvic incidence-LL mismatch (PI-LL, 35.5° vs. 5.3°) significantly improved postoperatively in the whole group. The OLIF51 group showed significantly higher postoperative LL than the TLIF51 group (55.5° vs. 46.9°, p < 0.001). OLIF yielded a significantly greater disc angle at L5-S1 than did TLIF (18.4° vs. 6.9°, p < 0.001). Proximal junctional kyphosis occurred significantly earlier in the OLIF51 group than in the TLIF51 group (8.6 vs. 26.3 months, p < 0.001).

CONCLUSION:

Successful sagittal correction in ASD patients with marked sagittal deformity was achieved with cMIS using OLIF. OLIF at L5-S1 showed a synergistic effect in sagittal deformity correction by cMIS.

Share on facebook
Facebook
Share on twitter
Twitter
Share on linkedin
LinkedIn
Share on vk
VK
Share on pinterest
Pinterest
Close Menu