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Comparing Oblique Lumbar Interbody Fusion with Lateral Screw Fixation and Transforaminal Full-Endoscopic Lumbar Discectomy (OLIF-TELD) and Posterior Lumbar Interbody Fusion (PLIF) for the Treatment of Adjacent Segment Disease
Joint Authors
Yang, Zhuo
Chang, Jianjun
Sun, Lin
Chen, Chien-Min
Feng, Haoyu
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-05-30
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background.
A potential long-term complication of lumbar fusion is the development of adjacent segment disease (ASD), which may require surgical intervention and adversely affect outcomes.
A high incidence of recurrent ASD was reported in patients who underwent the second (repeat) PLIF for symptomatic ASD.
Herein, a feasible method, oblique lumbar interbody fusion combined with transforaminal endoscopic lumbar discectomy (OLIF-TELD) for dealing with adjacent lumbar disc herniation with upward or downward migration after lumbar spinal fusion, was proposed.
Methods.
A total of 19 patients who underwent revision surgery at ASD were consecutively enrolled.
Clinical efficacy analysis included operative time, intraoperative bleeding, visual analogue scale (VAS) score, Oswestry dysfunction index (ODI) score, and Japanese orthopaedic association (JOA) assessment treatment score.
Results.
Among them, 11 patients were treated in a new surgical strategy, which is OLIF-TELD, and 8 patients underwent PLIF.
There was no statistically significant difference between the two groups in terms of age, gender, and preoperative scores of VAS, ODI, and JOA.
The operative duration was shorter, and intraoperative bleeding was less in the OLIF-TELD group compared with the PLIF group.
PLIF had the greatest blood loss, and the OLIF-TELD group had lower VAS scores than the PLIF group postoperatively.
The symptoms of all patients improved postoperatively with statistical significance.
Conclusion.
OLIF with lateral screw fixation combined with TELD may be an alternative surgical method for the treatment of adjacent lumbar disc herniation with upward or downward migration after lumbar fusion surgery.
American Psychological Association (APA)
Yang, Zhuo& Chang, Jianjun& Sun, Lin& Chen, Chien-Min& Feng, Haoyu. 2020. Comparing Oblique Lumbar Interbody Fusion with Lateral Screw Fixation and Transforaminal Full-Endoscopic Lumbar Discectomy (OLIF-TELD) and Posterior Lumbar Interbody Fusion (PLIF) for the Treatment of Adjacent Segment Disease. BioMed Research International،Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1134026
Modern Language Association (MLA)
Yang, Zhuo…[et al.]. Comparing Oblique Lumbar Interbody Fusion with Lateral Screw Fixation and Transforaminal Full-Endoscopic Lumbar Discectomy (OLIF-TELD) and Posterior Lumbar Interbody Fusion (PLIF) for the Treatment of Adjacent Segment Disease. BioMed Research International No. 2020 (2020), pp.1-7.
https://search.emarefa.net/detail/BIM-1134026
American Medical Association (AMA)
Yang, Zhuo& Chang, Jianjun& Sun, Lin& Chen, Chien-Min& Feng, Haoyu. Comparing Oblique Lumbar Interbody Fusion with Lateral Screw Fixation and Transforaminal Full-Endoscopic Lumbar Discectomy (OLIF-TELD) and Posterior Lumbar Interbody Fusion (PLIF) for the Treatment of Adjacent Segment Disease. BioMed Research International. 2020. Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1134026
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1134026