COMPARISON OF FLUOROSCOPY REDUCING OBLIQUE LUMBAR INTERBODY FUSION L5-S1 (OLIF51) AND STANDARD TRANSFORAMINAL LUMBAR INTERBODY FUSION L5-S1 (TLIF51) METHODS IN THE SURGICAL TREATMENT OF ADULT SPINAL DEFORMITY Floroskopi Kullanımını Azaltan Oblik Lumbar İnterbody Füzyon (OLIF51) ile Standart Transforaminal Lumbar İnterbody Füzyon (TLIF51) Yöntemlerinin Yetişkin Omurga Deformitesi Cerrahi Tedavisinde Karşılaştırılması

Year 2024, Volume: 14 Issue: 4, 278 - 285, 15.12.2024

Fahri Eryılmaz , Göker Yurdakul

Abstract

COMPARISON OF FLUOROSCOPY REDUCING OBLIQUE LUMBAR INTERBODY FUSION L5-S1 (OLIF51) AND STANDARD TRANSFORAMINAL LUMBAR INTERBODY FUSION L5-S1 (TLIF51) METHODS IN THE SURGICAL TREATMENT OF ADULT SPINAL DEFORMITY Floroskopi Kullanımını Azaltan Oblik Lumbar İnterbody Füzyon (OLIF51) ile Standart Transforaminal Lumbar İnterbody Füzyon (TLIF51) Yöntemlerinin Yetişkin Omurga Deformitesi Cerrahi Tedavisinde Karşılaştırılması

Abstract

ABSTRACT
Objective: The objective of the study was to evaluate the L5-S1 oblique lumbar interbody fusion (OLIF51)
and L5-S1 transforaminal lumbar interbody fusion (TLIF51) techniques in relation to several key variables,
including the duration of the operation, quantity of blood lost, fluoroscopy time used, radiological outcome
and complications as regards the management of adult spinal deformity.
Material and Methods: In this retrospective study, a total of 60 patients who underwent surgical treatment
for spinal deformities between January 2021 and December 2023 were included in the analysis. Patients
were divided into two groups according to OLIF51 and TLIF51 methods. Demographic data, surgical time,
blood loss, hospitalization, fluoroscopy time, and complication rates were recorded. visual analog scale
(VAS) and oswestry disability index (ODI) were used for clinical evaluation. Radiological parameters were
analyzed using disc height and lumbar lordosis angle.
Results: The OLIF51 group exhibited a shorter surgical duration (p<0.001), reduced blood loss (p<0.001),
and a shorter hospital stay (p=0.002) compared to the control group. Moreover, the OLIF51 procedure demonstrated
a notable reduction in the utilization of fluoroscopy, with a statistically significant difference
(p<0.001). In terms of radiological outcomes, the OLIF51 group exhibited superior disc height and lumbar
lordosis angle measurements compared to the TLIF51 group, with statistical significance (p<0.05). No significant
difference was observed between the two groups in terms of clinical improvement.
Conclusion: The OLIF51 procedure offers several advantages over TLIF51, including a shorter operative time,
reduced blood loss, and less fluoroscopy time. Additionally, radiological outcomes are more favorable for
OLIF51. For this reason, OLIF51 can be regarded as a secure and effective alternative for the management
of spinal deformities.

Keywords

COMPARISON OF FLUOROSCOPY REDUCING OBLIQUE LUMBAR INTERBODY FUSION L5-S1 (OLIF51) AND STANDARD TRANSFORAMINAL LUMBAR INTERBODY FUSION L5-S1 (TLIF51) METHODS IN THE SURGICAL TREATMENT OF ADULT SPINAL DEFORMITY, Floroskopi Kullanımını Azaltan Oblik Lumbar İnterbody Füzyon (OLIF51) ile Standart Transforaminal Lumbar İnterbody Füzyon (TLIF51) Yöntemlerinin Yetişkin Omurga Deformitesi Cerrahi Tedavisinde Karşılaştırılması, COMPARISON OF FLUOROSCOPY REDUCING OBLIQUE LUMBAR INTERBODY FUSION L5-S1 (OLIF51) AND

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