AI Article Synopsis
- The study evaluates the effectiveness of oblique lateral interbody fusion (OLIF) compared to anterior lumbar interbody fusion (ALIF) and transforaminal lumbar interbody fusion (TLIF) in treating degenerative lumbar disorders over a 2-year follow-up period.
- A total of 348 patients were analyzed, showing that ALIF resulted in the best clinical outcomes and improved spinal alignment, while OLIF had advantages in terms of reduced blood loss and suitability for patients with higher body mass indexes.
- Although ALIF excelled in clinical measures like the Oswestry Disability Index, OLIF and TLIF showed similar results for pain assessments, with TLIF having the highest rate of post-surgical subsidence, highlighting the
Article Abstract
Background: Regarding the increasing adoption of oblique lateral interbody fusion (OLIF) for treating degenerative lumbar disorders, we aimed to evaluate whether OLIF, one of the options for anterolateral approach lumbar interbody fusion, demonstrate clinical superiority over anterior lumbar interbody fusion (ALIF) or posterior approach, represented by transforaminal lumbar interbody fusion (TLIF).
Methods: Patients who received ALIF, OLIF, and TLIF for symptomatic degenerative lumbar disorders during the period 2017-2019 were identified. Radiographic, perioperative, and clinical outcomes were recorded and compared during 2-year follow-up.
Results: A total of 348 patients with 501 correction levels were enrolled in the study. Fundamental sagittal alignment profiles were substantially improved at 2-year follow-up, particularly in the anterolateral approach (A/OLIF) group. The Oswestry disability index (ODI) and EuroQol-5 dimension (EQ-5D) in the ALIF group were superior when compared to the OLIF and TLIF group 2-year following surgery. However, comparisons of VAS-Total, VAS-Back, and VAS-Leg revealed no statistically significance across all approaches. TLIF demonstrated highest subsidence rate of 16%, while OLIF had least blood loss and was suitable for high body mass index patients.
Conclusions: Regarding treatment for degenerative lumbar disorders, ALIF of anterolateral approach demonstrated superb alignment correction and clinical outcome. Comparing to TLIF, OLIF possessed advantage in reducing blood loss, restoring sagittal profiles and the accessibility at all lumbar level while simultaneously achieving comparable clinical improvement. Patient selection in accordance with baseline conditions, and surgeon preference both remain crucial issues circumventing surgical approach strategy.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9979469 | PMC |
| http://dx.doi.org/10.1186/s13018-023-03652-5 | DOI Listing |
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