Clinical Outcomes of Biportal Endoscopic Interlaminar Decompression with Oblique Lumbar Interbody Fusion (OLIF): Comparative Analysis with TLIF
| Autor: | Eugene J Park, Youk-Sang Kwon, Sang Bum Kim, Ho-Jin Lee, Jae-Sung Ahn, Young-Cheol Park |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Visual analogue scale Decompression Neurosciences. Biological psychiatry. Neuropsychiatry Lumbar vertebrae Article 03 medical and health sciences 0302 clinical medicine Lumbar lumbar vertebrae biportal endoscopy oblique lateral interbody fusion minimally invasive surgery severe central canal stenosis foraminal stenosis segmental instability Lumbar interbody fusion Medicine Spinal canal 030222 orthopedics business.industry General Neuroscience medicine.disease Surgery Oswestry Disability Index Stenosis medicine.anatomical_structure business 030217 neurology & neurosurgery RC321-571 |
| Zdroj: | Brain Sciences; Volume 11; Issue 5; Pages: 630 Brain Sciences, Vol 11, Iss 630, p 630 (2021) Brain Sciences |
| ISSN: | 2076-3425 |
| DOI: | 10.3390/brainsci11050630 |
| Popis: | Oblique lumbar interbody fusion (OLIF) improves the spinal canal, with favorable clinical outcomes. However, it may not be useful for treating concurrent, severe central canal stenosis (SCCS). Therefore, we added biportal endoscopic spinal surgery (BESS) after OLIF, evaluated the combined procedure for one-segment fusion with clinical outcomes, and compared it to open conventional TLIF. Patients were divided into two groups: Group A underwent BESS with OLIF, and Group B were treated via TLIF. The length of hospital stay (LOS), follow-up period, operative time, estimated blood loss (EBL), fusion segment, complications, and clinical outcomes were evaluated. Clinical outcomes were measured using Visual Analog Scale (VAS) scores, Oswestry Disability Index (ODI) scores, and the modified Macnab criteria. All the clinical parameters improved significantly after the operation in Group A. The only significant between-group difference was that the EBL was significantly lower in Group A. At the final follow-up, no clinical parameter differed significantly between the groups. No complications developed in either group. We suggest that our combination technique is a useful, alternative, minimally invasive procedure for the treatment of one-segment lumbar SCCS associated with foraminal stenosis or segmental instability. |
| Databáze: | OpenAIRE |
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