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Clinical Efficacy of OLIF in the Treatment of Lumbar Spinal Stenosis

Received: 7 August 2022     Accepted: 20 August 2022     Published: 29 August 2022
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Abstract

The safety and efficacy of oblique lateral interbody fusion (OLIF) for lumbar spinal stenosis (DLCS) were analysed. clinical and imaging data of 63 patients who underwent OLIF for DLCS at our hospital from October 2020 to June 2022, of whom 24 were male and 39 were female; 55 patients had simple spinal stenosis and 8 patients had combined lumbar spondylolisthesis; 63 The age distribution of the patients was over 60 years, with a mean of (66.4±6.0) years. Patients' preoperative and postoperative pain visual analogue scale (VAS) scores, Oswestry dysfunction index (ODI), Japanese Orthopaedic Association treatment assessment (JOA) scores at 3, 6 and 12 months and surgical complications were statistically analysed. All 63 patients over 60 years of age with degenerative DLCS underwent successful surgery, with an operative time of 48.5 ± 15.48 minutes (40-70 minutes) and intraoperative bleeding of 39.37 ± 29.78 ml (20-75 ml). All 63 patients were followed up for approximately 12 months and leg VAS scores improved from 8. 32±2.7 (preoperatively) to 1.2±0.4 (p < 0.001) at 12 months postoperatively. The low back VAS score improved from 6.53±1.9 preoperatively to 1.5±0.7 at 12 months postoperatively (P < 0.05). the JOA score improved from 13.3±7.8 preoperatively to 25.7±5.2 at 12 months postoperatively (P < 0.05). the ODI score improved from 56.6±16.9 preoperatively to 15.6±12.6 at 12 months postoperatively (P < 0.05). Complications at 12 months postoperatively included two dural tears and one inadequate decompression. The OLIF technique provides safe and effective decompression of the DLCS and also has many advantages, such as less trauma, less bleeding, shorter operative time and hospital stay, and fewer postoperative complications, making it the clinical choice.

Published in Journal of Surgery (Volume 10, Issue 4)
DOI 10.11648/j.js.20221004.11
Page(s) 136-139
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Lumbar Spinal Stenosis, Elder, Lumbar Decompression, OLIF Technology

References
[1] Li P, Tong Y, Chen Y, et al. Comparison of percutaneous transforaminal endoscopic decompression and short-segment fusion in the treatment of elderly degenerative lumbar scoliosis with spinal stenosis. BMC Musculoskelet Disord. 2021; 22 (1): 906.
[2] Arabmotlagh M, Sellei RM, Vinas-Rios JM, et al. Klassifikation und Diagnostik der lumbalen Spinalkanalstenose. Orthopade. 2019; 48 (10): 816-823.
[3] Bydon M, Alvi MA, Goyal A. Degenerative Lumbar Spondylolisthesis: Definition, Natural History, Conservative Management, and Surgical Treatment. Neurosurg Clin N Am. 2019; 30 (3): 299-304.
[4] Katz JN, Zimmerman ZE, Mass H, Makhni MC. Diagnosis and Management of Lumbar Spinal Stenosis: A Review. JAMA. 2022; 327 (17): 1688-1699.
[5] Deer TR, Grider JS, Pope JE, et al. The MIST Guidelines: The Lumbar Spinal Stenosis Consensus Group Guidelines for Minimally Invasive Spine Treatment. Pain Pract. 2019; 19 (3): 250-274.
[6] Kaye AD, Edinoff AN, Temple SN, et al. A Comprehensive Review of Novel Interventional Techniques for Chronic Pain: Spinal Stenosis and Degenerative Disc Disease-MILD Percutaneous Image Guided Lumbar Decompression, Vertiflex Interspinous Spacer, Minute Man G3 Interspinous-Interlaminar Fusion. Adv Ther. 2021; 38 (9): 4628-4645.
[7] Derman PB, Ohnmeiss DD, Lauderback A, Guyer RD. Indirect Decompression for the Treatment of Degenerative Lumbar Stenosis. Int J Spine Surg. 2021; 15 (6): 1066-1071.
[8] Bussières A, Cancelliere C, Ammendolia C, et al. Non-Surgical Interventions for Lumbar Spinal Stenosis Leading To Neurogenic Claudication: A Clinical Practice Guideline. J Pain. 2021; 22 (9): 1015-1039.
[9] Tang S, Mok TN, He Q, et al. Comparison of clinical and radiological outcomes of full-endoscopic versus microscopic lumbar decompression laminectomy for the treatment of lumbar spinal stenosis: a systematic review and meta-analysis. Ann Palliat Med. 2021; 10 (10): 10130-10146.
[10] Haleem S, Ahmed A, Ganesan S, McGillion SF, Fowler JL. Mean 5-Year Follow-Up Results of a Facet Replacement Device in the Treatment of Lumbar Spinal Stenosis and Degenerative Spondylolisthesis. World Neurosurg. 2021; 152: e645-e651.
[11] Li P, Tong Y, Chen Y, Zhang Z, Song Y. Comparison of percutaneous transforaminal endoscopic decompression and short-segment fusion in the treatment of elderly degenerative lumbar scoliosis with spinal stenosis. BMC Musculoskelet Disord. 2021; 22 (1): 906.
[12] Mohsinaly Y, Boissiere L, Maillot C, Pesenti S, Le Huec JC. Treatment of lumbar canal stenosis in patients with compensated sagittal balance. Orthop Traumatol Surg Res. 2021; 107 (7): 102861.
[13] Yang F, Wang Y, Ma Y, et al. Single-segment central lumbar spinal stenosis: Correlation with lumbar X-ray measurements. J Back Musculoskelet Rehabil. 2021; 34 (4): 581-587.
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Cite This Article
  • APA Style

    Mengmeng Xu, Dingjie Liang, Jianing Zhang, Weiqing Qian. (2022). Clinical Efficacy of OLIF in the Treatment of Lumbar Spinal Stenosis. Journal of Surgery, 10(4), 136-139. https://doi.org/10.11648/j.js.20221004.11

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    ACS Style

    Mengmeng Xu; Dingjie Liang; Jianing Zhang; Weiqing Qian. Clinical Efficacy of OLIF in the Treatment of Lumbar Spinal Stenosis. J. Surg. 2022, 10(4), 136-139. doi: 10.11648/j.js.20221004.11

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    AMA Style

    Mengmeng Xu, Dingjie Liang, Jianing Zhang, Weiqing Qian. Clinical Efficacy of OLIF in the Treatment of Lumbar Spinal Stenosis. J Surg. 2022;10(4):136-139. doi: 10.11648/j.js.20221004.11

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  • @article{10.11648/j.js.20221004.11,
      author = {Mengmeng Xu and Dingjie Liang and Jianing Zhang and Weiqing Qian},
      title = {Clinical Efficacy of OLIF in the Treatment of Lumbar Spinal Stenosis},
      journal = {Journal of Surgery},
      volume = {10},
      number = {4},
      pages = {136-139},
      doi = {10.11648/j.js.20221004.11},
      url = {https://doi.org/10.11648/j.js.20221004.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20221004.11},
      abstract = {The safety and efficacy of oblique lateral interbody fusion (OLIF) for lumbar spinal stenosis (DLCS) were analysed. clinical and imaging data of 63 patients who underwent OLIF for DLCS at our hospital from October 2020 to June 2022, of whom 24 were male and 39 were female; 55 patients had simple spinal stenosis and 8 patients had combined lumbar spondylolisthesis; 63 The age distribution of the patients was over 60 years, with a mean of (66.4±6.0) years. Patients' preoperative and postoperative pain visual analogue scale (VAS) scores, Oswestry dysfunction index (ODI), Japanese Orthopaedic Association treatment assessment (JOA) scores at 3, 6 and 12 months and surgical complications were statistically analysed. All 63 patients over 60 years of age with degenerative DLCS underwent successful surgery, with an operative time of 48.5 ± 15.48 minutes (40-70 minutes) and intraoperative bleeding of 39.37 ± 29.78 ml (20-75 ml). All 63 patients were followed up for approximately 12 months and leg VAS scores improved from 8. 32±2.7 (preoperatively) to 1.2±0.4 (p < 0.001) at 12 months postoperatively. The low back VAS score improved from 6.53±1.9 preoperatively to 1.5±0.7 at 12 months postoperatively (P < 0.05). the JOA score improved from 13.3±7.8 preoperatively to 25.7±5.2 at 12 months postoperatively (P < 0.05). the ODI score improved from 56.6±16.9 preoperatively to 15.6±12.6 at 12 months postoperatively (P < 0.05). Complications at 12 months postoperatively included two dural tears and one inadequate decompression. The OLIF technique provides safe and effective decompression of the DLCS and also has many advantages, such as less trauma, less bleeding, shorter operative time and hospital stay, and fewer postoperative complications, making it the clinical choice.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Clinical Efficacy of OLIF in the Treatment of Lumbar Spinal Stenosis
    AU  - Mengmeng Xu
    AU  - Dingjie Liang
    AU  - Jianing Zhang
    AU  - Weiqing Qian
    Y1  - 2022/08/29
    PY  - 2022
    N1  - https://doi.org/10.11648/j.js.20221004.11
    DO  - 10.11648/j.js.20221004.11
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 136
    EP  - 139
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20221004.11
    AB  - The safety and efficacy of oblique lateral interbody fusion (OLIF) for lumbar spinal stenosis (DLCS) were analysed. clinical and imaging data of 63 patients who underwent OLIF for DLCS at our hospital from October 2020 to June 2022, of whom 24 were male and 39 were female; 55 patients had simple spinal stenosis and 8 patients had combined lumbar spondylolisthesis; 63 The age distribution of the patients was over 60 years, with a mean of (66.4±6.0) years. Patients' preoperative and postoperative pain visual analogue scale (VAS) scores, Oswestry dysfunction index (ODI), Japanese Orthopaedic Association treatment assessment (JOA) scores at 3, 6 and 12 months and surgical complications were statistically analysed. All 63 patients over 60 years of age with degenerative DLCS underwent successful surgery, with an operative time of 48.5 ± 15.48 minutes (40-70 minutes) and intraoperative bleeding of 39.37 ± 29.78 ml (20-75 ml). All 63 patients were followed up for approximately 12 months and leg VAS scores improved from 8. 32±2.7 (preoperatively) to 1.2±0.4 (p < 0.001) at 12 months postoperatively. The low back VAS score improved from 6.53±1.9 preoperatively to 1.5±0.7 at 12 months postoperatively (P < 0.05). the JOA score improved from 13.3±7.8 preoperatively to 25.7±5.2 at 12 months postoperatively (P < 0.05). the ODI score improved from 56.6±16.9 preoperatively to 15.6±12.6 at 12 months postoperatively (P < 0.05). Complications at 12 months postoperatively included two dural tears and one inadequate decompression. The OLIF technique provides safe and effective decompression of the DLCS and also has many advantages, such as less trauma, less bleeding, shorter operative time and hospital stay, and fewer postoperative complications, making it the clinical choice.
    VL  - 10
    IS  - 4
    ER  - 

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Author Information
  • Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, Nanjing, China

  • Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, Nanjing, China

  • Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, Nanjing, China

  • Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, Nanjing, China

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