Lumbar interbody fusion using oblique (OLIF) and lateral (LLIF) approaches for degenerative spine disorders: a meta-analysis of the comparative studies
Study design Systematic review and meta-analysis . Objective Historically, posterior approaches to the lumbar spine have allowed surgeons to manage degenerative conditions affecting the lumbar spine. However, spinal muscles injury, post-surgical vertebral instability, cerebrospinal fluid (CSF) leaka...
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| Veröffentlicht in: | European journal of orthopaedic surgery & traumatology 2023-01, Vol.33 (1), p.1-7 |
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| creator | Ricciardi, Luca Piazza, Amedeo Capobianco, Mattia Della Pepa, Giuseppe Maria Miscusi, Massimo Raco, Antonino Scerrati, Alba Somma, Teresa Lofrese, Giorgio Sturiale, Carmelo Lucio |
| description | Study design
Systematic review and meta-analysis
.
Objective
Historically, posterior approaches to the lumbar spine have allowed surgeons to manage degenerative conditions affecting the lumbar spine. However, spinal muscles injury, post-surgical vertebral instability, cerebrospinal fluid (CSF) leakage, and failed back surgery syndrome (FBSS) represent severe complications that may occur after these surgeries. Lumbar interbody fusion using anterior (ALIF), oblique (OLIF), or lateral (LLIF) approaches may represent valuable surgical alternatives, in case fusion is indicated on single or multiple levels.
Methods
The present study is a systematic review, conducted according to the PRISMA statement, of comparative studies on OLIF, and LLIF for degenerative spine disorders, and a meta-analysis of their clinical-radiological outcomes and complications.
Results
After screening 1472 papers on PubMed, Scopus, and Cochrane Library, only 3 papers were included in the present study. 318 patients were included for data meta-analysis, 128 in OLIF group, and 190 in LLIF group. There were no significative differences in terms of surgical (intraoperative blood loss and surgical duration) and clinical (VAS-back, VAS-leg, and ODI scores) outcomes, or fusion rates at last follow-up (> 2 years). Significantly higher rates of abdominal complications, system failure, and vascular injuries were recorded in the OLIF group. Conversely, postoperative neurological symptoms and psoas weakness were significatively more common in LLIF group.
Conclusions
The meta-analysis suggests that OLIF and LLIF are both effective for lumbar degenerative disorders, although each of them presents specific complications and this should represent a relevant element in the surgical planning. |
| doi_str_mv | 10.1007/s00590-021-03172-0 |
| format | Article |
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Systematic review and meta-analysis
.
Objective
Historically, posterior approaches to the lumbar spine have allowed surgeons to manage degenerative conditions affecting the lumbar spine. However, spinal muscles injury, post-surgical vertebral instability, cerebrospinal fluid (CSF) leakage, and failed back surgery syndrome (FBSS) represent severe complications that may occur after these surgeries. Lumbar interbody fusion using anterior (ALIF), oblique (OLIF), or lateral (LLIF) approaches may represent valuable surgical alternatives, in case fusion is indicated on single or multiple levels.
Methods
The present study is a systematic review, conducted according to the PRISMA statement, of comparative studies on OLIF, and LLIF for degenerative spine disorders, and a meta-analysis of their clinical-radiological outcomes and complications.
Results
After screening 1472 papers on PubMed, Scopus, and Cochrane Library, only 3 papers were included in the present study. 318 patients were included for data meta-analysis, 128 in OLIF group, and 190 in LLIF group. There were no significative differences in terms of surgical (intraoperative blood loss and surgical duration) and clinical (VAS-back, VAS-leg, and ODI scores) outcomes, or fusion rates at last follow-up (> 2 years). Significantly higher rates of abdominal complications, system failure, and vascular injuries were recorded in the OLIF group. Conversely, postoperative neurological symptoms and psoas weakness were significatively more common in LLIF group.
Conclusions
The meta-analysis suggests that OLIF and LLIF are both effective for lumbar degenerative disorders, although each of them presents specific complications and this should represent a relevant element in the surgical planning.</description><identifier>ISSN: 1432-1068</identifier><identifier>ISSN: 1633-8065</identifier><identifier>EISSN: 1432-1068</identifier><identifier>DOI: 10.1007/s00590-021-03172-0</identifier><identifier>PMID: 34825987</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Back pain ; Back surgery ; Blood Loss, Surgical ; Cerebrospinal fluid ; Degenerative disc disease ; General Review ; Humans ; Libraries ; Lumbar Vertebrae - surgery ; Medical databases ; Medicine ; Medicine & Public Health ; Meta-analysis ; Neurosurgery ; Orthopedics ; Retrospective Studies ; Spinal Diseases - surgery ; Spinal Fusion - adverse effects ; Surgeons ; Surgical Orthopedics ; Surgical outcomes ; Systematic review ; Traumatic Surgery ; Treatment Outcome</subject><ispartof>European journal of orthopaedic surgery & traumatology, 2023-01, Vol.33 (1), p.1-7</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature 2021</rights><rights>2021. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.</rights><rights>The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c441t-68b709fa1106cfb68a241b73ab314e228961eb9c99ae56234bbba74e8528c7d33</citedby><cites>FETCH-LOGICAL-c441t-68b709fa1106cfb68a241b73ab314e228961eb9c99ae56234bbba74e8528c7d33</cites><orcidid>0000-0001-5874-7340 ; 0000-0001-8698-3359 ; 0000-0002-4080-2492 ; 0000-0002-5101-9073 ; 0000-0001-7864-1607 ; 0000-0002-8607-5323 ; 0000-0001-5360-5810 ; 0000-0002-6666-3769 ; 0000-0001-8401-9339 ; 0000-0001-5110-8386</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00590-021-03172-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00590-021-03172-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34825987$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ricciardi, Luca</creatorcontrib><creatorcontrib>Piazza, Amedeo</creatorcontrib><creatorcontrib>Capobianco, Mattia</creatorcontrib><creatorcontrib>Della Pepa, Giuseppe Maria</creatorcontrib><creatorcontrib>Miscusi, Massimo</creatorcontrib><creatorcontrib>Raco, Antonino</creatorcontrib><creatorcontrib>Scerrati, Alba</creatorcontrib><creatorcontrib>Somma, Teresa</creatorcontrib><creatorcontrib>Lofrese, Giorgio</creatorcontrib><creatorcontrib>Sturiale, Carmelo Lucio</creatorcontrib><title>Lumbar interbody fusion using oblique (OLIF) and lateral (LLIF) approaches for degenerative spine disorders: a meta-analysis of the comparative studies</title><title>European journal of orthopaedic surgery & traumatology</title><addtitle>Eur J Orthop Surg Traumatol</addtitle><addtitle>Eur J Orthop Surg Traumatol</addtitle><description>Study design
Systematic review and meta-analysis
.
Objective
Historically, posterior approaches to the lumbar spine have allowed surgeons to manage degenerative conditions affecting the lumbar spine. However, spinal muscles injury, post-surgical vertebral instability, cerebrospinal fluid (CSF) leakage, and failed back surgery syndrome (FBSS) represent severe complications that may occur after these surgeries. Lumbar interbody fusion using anterior (ALIF), oblique (OLIF), or lateral (LLIF) approaches may represent valuable surgical alternatives, in case fusion is indicated on single or multiple levels.
Methods
The present study is a systematic review, conducted according to the PRISMA statement, of comparative studies on OLIF, and LLIF for degenerative spine disorders, and a meta-analysis of their clinical-radiological outcomes and complications.
Results
After screening 1472 papers on PubMed, Scopus, and Cochrane Library, only 3 papers were included in the present study. 318 patients were included for data meta-analysis, 128 in OLIF group, and 190 in LLIF group. There were no significative differences in terms of surgical (intraoperative blood loss and surgical duration) and clinical (VAS-back, VAS-leg, and ODI scores) outcomes, or fusion rates at last follow-up (> 2 years). Significantly higher rates of abdominal complications, system failure, and vascular injuries were recorded in the OLIF group. Conversely, postoperative neurological symptoms and psoas weakness were significatively more common in LLIF group.
Conclusions
The meta-analysis suggests that OLIF and LLIF are both effective for lumbar degenerative disorders, although each of them presents specific complications and this should represent a relevant element in the surgical planning.</description><subject>Back pain</subject><subject>Back surgery</subject><subject>Blood Loss, Surgical</subject><subject>Cerebrospinal fluid</subject><subject>Degenerative disc disease</subject><subject>General Review</subject><subject>Humans</subject><subject>Libraries</subject><subject>Lumbar Vertebrae - surgery</subject><subject>Medical databases</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Meta-analysis</subject><subject>Neurosurgery</subject><subject>Orthopedics</subject><subject>Retrospective Studies</subject><subject>Spinal Diseases - surgery</subject><subject>Spinal Fusion - adverse effects</subject><subject>Surgeons</subject><subject>Surgical Orthopedics</subject><subject>Surgical outcomes</subject><subject>Systematic review</subject><subject>Traumatic Surgery</subject><subject>Treatment Outcome</subject><issn>1432-1068</issn><issn>1633-8065</issn><issn>1432-1068</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kc1u1TAQhS1ERcuFF2CBLLG5LFL8GyfsUEWhUqRuyjoaJ5NbV4kd7KTSfRJeF0NaQCy6mRl5vjnW0SHkDWfnnDHzITGma1YwwQsmuREFe0bOuJKi4Kysnv8zn5KXKd0xxnXN9QtyKlUldF2ZM_KjWScLkTq_YLShP9JhTS54mqs_0GBH931Fur9uri7fU_A9HSGTMNJ9sz3NcwzQ3WKiQ4i0xwP6vF_cPdI0O4-0dynEHmP6SIFOuEABHsZjcomGgS63SLswzfB4s6y9w_SKnAwwJnz90Hfk2-Xnm4uvRXP95eriU1N0SvGlKCtrWD0Azy67wZYVCMWtkWAlVyhEVZccbd3VNaAuhVTWWjAKKy2qzvRS7sh-080ustG0tJNLHY4jeAxrakXJFBNa6jqj7_5D78Ias5VMmZIZVmqjMiU2qoshpYhDO0c3QTy2nLW_Ymu32NocW_s7tlx35O2D9Gon7P-cPOaUAbkBKa_8AePfv5-Q_QlayqM8</recordid><startdate>20230101</startdate><enddate>20230101</enddate><creator>Ricciardi, Luca</creator><creator>Piazza, Amedeo</creator><creator>Capobianco, Mattia</creator><creator>Della Pepa, Giuseppe Maria</creator><creator>Miscusi, Massimo</creator><creator>Raco, Antonino</creator><creator>Scerrati, Alba</creator><creator>Somma, Teresa</creator><creator>Lofrese, Giorgio</creator><creator>Sturiale, Carmelo Lucio</creator><general>Springer Paris</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-5874-7340</orcidid><orcidid>https://orcid.org/0000-0001-8698-3359</orcidid><orcidid>https://orcid.org/0000-0002-4080-2492</orcidid><orcidid>https://orcid.org/0000-0002-5101-9073</orcidid><orcidid>https://orcid.org/0000-0001-7864-1607</orcidid><orcidid>https://orcid.org/0000-0002-8607-5323</orcidid><orcidid>https://orcid.org/0000-0001-5360-5810</orcidid><orcidid>https://orcid.org/0000-0002-6666-3769</orcidid><orcidid>https://orcid.org/0000-0001-8401-9339</orcidid><orcidid>https://orcid.org/0000-0001-5110-8386</orcidid></search><sort><creationdate>20230101</creationdate><title>Lumbar interbody fusion using oblique (OLIF) and lateral (LLIF) approaches for degenerative spine disorders: a meta-analysis of the comparative studies</title><author>Ricciardi, Luca ; Piazza, Amedeo ; Capobianco, Mattia ; Della Pepa, Giuseppe Maria ; Miscusi, Massimo ; Raco, Antonino ; Scerrati, Alba ; Somma, Teresa ; Lofrese, Giorgio ; Sturiale, Carmelo Lucio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c441t-68b709fa1106cfb68a241b73ab314e228961eb9c99ae56234bbba74e8528c7d33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Back pain</topic><topic>Back surgery</topic><topic>Blood Loss, Surgical</topic><topic>Cerebrospinal fluid</topic><topic>Degenerative disc disease</topic><topic>General Review</topic><topic>Humans</topic><topic>Libraries</topic><topic>Lumbar Vertebrae - surgery</topic><topic>Medical databases</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Meta-analysis</topic><topic>Neurosurgery</topic><topic>Orthopedics</topic><topic>Retrospective Studies</topic><topic>Spinal Diseases - surgery</topic><topic>Spinal Fusion - adverse effects</topic><topic>Surgeons</topic><topic>Surgical Orthopedics</topic><topic>Surgical outcomes</topic><topic>Systematic review</topic><topic>Traumatic Surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ricciardi, Luca</creatorcontrib><creatorcontrib>Piazza, Amedeo</creatorcontrib><creatorcontrib>Capobianco, Mattia</creatorcontrib><creatorcontrib>Della Pepa, Giuseppe Maria</creatorcontrib><creatorcontrib>Miscusi, Massimo</creatorcontrib><creatorcontrib>Raco, Antonino</creatorcontrib><creatorcontrib>Scerrati, Alba</creatorcontrib><creatorcontrib>Somma, Teresa</creatorcontrib><creatorcontrib>Lofrese, Giorgio</creatorcontrib><creatorcontrib>Sturiale, Carmelo Lucio</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of orthopaedic surgery & traumatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ricciardi, Luca</au><au>Piazza, Amedeo</au><au>Capobianco, Mattia</au><au>Della Pepa, Giuseppe Maria</au><au>Miscusi, Massimo</au><au>Raco, Antonino</au><au>Scerrati, Alba</au><au>Somma, Teresa</au><au>Lofrese, Giorgio</au><au>Sturiale, Carmelo Lucio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lumbar interbody fusion using oblique (OLIF) and lateral (LLIF) approaches for degenerative spine disorders: a meta-analysis of the comparative studies</atitle><jtitle>European journal of orthopaedic surgery & traumatology</jtitle><stitle>Eur J Orthop Surg Traumatol</stitle><addtitle>Eur J Orthop Surg Traumatol</addtitle><date>2023-01-01</date><risdate>2023</risdate><volume>33</volume><issue>1</issue><spage>1</spage><epage>7</epage><pages>1-7</pages><issn>1432-1068</issn><issn>1633-8065</issn><eissn>1432-1068</eissn><abstract>Study design
Systematic review and meta-analysis
.
Objective
Historically, posterior approaches to the lumbar spine have allowed surgeons to manage degenerative conditions affecting the lumbar spine. However, spinal muscles injury, post-surgical vertebral instability, cerebrospinal fluid (CSF) leakage, and failed back surgery syndrome (FBSS) represent severe complications that may occur after these surgeries. Lumbar interbody fusion using anterior (ALIF), oblique (OLIF), or lateral (LLIF) approaches may represent valuable surgical alternatives, in case fusion is indicated on single or multiple levels.
Methods
The present study is a systematic review, conducted according to the PRISMA statement, of comparative studies on OLIF, and LLIF for degenerative spine disorders, and a meta-analysis of their clinical-radiological outcomes and complications.
Results
After screening 1472 papers on PubMed, Scopus, and Cochrane Library, only 3 papers were included in the present study. 318 patients were included for data meta-analysis, 128 in OLIF group, and 190 in LLIF group. There were no significative differences in terms of surgical (intraoperative blood loss and surgical duration) and clinical (VAS-back, VAS-leg, and ODI scores) outcomes, or fusion rates at last follow-up (> 2 years). Significantly higher rates of abdominal complications, system failure, and vascular injuries were recorded in the OLIF group. Conversely, postoperative neurological symptoms and psoas weakness were significatively more common in LLIF group.
Conclusions
The meta-analysis suggests that OLIF and LLIF are both effective for lumbar degenerative disorders, although each of them presents specific complications and this should represent a relevant element in the surgical planning.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>34825987</pmid><doi>10.1007/s00590-021-03172-0</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-5874-7340</orcidid><orcidid>https://orcid.org/0000-0001-8698-3359</orcidid><orcidid>https://orcid.org/0000-0002-4080-2492</orcidid><orcidid>https://orcid.org/0000-0002-5101-9073</orcidid><orcidid>https://orcid.org/0000-0001-7864-1607</orcidid><orcidid>https://orcid.org/0000-0002-8607-5323</orcidid><orcidid>https://orcid.org/0000-0001-5360-5810</orcidid><orcidid>https://orcid.org/0000-0002-6666-3769</orcidid><orcidid>https://orcid.org/0000-0001-8401-9339</orcidid><orcidid>https://orcid.org/0000-0001-5110-8386</orcidid></addata></record> |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Back pain Back surgery Blood Loss, Surgical Cerebrospinal fluid Degenerative disc disease General Review Humans Libraries Lumbar Vertebrae - surgery Medical databases Medicine Medicine & Public Health Meta-analysis Neurosurgery Orthopedics Retrospective Studies Spinal Diseases - surgery Spinal Fusion - adverse effects Surgeons Surgical Orthopedics Surgical outcomes Systematic review Traumatic Surgery Treatment Outcome |
| title | Lumbar interbody fusion using oblique (OLIF) and lateral (LLIF) approaches for degenerative spine disorders: a meta-analysis of the comparative studies |
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