Complications and Prevention Strategies of Oblique Lateral Interbody Fusion Technique
| Autor: | Zhong-you Zeng, Wei-Hu Ma, Yongxing Song, Jian-qiao Zhang, Xing Zhao, Wen-fei Ni, Shunwu Fan, Xiangqian Fang, Zhao-wan Xu, Ai-lian Wu, Shi-Yang Fan, Fei Pei, Zhi-chao Hu, De-xiu Sui, Jianfu Han, Nan-Jian Xu, Wei Yu, Deng-wei He, Zhi-Jie Zhou, Wen-jian Huang, Fengdong Zhao, Jianfei Ji, Hui Jin |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Ileus medicine.medical_treatment Lumbar vertebrae Iliac crest 03 medical and health sciences 0302 clinical medicine Hematoma Lumbar Postoperative Complications Pedicle Screws medicine Humans Trauma Nervous System Orthopedics and Sports Medicine 030212 general & internal medicine Intraoperative Complications Aged Aged 80 and over Lumbar Vertebrae Muscle Weakness business.industry Cerebral infarction Middle Aged Vascular System Injuries medicine.disease Surgery Radiography medicine.anatomical_structure Spinal Fusion Spinal fusion Clinical Articles Spinal Fractures Female Complication business Tomography X-Ray Computed 030217 neurology & neurosurgery Follow-Up Studies |
| Zdroj: | Orthopaedic surgery. 10(2) |
| ISSN: | 1757-7861 |
| Popis: | Objective To analyze the early complications and causes of oblique lateral interbody fusion, and put forward preventive measures. Methods There were 235 patients (79 males and 156 females) analyzed in our study from October 2014 to May 2017. The average age was 61.9 ± 0.21 years (from 32 to 83 years). Ninety-one cases were treated with oblique lateral interbody fusion (OLIF) alone (OLIF alone group) and 144 with OLIF combined with posterior pedicle screw fixation through the intermuscular space approach (OLIF combined group). In addition, 137/144 cases in the combined group were primarily treated by posterior pedicle screw fixation, while the treatments were postponed in 7 cases. There were 190 cases of single fusion segments, 11 of 2 segments, 21 of 3 segments, and 13 of 4 segments. Intraoperative and postoperative complications were observed. Results Average follow-up time was 15.6 ± 7.5 months (ranged from 6 to 36 months). Five cases were lost to follow-up (2 cases from the OLIF alone group and 3 cases from the OLIF combined group). There were 7 cases of vascular injury, 22 cases of endplate damage, 2 cases of vertebral body fracture, 11 cases of nerve injury, 18 cases of cage sedimentation or cage transverse shifting, 3 cases of iliac crest pain, 1 case of right psoas major hematoma, 2 cases of incomplete ileus, 1 case of acute heart failure, 1 case of cerebral infarction, 3 case of left lower abdominal pain, 9 cases of transient psoas weakness, 3 cases of transient quadriceps weakness, and 8 cases of reoperation. The complication incidence was 32.34%. Thirty-three cases occurred in the OLIF alone group, with a rate of 36.26%, and 43 cases in the group of OLIF combined posterior pedicle screw fixation, with a rate of 29.86%. Fifty-seven cases occurred in single-segment fusion, with a rate of 30.0% (57/190), 4 cases occurred in two-segment fusion, with a rate of 36.36% (4/11), 9 cases occurred in three-segment fusion, with a rate of 42.86% (9/21), and 6 cases occurred in four-segment fusion, with a rate of 46.15% (6/13). Conclusion In summary, OLIF is a relatively safe and very effective technique for minimally invasive lumbar fusion. Nonetheless, it should be noted that OLIF carries the risk of complications, especially in the early stage of development. |
| Databáze: | OpenAIRE |
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