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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 823 - 831 (9page)
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초록· 키워드
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Study Design: Retrospective, single-center study. Purpose: We aimed to determine the perioperative complications of oblique lumbar interbody fusion (OLIF) as a first-stage procedure in combined anterior and posterior operation for adult spinal deformity (ASD) along with sagittal imbalance. Specifically, we aimed to identify the radiological and clinical types of perioperative surgical complications and the factors affecting these complications. Overview of Literature: OLIF has recently gained popularity, and there are several reports of good outcomes and only a few of complications with OLIF; however, a few studies have focused on the perioperative surgical complications of ASD along with sagittal imbalance. Methods: The perioperative period was a 1-week interval between the anterior and posterior procedures. All patients underwent simple radiography and magnetic resonance imaging preoperatively and postoperatively. Cage placement was evaluated for displacement (i.e., subsidence and migration) and vertebral body fracture. Clinical patient complaints were evaluated perioperatively. Student t-test was used for data analysis. Results: A total of 46 patients were included, totaling 138 fusion segments. A week after OLIF, 14 patients/33 segments (30.4%/23.9%) demonstrated endplate injury-associated cage placement change. Subsidence was the most common cage placement-related complication. As compared with patients without endplate injury, those with endplate injuries showed significantly larger correction angles and a higher proportion of them had larger height cages than the disk height in the full-extension lateral view. Although 32.6% of the patients experienced perioperative clinical complications, they were relatively minor and transient. The most common complication was severe postoperative pain (Visual Analog Scale score of >7), and hip flexor weakness spontaneously resolved within 1 week. Conclusions: OLIF yielded more than expected endplate injuries from treatment modalities for ASD along with sagittal imbalance. Therefore, surgeons should be cautious about endplate injury during OLIF procedures. It is difficult to accomplish lordosis correction via OLIF alone; therefore, surgeons should not attempt this impractical correction goal and insert an immoderate cage.
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등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
O’Boynick CP / 2014 / Timing of surgery in thoracolumbar trauma: is early intervention safe? / Neurosurg Focus 37:E7
Bridwell KH / 2010 / Changes in radiographic and clinical outcomes with primary treatment adult spinal deformity surgeries from two years to three-to five-years follow-up / Spine(Phila Pa 1976) 35:1849~1854
Carreon LY / 2008 / Fusion and nonsurgical treatment for symptomatic lumbar degenerative disease : a systematic review of Oswestry Disability Index and MOS Short Form-36 outcomes / Spine J 8:747~755
Weinstein JN / 2007 / Surgical versus nonsurgical treatment for lumbar degenerative spondylolisthesis / N Engl J Med 356:2257~2270
Smith JS / 2016 / Outcomes of operative and nonoperative treatment for adult spinal deformity : a prospective, multicenter, propensitymatched cohort assessment with minimum 2-year follow-up / Neurosurgery 78:851~861
Bridwell KH / 2010 / Changes in radiographic and clinical outcomes with primary treatment adult spinal deformity surgeries from two years to three-to five-years follow-up / Spine(Phila Pa 1976) 35:1849~1854
Carreon LY / 2008 / Fusion and nonsurgical treatment for symptomatic lumbar degenerative disease : a systematic review of Oswestry Disability Index and MOS Short Form-36 outcomes / Spine J 8:747~755
Weinstein JN / 2007 / Surgical versus nonsurgical treatment for lumbar degenerative spondylolisthesis / N Engl J Med 356:2257~2270
Smith JS / 2016 / Outcomes of operative and nonoperative treatment for adult spinal deformity : a prospective, multicenter, propensitymatched cohort assessment with minimum 2-year follow-up / Neurosurgery 78:851~861
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