Comparison of the short-term effects of oblique lateral approach and transforaminal approach for treating single-segment lumbar spondylolisthesis
- VernacularTitle:斜外侧入路和经椎间孔入路椎间融合术治疗单节段腰椎滑脱的近期疗效的比较
- Author:
Shengdong WANG
1
;
Peng CHENG
1
;
Shaowen DU
1
;
Xiang LIU
1
;
Kaishan YE
1
Author Information
- Publication Type:Journal Article
- Keywords: lumbar spondylolisthesis; oblique lateral interbody fusion （OLIF）; transforaminal lumbar interbody fusion （TLIF）; minimally invasive
- From: Journal of Xi'an Jiaotong University(Medical Sciences) 2021;42(6):802-807
- CountryChina
- Language:Chinese
- Abstract: 【Objective】 To compare the short-term clinical effects of oblique lateral interbody fusion （OLIF） and transforaminal lumbar interbody fusion （TLIF） for treating single-segment lumbar spondylolisthesis. 【Methods】 We retrospectively analyzed the data of 68 patients with single-segment degenerative lumbar spondylolisthesis from January 2019 to February 2020. According to different surgical methods， the patients were divided into OLIF+ anterior screw fixation group （33 cases） and TLIF + posterior pedicle screw fixation group （35 cases）. The operation time， intraoperative blood loss， postoperative drainage， postoperative hospital stay and complication rate were compared between the two groups of patients. The disc height （DH）， lumbar lordosis （LL）， fused segmental lordosis （FSL）， foraminal height （FH）， and spondylolisthesis angle （SA） were measured before and after surgery and during follow-up. The visual analogue scale （VAS） of waist pain and the Oswestry disability index （ODI） were used to evaluate the short-term clinical efficacy. 【Results】 The operation time， intraoperative blood loss， postoperative drainage， and postoperative hospital stay were less in OLIF group than in TLIF group （all P<0.05）. There was no statistically significant difference in VAS or ODI scores between the two groups at the last follow-up after surgery （both P>0.05）. The two groups had statistically significant differences in DH and FH after surgery （P<0.05）， but no significant difference in postoperative LL， FSL or SA （all P>0.05）. There were six （18.2%） and five （14.3%） cases of complications in OLIF group and TLIF group， respectively， with no significant difference （P>0.05）. 【Conclusion】 OLIF and TLIF are equally safe and effective in treating single-segment lumbar spondylolisthesis. However， OLIF combined with anterior screw fixation has the advantages of less surgical trauma， less blood loss， shorter operation time， reduced postoperative hospital stay and shorter recovery time. Therefore， it is a more minimally invasive surgical option.
