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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2023.6
- 수록면
- 536 - 549 (14page)
- DOI
- 10.14245/ns.2244954.477
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초록· 키워드
오류제보하기
Objective: To compare the efficacy of oblique lateral interbody fusion (OLIF), OLIF com bined with anterolateral screw fixation (OLIF-AF), and OLIF combined with percutaneous pedicle screw fixation (OLIF-PF) in the treatment of single-level or 2-level degenerative lumbar disease.
Methods: Between January 2017 and 2021, 71 patients were treated with OLIF and com bined OLIF. The demographic data, clinical outcomes, radiographic outcomes, and com plications were compared among the 3 groups.
Results: The operative time and intraoperative blood loss in the OLIF (p < 0.05) and OLIF AF (p < 0.05) groups were lower than in the OLIF-PF group. Posterior disk height improve ment in the OLIF-PF group was better than in the OLIF (p < 0.05) and OLIF-AF (p < 0.05) groups. In terms of foraminal height (FH), the OLIF-PF group was significantly better than the OLIF group (p < 0.05), but there was no significant difference between the OLIF-PF and OLIF-AF groups (p > 0.05) or between the OLIF and OLIF-AF groups (p > 0.05). There were no significant differences in fusion rates, the incidence of complications, lumbar lordo sis, anterior disc height, and cross-sectional area among the 3 groups (p > 0.05). The OLIF PF group had significantly lower rates of subsidence than the OLIF group (p < 0.05).
Conclusion: OLIF remains a viable option with similar patient-reported outcomes and fu sion rates compared with surgeries that include lateral and posterior internal fixation while greatly reducing the financial burden, intraoperative time, and intraoperative blood loss.
OLIF has a higher subsidence rate than lateral and posterior internal fixation, but most sub sidence is mild and has no adverse effect on clinical and radiographic outcomes.
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