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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
- 1,017 - 1,027 (11page)
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Study Design: Prospective, single-center study. Purpose: The current trend of operative treatment for adult spinal deformity (ASD) is combined anterior-posterior staged surgery. When anterior surgery was first performed, oblique lumbar interbody fusion (OLIF) was employed; this method became increasing popular. This study aimed to determine the lordosis correction that can be achieved using OLIF and assess whether we can preoperatively predict the lordosis correction angle achieved using OLIF. Overview of Literature: Many previous studies on OLIF have shown improved clinical and radiologic outcomes. With the increase in the popularity of OLIF, several surgeons have started using larger cages to attain greater lordosis correction. Moreover, some studies have reported complications of OLIF because of immoderate cage insertion. To our knowledge, this is the first prospective study that attempted to determine whether it is possible to predict the lordosis correction angle achieved with OLIF preoperatively, using full-extension lateral view (FELV). Methods: Forty-six patients with ASD were enrolled. All the operations were performed by a single surgeon in two stages (first, anterior and second, posterior) with a 1-week interval. Radiological evaluation was performed by comparing the Cobb’s angle of the segmental and regional lordosis obtained using preoperative and postoperative simple radiography (including the FELV) and magnetic resonance imaging (MRI). Results: Regional lordosis (L1–S1) in the whole-spine standing lateral radiograph was −3.03°; however, in the supine lateral MRI, it was 20.92°. The regional lordosis of whole-spine standing lateral and supine lateral (MRI) was significantly different. In the FELV, regional lordosis was 25.72° and that in the postoperative supine lateral (MRI) was 25.02°; these values were not significantly different. Conclusions: Although OLIF offers many advantages, it alone plays a limited role in ASD treatment. Lordosis correction using OLIF as well as lordosis determined in the FELV was possible. Hence, our results suggest that FELV can help predict the lordosis correction angle preoperatively and thus aid the selection of the appropriate technique in the second staged operation.
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참고문헌 (31)
참고문헌 신청
Seiji Ohtori / 2015 / Mini-Open Anterior Retroperitoneal Lumbar Interbody Fusion: Oblique Lateral Interbody Fusion for Lumbar Spinal Degeneration Disease / Yonsei Medical Journal 56(4):1051~1059
Schwab F / 2012 / Scoliosis Research Society-Schwab adult spinal deformity classification : a validation study / Spine(Phila Pa 1976) 37:1077~1082
Manwaring JC / 2014 / Management of sagittal balance in adult spinal deformity with minimally invasive anterolateral lumbar interbody fusion : a preliminary radiographic study / J Neurosurg Spine 20:515~522
Anand N / 2010 / Midterm to long-term clinical and functional outcomes of minimally invasive correction and fusion for adults with scoliosis / Neurosurg Focus 28:E6
Carreon LY / 2003 / Perioperative complications of posterior lumbar decompression and arthrodesis in older adults / J Bone Joint Surg Am 85:2089~2092
Schwab F / 2012 / Scoliosis Research Society-Schwab adult spinal deformity classification : a validation study / Spine(Phila Pa 1976) 37:1077~1082
Manwaring JC / 2014 / Management of sagittal balance in adult spinal deformity with minimally invasive anterolateral lumbar interbody fusion : a preliminary radiographic study / J Neurosurg Spine 20:515~522
Anand N / 2010 / Midterm to long-term clinical and functional outcomes of minimally invasive correction and fusion for adults with scoliosis / Neurosurg Focus 28:E6
Carreon LY / 2003 / Perioperative complications of posterior lumbar decompression and arthrodesis in older adults / J Bone Joint Surg Am 85:2089~2092
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