Analysis the causes of endplate injury in oblique lateral interbody fusion

VernacularTitle:腰椎斜外侧椎间融合术中终板损伤的原因分析
Author: Zhongyou ZENG ¹ ; Xiangqian FANG ; Weihu MA ; Dengwei HE ; Wenfei NI ; Wei YU ; Xin ZHAO ; Yongxin SONG ; Jianqiao ZHANG ; Shiyang FAN ; Fei PEI ; Sunwu FAN
Author Information

1. 武警海警总队医院骨二科，嘉兴　314000
From: Chinese Journal of Orthopaedics 2020;40(17):1144-1154
CountryChina
Language:Chinese
Abstract: Objective:To investigate the characteristics and causes of endplate injury in the oblique lateral interbody fusion for the treatment of lumbar diseases, and summarize the precaution of endplate injury.Methods:Thirty-five cases of endplate injury were observed, which were originally treated with oblique lateral interbody fusion with or without pedicle screw fixation from October 2014 to December 2017. There were 7 males and 28 females, and the age ranged from 51 to 78 years old (averagely 62.8±8.13 years). There were 2 cases of lumbar disc degeneration, 10 cases of lumbar canal stenosis, 17 cases of lumbar degenerative spondylolisthesis, 2 cases of lumbar spondylolysis with or without spondylolisthesis, and 4 cases of lumbar degenerative scoliosis. Lesion sites contained L 3,4 in 2 cases, L 4,5 in 21 cases, L 2-4 in 3 cases, L 3-5 in 4 cases, L 2-5 in 3 cases and L 1-5 in 2 cases. Preoperative bone mineral density examination revealed there were 7 cases of T>-1 SD, 24 cases of -2.5 SD