Whether Anterolateral Single Rod Can Maintain the Surgical Outcomes Following Oblique Lumbar Interbody Fusion for Double‐Segment Disc Disease

Objective To evaluate the outcomes of oblique lumbar interbody fusion (OLIF) combined with anterolateral single‐rod screw fixation (AF) in treating two‐segment lumbar degenerative disc disease (LDDD) and to determine whether AF can maintain the surgical results. Methods A retrospective analysis was...

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Published in:Orthopaedic surgery 2022-06, Vol.14 (6), p.1126-1134
Main Authors: Zhao, Long, Xie, Tianhang, Wang, Xiandi, Yang, Zhiqiang, Pu, Xingxiao, Zeng, Jiancheng
Format: Article
Language:English
Subjects:
Anterolateral single‐rod screw fixation
Cage subsidence
Clinical
Double segmental lumbar disorder
Minimally invasive
Oblique lumbar interbody fusion
Skin & tissue grafts
Statistical analysis
Surgery
Surgical outcomes
Vertebrae
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Xie, Tianhang
Wang, Xiandi
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Zeng, Jiancheng
description Objective To evaluate the outcomes of oblique lumbar interbody fusion (OLIF) combined with anterolateral single‐rod screw fixation (AF) in treating two‐segment lumbar degenerative disc disease (LDDD) and to determine whether AF can maintain the surgical results. Methods A retrospective analysis was performed on patients who underwent OLIF combined with AF (OLIF‐AF) for LDDD at the L3‐5 levels between October 2017 and May 2018. A total of 84 patients, including 44 males and 40 females, with a mean age of 62.8 ± 6.8 years, who completed the 12‐month follow‐up were eventually enrolled. Clinical outcomes, including the Oswestry Disability Index (ODI), visual analog scale (VAS) score for the low back and leg, and radiographic parameters, including the cross‐sectional area (CSA) of the spinal canal, disc height (DH), foraminal height (FH), degree of upper vertebral slippage (DUVS), segmental lumbar lordosis (SL), fusion rate, and lumbar lordosis (LL), were recorded before surgery and 1 and 12 months after surgery. Surgical‐related complications, including cage subsidence (CS), were also evaluated. The local radiographic parameters were compared between L3‐4 and L4‐5. The clinical results and all radiographic parameters were compared between patients with and without CS. Results Significant improvements were observed in radiographic parameters 1 day postoperatively (p 
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Methods A retrospective analysis was performed on patients who underwent OLIF combined with AF (OLIF‐AF) for LDDD at the L3‐5 levels between October 2017 and May 2018. A total of 84 patients, including 44 males and 40 females, with a mean age of 62.8 ± 6.8 years, who completed the 12‐month follow‐up were eventually enrolled. Clinical outcomes, including the Oswestry Disability Index (ODI), visual analog scale (VAS) score for the low back and leg, and radiographic parameters, including the cross‐sectional area (CSA) of the spinal canal, disc height (DH), foraminal height (FH), degree of upper vertebral slippage (DUVS), segmental lumbar lordosis (SL), fusion rate, and lumbar lordosis (LL), were recorded before surgery and 1 and 12 months after surgery. Surgical‐related complications, including cage subsidence (CS), were also evaluated. The local radiographic parameters were compared between L3‐4 and L4‐5. The clinical results and all radiographic parameters were compared between patients with and without CS. Results Significant improvements were observed in radiographic parameters 1 day postoperatively (p &lt; 0.05). Local radiological parameters in L4‐5 had a significant decrease at 12 months postoperatively (p &lt; 0.05), while they were well‐maintained at L3‐4 throughout the follow‐up period (p &gt; 0.05). CS was observed in 26 segments (15.5%). Endplate injury was observed in four segments (2.4%). There was no significant difference in the fusion rate between the segments with and without CS (p = 0.355). The clinical results improved significantly after surgery (p &lt; 0.05), and no significant difference was observed between the groups with and without CS (p &gt; 0.05). Conclusions Anterolateral fixation combined with OLIF provides sufficient stability to sustain most radiological improvements in treating double‐segment LDDD. Subsidence was the most common complication, which was prone to occur in L4‐5 compared to L3‐4, but did not impede the fusion process or diminish the surgical results. It is uncertain whether anterolateral single rod‐screw can maintain the surgical outcomes following oblique lumbar interbody fusion (OLIF) for double‐segment disc disease. With these doubts in mind, we examined the clinical and radiographic results of 84 patients who received OLIF combined with anterolateral single‐screw rods at a 1‐year follow‐up and found that the single rod‐screw were sufficiently stable to maintain the achievements of OLIF surgery.</description><identifier>ISSN: 1757-7853</identifier><identifier>EISSN: 1757-7861</identifier><identifier>DOI: 10.1111/os.13290</identifier><identifier>PMID: 35478325</identifier><language>eng</language><publisher>Melbourne: John Wiley &amp; Sons Australia, Ltd</publisher><subject>Anterolateral single‐rod screw fixation ; Cage subsidence ; Clinical ; Double segmental lumbar disorder ; Minimally invasive ; Oblique lumbar interbody fusion ; Skin &amp; tissue grafts ; Statistical analysis ; Surgery ; Surgical outcomes ; Vertebrae</subject><ispartof>Orthopaedic surgery, 2022-06, Vol.14 (6), p.1126-1134</ispartof><rights>2022 The Authors. published by Tianjin Hospital and John Wiley &amp; Sons Australia, Ltd.</rights><rights>2022. This work is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5040-e88e51e6a7f63897c431d738236ff54efa266e28c285c8f76c33bd05d52973083</citedby><cites>FETCH-LOGICAL-c5040-e88e51e6a7f63897c431d738236ff54efa266e28c285c8f76c33bd05d52973083</cites><orcidid>0000-0002-6117-2856</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2672592880/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2672592880?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,11541,25731,27901,27902,36989,44566,46027,46451,53766,53768,74869</link.rule.ids></links><search><creatorcontrib>Zhao, Long</creatorcontrib><creatorcontrib>Xie, Tianhang</creatorcontrib><creatorcontrib>Wang, Xiandi</creatorcontrib><creatorcontrib>Yang, Zhiqiang</creatorcontrib><creatorcontrib>Pu, Xingxiao</creatorcontrib><creatorcontrib>Zeng, Jiancheng</creatorcontrib><title>Whether Anterolateral Single Rod Can Maintain the Surgical Outcomes Following Oblique Lumbar Interbody Fusion for Double‐Segment Disc Disease</title><title>Orthopaedic surgery</title><description>Objective To evaluate the outcomes of oblique lumbar interbody fusion (OLIF) combined with anterolateral single‐rod screw fixation (AF) in treating two‐segment lumbar degenerative disc disease (LDDD) and to determine whether AF can maintain the surgical results. Methods A retrospective analysis was performed on patients who underwent OLIF combined with AF (OLIF‐AF) for LDDD at the L3‐5 levels between October 2017 and May 2018. A total of 84 patients, including 44 males and 40 females, with a mean age of 62.8 ± 6.8 years, who completed the 12‐month follow‐up were eventually enrolled. Clinical outcomes, including the Oswestry Disability Index (ODI), visual analog scale (VAS) score for the low back and leg, and radiographic parameters, including the cross‐sectional area (CSA) of the spinal canal, disc height (DH), foraminal height (FH), degree of upper vertebral slippage (DUVS), segmental lumbar lordosis (SL), fusion rate, and lumbar lordosis (LL), were recorded before surgery and 1 and 12 months after surgery. Surgical‐related complications, including cage subsidence (CS), were also evaluated. The local radiographic parameters were compared between L3‐4 and L4‐5. The clinical results and all radiographic parameters were compared between patients with and without CS. Results Significant improvements were observed in radiographic parameters 1 day postoperatively (p &lt; 0.05). Local radiological parameters in L4‐5 had a significant decrease at 12 months postoperatively (p &lt; 0.05), while they were well‐maintained at L3‐4 throughout the follow‐up period (p &gt; 0.05). CS was observed in 26 segments (15.5%). Endplate injury was observed in four segments (2.4%). There was no significant difference in the fusion rate between the segments with and without CS (p = 0.355). The clinical results improved significantly after surgery (p &lt; 0.05), and no significant difference was observed between the groups with and without CS (p &gt; 0.05). Conclusions Anterolateral fixation combined with OLIF provides sufficient stability to sustain most radiological improvements in treating double‐segment LDDD. Subsidence was the most common complication, which was prone to occur in L4‐5 compared to L3‐4, but did not impede the fusion process or diminish the surgical results. It is uncertain whether anterolateral single rod‐screw can maintain the surgical outcomes following oblique lumbar interbody fusion (OLIF) for double‐segment disc disease. 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tissue grafts</topic><topic>Statistical analysis</topic><topic>Surgery</topic><topic>Surgical outcomes</topic><topic>Vertebrae</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhao, Long</creatorcontrib><creatorcontrib>Xie, Tianhang</creatorcontrib><creatorcontrib>Wang, Xiandi</creatorcontrib><creatorcontrib>Yang, Zhiqiang</creatorcontrib><creatorcontrib>Pu, Xingxiao</creatorcontrib><creatorcontrib>Zeng, Jiancheng</creatorcontrib><collection>Wiley-Blackwell Open Access Collection</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest - Health &amp; Medical Complete保健、医学与药学数据库</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Orthopaedic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhao, Long</au><au>Xie, Tianhang</au><au>Wang, Xiandi</au><au>Yang, Zhiqiang</au><au>Pu, Xingxiao</au><au>Zeng, Jiancheng</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Whether Anterolateral Single Rod Can Maintain the Surgical Outcomes Following Oblique Lumbar Interbody Fusion for Double‐Segment Disc Disease</atitle><jtitle>Orthopaedic surgery</jtitle><date>2022-06</date><risdate>2022</risdate><volume>14</volume><issue>6</issue><spage>1126</spage><epage>1134</epage><pages>1126-1134</pages><issn>1757-7853</issn><eissn>1757-7861</eissn><abstract>Objective To evaluate the outcomes of oblique lumbar interbody fusion (OLIF) combined with anterolateral single‐rod screw fixation (AF) in treating two‐segment lumbar degenerative disc disease (LDDD) and to determine whether AF can maintain the surgical results. Methods A retrospective analysis was performed on patients who underwent OLIF combined with AF (OLIF‐AF) for LDDD at the L3‐5 levels between October 2017 and May 2018. A total of 84 patients, including 44 males and 40 females, with a mean age of 62.8 ± 6.8 years, who completed the 12‐month follow‐up were eventually enrolled. Clinical outcomes, including the Oswestry Disability Index (ODI), visual analog scale (VAS) score for the low back and leg, and radiographic parameters, including the cross‐sectional area (CSA) of the spinal canal, disc height (DH), foraminal height (FH), degree of upper vertebral slippage (DUVS), segmental lumbar lordosis (SL), fusion rate, and lumbar lordosis (LL), were recorded before surgery and 1 and 12 months after surgery. Surgical‐related complications, including cage subsidence (CS), were also evaluated. The local radiographic parameters were compared between L3‐4 and L4‐5. The clinical results and all radiographic parameters were compared between patients with and without CS. Results Significant improvements were observed in radiographic parameters 1 day postoperatively (p &lt; 0.05). Local radiological parameters in L4‐5 had a significant decrease at 12 months postoperatively (p &lt; 0.05), while they were well‐maintained at L3‐4 throughout the follow‐up period (p &gt; 0.05). CS was observed in 26 segments (15.5%). Endplate injury was observed in four segments (2.4%). There was no significant difference in the fusion rate between the segments with and without CS (p = 0.355). The clinical results improved significantly after surgery (p &lt; 0.05), and no significant difference was observed between the groups with and without CS (p &gt; 0.05). Conclusions Anterolateral fixation combined with OLIF provides sufficient stability to sustain most radiological improvements in treating double‐segment LDDD. Subsidence was the most common complication, which was prone to occur in L4‐5 compared to L3‐4, but did not impede the fusion process or diminish the surgical results. It is uncertain whether anterolateral single rod‐screw can maintain the surgical outcomes following oblique lumbar interbody fusion (OLIF) for double‐segment disc disease. With these doubts in mind, we examined the clinical and radiographic results of 84 patients who received OLIF combined with anterolateral single‐screw rods at a 1‐year follow‐up and found that the single rod‐screw were sufficiently stable to maintain the achievements of OLIF surgery.</abstract><cop>Melbourne</cop><pub>John Wiley &amp; Sons Australia, Ltd</pub><pmid>35478325</pmid><doi>10.1111/os.13290</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-6117-2856</orcidid><oa>free_for_read</oa></addata></record>
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subjects Anterolateral single‐rod screw fixation
Cage subsidence
Clinical
Double segmental lumbar disorder
Minimally invasive
Oblique lumbar interbody fusion
Skin & tissue grafts
Statistical analysis
Surgery
Surgical outcomes
Vertebrae
title Whether Anterolateral Single Rod Can Maintain the Surgical Outcomes Following Oblique Lumbar Interbody Fusion for Double‐Segment Disc Disease
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