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

Yıl 2024, Cilt: 14 Sayı: 4, 278 - 285, 15.12.2024

Fahri Eryılmaz , Göker Yurdakul

Öz

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

Öz

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.

Anahtar Kelimeler

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

Kaynakça

• 1. Tanaka M, Sonawane S, Meena U, Lu Z, Fujiwara Y, Taoka T, et al. Comparison of C-Arm-Free Oblique Lumbar Interbody Fusion L5-S1 (OLIF51) with Transforaminal Lumbar Interbody Fusion L5-S1 (TLIF51) for Adult Spinal Deformity. Medicina. 2023;59(5):838..
• 2. Li H, Zhang R, Shen C. Radiographic and Clinical Outcomes of Oblique Lateral Interbody Fusion Versus Minimally Invasive Transforaminal Lumbar Interbody Fusion for Degenerative Lumbar Disease. World Neurosurg. 2019;122:e627-38.
• 3. Mobbs RJ, Phan K, Malham G, Seex K, Rao PJ. Lumbar interbody fusion: techniques, indications and comparison of interbody fusion options including PLIF, TLIF, MI-TLIF, OLIF/ATP, LLIF and ALIF. J Spine Surg. 2015;1(1):2-18.
• 4. Park SW, Ko MJ, Kim YB, Huec JCL. Correction of marked sagittal deformity with circumferential minimally invasive surgery using oblique lateral interbody fusion in adult spinal deformity. J Orthop Surg Res. 2020;15(1):13.
• 5. Chen X, Wu LL, Yang ZC, Qiu YJ. Clinical and radiologic comparison between oblique lateral interbody transforaminal lumbar interbody fusion for degenerative lumbar spondylolisthesis. Zhongguo Gu Shang. 2023;36(5):414-9.
• 6. Chen YL, Zhu ZH, Wang YK, Fan SW, Fang XQ, Wan SL, et al. Effects of oblique lateral interbody fusion and transforaminal lumbar interbody fusion for lordosis correction in degenerative lumbar diseases. Zhonghua Yi Xue 2018;98(25):1990-5.
• 7. Li J, Chen Y, Wu H, Gan K, Bei D, Fan T, et al. Can oblique lateral interbody fusion (OLIF) create more lumbosacral lordosis in lumbar spine surgery than minimally invasive transforaminal interbody fusion (MIS-TLIF)?. Front Surg. 2023;9:1063354.
• 8. Theologis AA, Mundis GM Jr, Nguyen S, Okonko DO, Mummaneni PV, Smith JS, et al. Utility of multilevel lateral interbody fusion of the thoracolumbar coronal curve apex in adult deformity surgery in combination with open posterior instrumentation and L5-S1 interbody fusion: a case-matched evaluation of 32 patients. J Neurosurg Spine. 2017;26(2):208-19.
• 9. Park P, Wang MY, Lafage V, Nguyen S, Ziewacz J, Okonkwo DO, et al. Comparison of two minimally invasive surgery strategies to treat adult spinal deformity. J Neurosurg Spine. 2015;22(4):374-80.
• 10. Lin GX, Xu WB, Kotheeranurak V, Chen CM, Deng ZH, Zhu MT. Comparison of oblique and transforaminal approaches to lumbar interbody fusion for lumbar degenerative disease: An updated meta-analysis. Front Surg. 2023;9:1004870.