Oblique lumbar interbody fusion combined with anterolateral screw fixation and stress endplate augmentation for treating degenerative lumbar spondylolisthesis with osteoporosis
Purpose To evaluate the outcomes of Oblique lumbar interbody fusion (OLIF)combined with anterolateral screw fixation (AF) and Stress Endplate Augmentation(SEA) versus OLIF-AF in the treatment of degenerative lumbar spondylolisthesis (DLS)with osteoporosis (OP). Methods 30 patients underwent OLIF-AF-...
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| Veröffentlicht in: | European spine journal 2024-09, Vol.33 (9), p.3467-3475 |
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| creator | Peng, Xingrui Wang, Xiandi Li, Zhuhai Xie, Tianhang Lin, Run Ran, Liyu Hu, Xiao Zeng, Jiancheng |
| description | Purpose
To evaluate the outcomes of Oblique lumbar interbody fusion (OLIF)combined with anterolateral screw fixation (AF) and Stress Endplate Augmentation(SEA) versus OLIF-AF in the treatment of degenerative lumbar spondylolisthesis (DLS)with osteoporosis (OP).
Methods
30 patients underwent OLIF-AF-SEA (SEA group) were matched with 30 patients received OLIF-AF (control group), in terms of sex, age, body mass index (BMI) and bone mineral density (BMD). Clinical outcomes including visual analog scale (VAS) score of the lower back pain (VAS-LBP), leg pain (VAS-LP), and Oswestry Disability Index (ODI) were evaluated at different postoperative intervals and comparedwith their preoperative counterparts. Radiographic outcomes such as disk height (DH), slip distance (SD), lumbar lordosis (LL), segmental lordosis (SL), cage subsidence (CS) rate and fusion rate were evaluated at different postoperative intervals and compared with their preoperative counterparts.
Results
SEA group presented to be better at 3-month and 12-month follow-up, the VAS-LBP, VAS-LP and ODI scores of the SEA group were significantly lower than the control group (3-month SEA vs control: 2.30±0.70 vs 3.30±0.75, 2.03±0.72 vs 2.90±0.76,15.60±2.36 vs 23.23±3.07, respectively, all p |
| doi_str_mv | 10.1007/s00586-024-08401-8 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3092872050</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3092872050</sourcerecordid><originalsourceid>FETCH-LOGICAL-c256t-463548206d88b0d7f0d7e7e447251f6bc131607e8f256a6522cf38808901fde3</originalsourceid><addsrcrecordid>eNp9kc9uFSEUxidGY6_VF3BhSNy4GT3AwDBL09Q_SZNuuifMcLilmYErMNb7Vj6iXKfWxIULIPD9zneAr2leU3hPAfoPGUAo2QLrWlAd0FY9aXa046yFgbOnzQ6GDlrZ0-GseZHzHQAVA8jnzRkfKFey73bNz-tx9t9WJPO6jCYRHwqmMdojcWv2MZApLqMPaMm9L7fEnOQ4mzqbmeQp4T1x_ocpJ9QES3JJmDPBYA8niph1v2AoG-BiIlWvm7AnFvcYqk3x3x-750MM9jjH2edyi9nnrWvMBeMhplhPXjbPnJkzvnpYz5ubT5c3F1_aq-vPXy8-XrUTE7K0neSiUwykVWoE27s6sMeu65mgTo4T5VRCj8pV3EjB2OS4UqAGoM4iP2_ebbaHFOv35KIXnyecZxMwrllzGJjqGQio6Nt_0Lu4plAvpzmFXrBOCFkptlFTfUZO6PQh-cWko6agT3HqLU5d49S_49SqFr15sF7HBe1jyZ_8KsA3IFcp7DH97f0f218Laa_p</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3107524556</pqid></control><display><type>article</type><title>Oblique lumbar interbody fusion combined with anterolateral screw fixation and stress endplate augmentation for treating degenerative lumbar spondylolisthesis with osteoporosis</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Peng, Xingrui ; Wang, Xiandi ; Li, Zhuhai ; Xie, Tianhang ; Lin, Run ; Ran, Liyu ; Hu, Xiao ; Zeng, Jiancheng</creator><creatorcontrib>Peng, Xingrui ; Wang, Xiandi ; Li, Zhuhai ; Xie, Tianhang ; Lin, Run ; Ran, Liyu ; Hu, Xiao ; Zeng, Jiancheng</creatorcontrib><description>Purpose
To evaluate the outcomes of Oblique lumbar interbody fusion (OLIF)combined with anterolateral screw fixation (AF) and Stress Endplate Augmentation(SEA) versus OLIF-AF in the treatment of degenerative lumbar spondylolisthesis (DLS)with osteoporosis (OP).
Methods
30 patients underwent OLIF-AF-SEA (SEA group) were matched with 30 patients received OLIF-AF (control group), in terms of sex, age, body mass index (BMI) and bone mineral density (BMD). Clinical outcomes including visual analog scale (VAS) score of the lower back pain (VAS-LBP), leg pain (VAS-LP), and Oswestry Disability Index (ODI) were evaluated at different postoperative intervals and comparedwith their preoperative counterparts. Radiographic outcomes such as disk height (DH), slip distance (SD), lumbar lordosis (LL), segmental lordosis (SL), cage subsidence (CS) rate and fusion rate were evaluated at different postoperative intervals and compared with their preoperative counterparts.
Results
SEA group presented to be better at 3-month and 12-month follow-up, the VAS-LBP, VAS-LP and ODI scores of the SEA group were significantly lower than the control group (3-month SEA vs control: 2.30±0.70 vs 3.30±0.75, 2.03±0.72 vs 2.90±0.76,15.60±2.36 vs 23.23±3.07, respectively, all p<0.05. VAS-LBP and ODI 12-month SEA vs control: 1.27±0.74 vs 1.93±0.58, 12.20±1.88 vs 14.43±1.89,respectively, all p<0.05). At 24-month follow-up, both groups showed no difference in fusion rate (83.33% vs 90.00%, p=0.45), while SEA group showed a lower CS rate (13.33% vs 53.33%, p<0.05).
Conclusion
OLIF-AF-SEA was safe with no adverse effects and resulted in lower CS rate and better sagittal balance. OLIF-AF-SEA is a promising surgical method for treating patients with DLS-OP.</description><identifier>ISSN: 0940-6719</identifier><identifier>ISSN: 1432-0932</identifier><identifier>EISSN: 1432-0932</identifier><identifier>DOI: 10.1007/s00586-024-08401-8</identifier><identifier>PMID: 39138674</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Aged ; Body mass index ; Bone implants ; Bone mass ; Bone mineral density ; Bone Screws ; Degenerative disc disease ; Female ; Humans ; Low back pain ; Lumbar Vertebrae - diagnostic imaging ; Lumbar Vertebrae - surgery ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Neurosurgery ; Original Article ; Osteoporosis ; Osteoporosis - complications ; Osteoporosis - surgery ; Patients ; Spinal Fusion - methods ; Spondylolisthesis ; Spondylolisthesis - surgery ; Surgical Orthopedics ; Treatment Outcome</subject><ispartof>European spine journal, 2024-09, Vol.33 (9), p.3467-3475</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c256t-463548206d88b0d7f0d7e7e447251f6bc131607e8f256a6522cf38808901fde3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00586-024-08401-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00586-024-08401-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39138674$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Peng, Xingrui</creatorcontrib><creatorcontrib>Wang, Xiandi</creatorcontrib><creatorcontrib>Li, Zhuhai</creatorcontrib><creatorcontrib>Xie, Tianhang</creatorcontrib><creatorcontrib>Lin, Run</creatorcontrib><creatorcontrib>Ran, Liyu</creatorcontrib><creatorcontrib>Hu, Xiao</creatorcontrib><creatorcontrib>Zeng, Jiancheng</creatorcontrib><title>Oblique lumbar interbody fusion combined with anterolateral screw fixation and stress endplate augmentation for treating degenerative lumbar spondylolisthesis with osteoporosis</title><title>European spine journal</title><addtitle>Eur Spine J</addtitle><addtitle>Eur Spine J</addtitle><description>Purpose
To evaluate the outcomes of Oblique lumbar interbody fusion (OLIF)combined with anterolateral screw fixation (AF) and Stress Endplate Augmentation(SEA) versus OLIF-AF in the treatment of degenerative lumbar spondylolisthesis (DLS)with osteoporosis (OP).
Methods
30 patients underwent OLIF-AF-SEA (SEA group) were matched with 30 patients received OLIF-AF (control group), in terms of sex, age, body mass index (BMI) and bone mineral density (BMD). Clinical outcomes including visual analog scale (VAS) score of the lower back pain (VAS-LBP), leg pain (VAS-LP), and Oswestry Disability Index (ODI) were evaluated at different postoperative intervals and comparedwith their preoperative counterparts. Radiographic outcomes such as disk height (DH), slip distance (SD), lumbar lordosis (LL), segmental lordosis (SL), cage subsidence (CS) rate and fusion rate were evaluated at different postoperative intervals and compared with their preoperative counterparts.
Results
SEA group presented to be better at 3-month and 12-month follow-up, the VAS-LBP, VAS-LP and ODI scores of the SEA group were significantly lower than the control group (3-month SEA vs control: 2.30±0.70 vs 3.30±0.75, 2.03±0.72 vs 2.90±0.76,15.60±2.36 vs 23.23±3.07, respectively, all p<0.05. VAS-LBP and ODI 12-month SEA vs control: 1.27±0.74 vs 1.93±0.58, 12.20±1.88 vs 14.43±1.89,respectively, all p<0.05). At 24-month follow-up, both groups showed no difference in fusion rate (83.33% vs 90.00%, p=0.45), while SEA group showed a lower CS rate (13.33% vs 53.33%, p<0.05).
Conclusion
OLIF-AF-SEA was safe with no adverse effects and resulted in lower CS rate and better sagittal balance. OLIF-AF-SEA is a promising surgical method for treating patients with DLS-OP.</description><subject>Aged</subject><subject>Body mass index</subject><subject>Bone implants</subject><subject>Bone mass</subject><subject>Bone mineral density</subject><subject>Bone Screws</subject><subject>Degenerative disc disease</subject><subject>Female</subject><subject>Humans</subject><subject>Low back pain</subject><subject>Lumbar Vertebrae - diagnostic imaging</subject><subject>Lumbar Vertebrae - surgery</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Neurosurgery</subject><subject>Original Article</subject><subject>Osteoporosis</subject><subject>Osteoporosis - complications</subject><subject>Osteoporosis - surgery</subject><subject>Patients</subject><subject>Spinal Fusion - methods</subject><subject>Spondylolisthesis</subject><subject>Spondylolisthesis - surgery</subject><subject>Surgical Orthopedics</subject><subject>Treatment Outcome</subject><issn>0940-6719</issn><issn>1432-0932</issn><issn>1432-0932</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc9uFSEUxidGY6_VF3BhSNy4GT3AwDBL09Q_SZNuuifMcLilmYErMNb7Vj6iXKfWxIULIPD9zneAr2leU3hPAfoPGUAo2QLrWlAd0FY9aXa046yFgbOnzQ6GDlrZ0-GseZHzHQAVA8jnzRkfKFey73bNz-tx9t9WJPO6jCYRHwqmMdojcWv2MZApLqMPaMm9L7fEnOQ4mzqbmeQp4T1x_ocpJ9QES3JJmDPBYA8niph1v2AoG-BiIlWvm7AnFvcYqk3x3x-750MM9jjH2edyi9nnrWvMBeMhplhPXjbPnJkzvnpYz5ubT5c3F1_aq-vPXy8-XrUTE7K0neSiUwykVWoE27s6sMeu65mgTo4T5VRCj8pV3EjB2OS4UqAGoM4iP2_ebbaHFOv35KIXnyecZxMwrllzGJjqGQio6Nt_0Lu4plAvpzmFXrBOCFkptlFTfUZO6PQh-cWko6agT3HqLU5d49S_49SqFr15sF7HBe1jyZ_8KsA3IFcp7DH97f0f218Laa_p</recordid><startdate>20240901</startdate><enddate>20240901</enddate><creator>Peng, Xingrui</creator><creator>Wang, Xiandi</creator><creator>Li, Zhuhai</creator><creator>Xie, Tianhang</creator><creator>Lin, Run</creator><creator>Ran, Liyu</creator><creator>Hu, Xiao</creator><creator>Zeng, Jiancheng</creator><general>Springer Berlin Heidelberg</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>7QP</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>20240901</creationdate><title>Oblique lumbar interbody fusion combined with anterolateral screw fixation and stress endplate augmentation for treating degenerative lumbar spondylolisthesis with osteoporosis</title><author>Peng, Xingrui ; Wang, Xiandi ; Li, Zhuhai ; Xie, Tianhang ; Lin, Run ; Ran, Liyu ; Hu, Xiao ; Zeng, Jiancheng</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c256t-463548206d88b0d7f0d7e7e447251f6bc131607e8f256a6522cf38808901fde3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Aged</topic><topic>Body mass index</topic><topic>Bone implants</topic><topic>Bone mass</topic><topic>Bone mineral density</topic><topic>Bone Screws</topic><topic>Degenerative disc disease</topic><topic>Female</topic><topic>Humans</topic><topic>Low back pain</topic><topic>Lumbar Vertebrae - diagnostic imaging</topic><topic>Lumbar Vertebrae - surgery</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Neurosurgery</topic><topic>Original Article</topic><topic>Osteoporosis</topic><topic>Osteoporosis - complications</topic><topic>Osteoporosis - surgery</topic><topic>Patients</topic><topic>Spinal Fusion - methods</topic><topic>Spondylolisthesis</topic><topic>Spondylolisthesis - surgery</topic><topic>Surgical Orthopedics</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Peng, Xingrui</creatorcontrib><creatorcontrib>Wang, Xiandi</creatorcontrib><creatorcontrib>Li, Zhuhai</creatorcontrib><creatorcontrib>Xie, Tianhang</creatorcontrib><creatorcontrib>Lin, Run</creatorcontrib><creatorcontrib>Ran, Liyu</creatorcontrib><creatorcontrib>Hu, Xiao</creatorcontrib><creatorcontrib>Zeng, Jiancheng</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>European spine journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Peng, Xingrui</au><au>Wang, Xiandi</au><au>Li, Zhuhai</au><au>Xie, Tianhang</au><au>Lin, Run</au><au>Ran, Liyu</au><au>Hu, Xiao</au><au>Zeng, Jiancheng</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Oblique lumbar interbody fusion combined with anterolateral screw fixation and stress endplate augmentation for treating degenerative lumbar spondylolisthesis with osteoporosis</atitle><jtitle>European spine journal</jtitle><stitle>Eur Spine J</stitle><addtitle>Eur Spine J</addtitle><date>2024-09-01</date><risdate>2024</risdate><volume>33</volume><issue>9</issue><spage>3467</spage><epage>3475</epage><pages>3467-3475</pages><issn>0940-6719</issn><issn>1432-0932</issn><eissn>1432-0932</eissn><abstract>Purpose
To evaluate the outcomes of Oblique lumbar interbody fusion (OLIF)combined with anterolateral screw fixation (AF) and Stress Endplate Augmentation(SEA) versus OLIF-AF in the treatment of degenerative lumbar spondylolisthesis (DLS)with osteoporosis (OP).
Methods
30 patients underwent OLIF-AF-SEA (SEA group) were matched with 30 patients received OLIF-AF (control group), in terms of sex, age, body mass index (BMI) and bone mineral density (BMD). Clinical outcomes including visual analog scale (VAS) score of the lower back pain (VAS-LBP), leg pain (VAS-LP), and Oswestry Disability Index (ODI) were evaluated at different postoperative intervals and comparedwith their preoperative counterparts. Radiographic outcomes such as disk height (DH), slip distance (SD), lumbar lordosis (LL), segmental lordosis (SL), cage subsidence (CS) rate and fusion rate were evaluated at different postoperative intervals and compared with their preoperative counterparts.
Results
SEA group presented to be better at 3-month and 12-month follow-up, the VAS-LBP, VAS-LP and ODI scores of the SEA group were significantly lower than the control group (3-month SEA vs control: 2.30±0.70 vs 3.30±0.75, 2.03±0.72 vs 2.90±0.76,15.60±2.36 vs 23.23±3.07, respectively, all p<0.05. VAS-LBP and ODI 12-month SEA vs control: 1.27±0.74 vs 1.93±0.58, 12.20±1.88 vs 14.43±1.89,respectively, all p<0.05). At 24-month follow-up, both groups showed no difference in fusion rate (83.33% vs 90.00%, p=0.45), while SEA group showed a lower CS rate (13.33% vs 53.33%, p<0.05).
Conclusion
OLIF-AF-SEA was safe with no adverse effects and resulted in lower CS rate and better sagittal balance. OLIF-AF-SEA is a promising surgical method for treating patients with DLS-OP.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>39138674</pmid><doi>10.1007/s00586-024-08401-8</doi><tpages>9</tpages></addata></record> |
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| subjects | Aged Body mass index Bone implants Bone mass Bone mineral density Bone Screws Degenerative disc disease Female Humans Low back pain Lumbar Vertebrae - diagnostic imaging Lumbar Vertebrae - surgery Male Medicine Medicine & Public Health Middle Aged Neurosurgery Original Article Osteoporosis Osteoporosis - complications Osteoporosis - surgery Patients Spinal Fusion - methods Spondylolisthesis Spondylolisthesis - surgery Surgical Orthopedics Treatment Outcome |
| title | Oblique lumbar interbody fusion combined with anterolateral screw fixation and stress endplate augmentation for treating degenerative lumbar spondylolisthesis with osteoporosis |
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