Clinical Efficacy of OLIF in the Treatment of Lumbar Spinal Stenosis

Mengmeng Xu; Dingjie Liang; Jianing Zhang; Weiqing Qian

doi:doi:10.11648/j.js.20221004.11

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Clinical Efficacy of OLIF in the Treatment of Lumbar Spinal Stenosis

Mengmeng Xu, Dingjie Liang, Jianing Zhang, Weiqing Qian

Published in Journal of Surgery (Volume 10, Issue 4)

Received: 7 August 2022 Accepted: 20 August 2022 Published: 29 August 2022

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Abstract

The safety and efficacy of oblique lateral interbody fusion (OLIF) for lumbar spinal stenosis (DLCS) were analysed. clinical and imaging data of 63 patients who underwent OLIF for DLCS at our hospital from October 2020 to June 2022, of whom 24 were male and 39 were female; 55 patients had simple spinal stenosis and 8 patients had combined lumbar spondylolisthesis; 63 The age distribution of the patients was over 60 years, with a mean of (66.4±6.0) years. Patients' preoperative and postoperative pain visual analogue scale (VAS) scores, Oswestry dysfunction index (ODI), Japanese Orthopaedic Association treatment assessment (JOA) scores at 3, 6 and 12 months and surgical complications were statistically analysed. All 63 patients over 60 years of age with degenerative DLCS underwent successful surgery, with an operative time of 48.5 ± 15.48 minutes (40-70 minutes) and intraoperative bleeding of 39.37 ± 29.78 ml (20-75 ml). All 63 patients were followed up for approximately 12 months and leg VAS scores improved from 8. 32±2.7 (preoperatively) to 1.2±0.4 (p < 0.001) at 12 months postoperatively. The low back VAS score improved from 6.53±1.9 preoperatively to 1.5±0.7 at 12 months postoperatively (P < 0.05). the JOA score improved from 13.3±7.8 preoperatively to 25.7±5.2 at 12 months postoperatively (P < 0.05). the ODI score improved from 56.6±16.9 preoperatively to 15.6±12.6 at 12 months postoperatively (P < 0.05). Complications at 12 months postoperatively included two dural tears and one inadequate decompression. The OLIF technique provides safe and effective decompression of the DLCS and also has many advantages, such as less trauma, less bleeding, shorter operative time and hospital stay, and fewer postoperative complications, making it the clinical choice.

Published in	Journal of Surgery (Volume 10, Issue 4)
DOI	10.11648/j.js.20221004.11
Page(s)	136-139
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Lumbar Spinal Stenosis, Elder, Lumbar Decompression, OLIF Technology

References

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[2]	Arabmotlagh M, Sellei RM, Vinas-Rios JM, et al. Klassifikation und Diagnostik der lumbalen Spinalkanalstenose. Orthopade. 2019; 48 (10): 816-823.
[3]	Bydon M, Alvi MA, Goyal A. Degenerative Lumbar Spondylolisthesis: Definition, Natural History, Conservative Management, and Surgical Treatment. Neurosurg Clin N Am. 2019; 30 (3): 299-304.
[4]	Katz JN, Zimmerman ZE, Mass H, Makhni MC. Diagnosis and Management of Lumbar Spinal Stenosis: A Review. JAMA. 2022; 327 (17): 1688-1699.
[5]	Deer TR, Grider JS, Pope JE, et al. The MIST Guidelines: The Lumbar Spinal Stenosis Consensus Group Guidelines for Minimally Invasive Spine Treatment. Pain Pract. 2019; 19 (3): 250-274.
[6]	Kaye AD, Edinoff AN, Temple SN, et al. A Comprehensive Review of Novel Interventional Techniques for Chronic Pain: Spinal Stenosis and Degenerative Disc Disease-MILD Percutaneous Image Guided Lumbar Decompression, Vertiflex Interspinous Spacer, Minute Man G3 Interspinous-Interlaminar Fusion. Adv Ther. 2021; 38 (9): 4628-4645.
[7]	Derman PB, Ohnmeiss DD, Lauderback A, Guyer RD. Indirect Decompression for the Treatment of Degenerative Lumbar Stenosis. Int J Spine Surg. 2021; 15 (6): 1066-1071.
[8]	Bussières A, Cancelliere C, Ammendolia C, et al. Non-Surgical Interventions for Lumbar Spinal Stenosis Leading To Neurogenic Claudication: A Clinical Practice Guideline. J Pain. 2021; 22 (9): 1015-1039.
[9]	Tang S, Mok TN, He Q, et al. Comparison of clinical and radiological outcomes of full-endoscopic versus microscopic lumbar decompression laminectomy for the treatment of lumbar spinal stenosis: a systematic review and meta-analysis. Ann Palliat Med. 2021; 10 (10): 10130-10146.
[10]	Haleem S, Ahmed A, Ganesan S, McGillion SF, Fowler JL. Mean 5-Year Follow-Up Results of a Facet Replacement Device in the Treatment of Lumbar Spinal Stenosis and Degenerative Spondylolisthesis. World Neurosurg. 2021; 152: e645-e651.
[11]	Li P, Tong Y, Chen Y, Zhang Z, Song Y. Comparison of percutaneous transforaminal endoscopic decompression and short-segment fusion in the treatment of elderly degenerative lumbar scoliosis with spinal stenosis. BMC Musculoskelet Disord. 2021; 22 (1): 906.
[12]	Mohsinaly Y, Boissiere L, Maillot C, Pesenti S, Le Huec JC. Treatment of lumbar canal stenosis in patients with compensated sagittal balance. Orthop Traumatol Surg Res. 2021; 107 (7): 102861.
[13]	Yang F, Wang Y, Ma Y, et al. Single-segment central lumbar spinal stenosis: Correlation with lumbar X-ray measurements. J Back Musculoskelet Rehabil. 2021; 34 (4): 581-587.
[14]	Perez-Roman RJ, Gaztanaga W, Lu VM, Wang MY. Endoscopic decompression for the treatment of lumbar spinal stenosis: an updated systematic review and meta-analysis. J Neurosurg Spine. 2021; 36 (4): 549-557.

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APA Style

Mengmeng Xu, Dingjie Liang, Jianing Zhang, Weiqing Qian. (2022). Clinical Efficacy of OLIF in the Treatment of Lumbar Spinal Stenosis. Journal of Surgery, 10(4), 136-139. https://doi.org/10.11648/j.js.20221004.11

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ACS Style

Mengmeng Xu; Dingjie Liang; Jianing Zhang; Weiqing Qian. Clinical Efficacy of OLIF in the Treatment of Lumbar Spinal Stenosis. J. Surg. 2022, 10(4), 136-139. doi: 10.11648/j.js.20221004.11

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AMA Style

Mengmeng Xu, Dingjie Liang, Jianing Zhang, Weiqing Qian. Clinical Efficacy of OLIF in the Treatment of Lumbar Spinal Stenosis. J Surg. 2022;10(4):136-139. doi: 10.11648/j.js.20221004.11

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@article{10.11648/j.js.20221004.11,
  author = {Mengmeng Xu and Dingjie Liang and Jianing Zhang and Weiqing Qian},
  title = {Clinical Efficacy of OLIF in the Treatment of Lumbar Spinal Stenosis},
  journal = {Journal of Surgery},
  volume = {10},
  number = {4},
  pages = {136-139},
  doi = {10.11648/j.js.20221004.11},
  url = {https://doi.org/10.11648/j.js.20221004.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20221004.11},
  abstract = {The safety and efficacy of oblique lateral interbody fusion (OLIF) for lumbar spinal stenosis (DLCS) were analysed. clinical and imaging data of 63 patients who underwent OLIF for DLCS at our hospital from October 2020 to June 2022, of whom 24 were male and 39 were female; 55 patients had simple spinal stenosis and 8 patients had combined lumbar spondylolisthesis; 63 The age distribution of the patients was over 60 years, with a mean of (66.4±6.0) years. Patients' preoperative and postoperative pain visual analogue scale (VAS) scores, Oswestry dysfunction index (ODI), Japanese Orthopaedic Association treatment assessment (JOA) scores at 3, 6 and 12 months and surgical complications were statistically analysed. All 63 patients over 60 years of age with degenerative DLCS underwent successful surgery, with an operative time of 48.5 ± 15.48 minutes (40-70 minutes) and intraoperative bleeding of 39.37 ± 29.78 ml (20-75 ml). All 63 patients were followed up for approximately 12 months and leg VAS scores improved from 8. 32±2.7 (preoperatively) to 1.2±0.4 (p < 0.001) at 12 months postoperatively. The low back VAS score improved from 6.53±1.9 preoperatively to 1.5±0.7 at 12 months postoperatively (P < 0.05). the JOA score improved from 13.3±7.8 preoperatively to 25.7±5.2 at 12 months postoperatively (P < 0.05). the ODI score improved from 56.6±16.9 preoperatively to 15.6±12.6 at 12 months postoperatively (P < 0.05). Complications at 12 months postoperatively included two dural tears and one inadequate decompression. The OLIF technique provides safe and effective decompression of the DLCS and also has many advantages, such as less trauma, less bleeding, shorter operative time and hospital stay, and fewer postoperative complications, making it the clinical choice.},
 year = {2022}
}

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TY  - JOUR
T1  - Clinical Efficacy of OLIF in the Treatment of Lumbar Spinal Stenosis
AU  - Mengmeng Xu
AU  - Dingjie Liang
AU  - Jianing Zhang
AU  - Weiqing Qian
Y1  - 2022/08/29
PY  - 2022
N1  - https://doi.org/10.11648/j.js.20221004.11
DO  - 10.11648/j.js.20221004.11
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 136
EP  - 139
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20221004.11
AB  - The safety and efficacy of oblique lateral interbody fusion (OLIF) for lumbar spinal stenosis (DLCS) were analysed. clinical and imaging data of 63 patients who underwent OLIF for DLCS at our hospital from October 2020 to June 2022, of whom 24 were male and 39 were female; 55 patients had simple spinal stenosis and 8 patients had combined lumbar spondylolisthesis; 63 The age distribution of the patients was over 60 years, with a mean of (66.4±6.0) years. Patients' preoperative and postoperative pain visual analogue scale (VAS) scores, Oswestry dysfunction index (ODI), Japanese Orthopaedic Association treatment assessment (JOA) scores at 3, 6 and 12 months and surgical complications were statistically analysed. All 63 patients over 60 years of age with degenerative DLCS underwent successful surgery, with an operative time of 48.5 ± 15.48 minutes (40-70 minutes) and intraoperative bleeding of 39.37 ± 29.78 ml (20-75 ml). All 63 patients were followed up for approximately 12 months and leg VAS scores improved from 8. 32±2.7 (preoperatively) to 1.2±0.4 (p < 0.001) at 12 months postoperatively. The low back VAS score improved from 6.53±1.9 preoperatively to 1.5±0.7 at 12 months postoperatively (P < 0.05). the JOA score improved from 13.3±7.8 preoperatively to 25.7±5.2 at 12 months postoperatively (P < 0.05). the ODI score improved from 56.6±16.9 preoperatively to 15.6±12.6 at 12 months postoperatively (P < 0.05). Complications at 12 months postoperatively included two dural tears and one inadequate decompression. The OLIF technique provides safe and effective decompression of the DLCS and also has many advantages, such as less trauma, less bleeding, shorter operative time and hospital stay, and fewer postoperative complications, making it the clinical choice.
VL  - 10
IS  - 4
ER  -

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Author Information

Mengmeng Xu

Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, Nanjing, China
Dingjie Liang

Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, Nanjing, China
Jianing Zhang

Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, Nanjing, China
Weiqing Qian

Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, Nanjing, China

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Plain Text BibTeX RIS

APA Style

Mengmeng Xu, Dingjie Liang, Jianing Zhang, Weiqing Qian. (2022). Clinical Efficacy of OLIF in the Treatment of Lumbar Spinal Stenosis. Journal of Surgery, 10(4), 136-139. https://doi.org/10.11648/j.js.20221004.11

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ACS Style

Mengmeng Xu; Dingjie Liang; Jianing Zhang; Weiqing Qian. Clinical Efficacy of OLIF in the Treatment of Lumbar Spinal Stenosis. J. Surg. 2022, 10(4), 136-139. doi: 10.11648/j.js.20221004.11

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AMA Style

Mengmeng Xu, Dingjie Liang, Jianing Zhang, Weiqing Qian. Clinical Efficacy of OLIF in the Treatment of Lumbar Spinal Stenosis. J Surg. 2022;10(4):136-139. doi: 10.11648/j.js.20221004.11

Copy | Download

@article{10.11648/j.js.20221004.11,
  author = {Mengmeng Xu and Dingjie Liang and Jianing Zhang and Weiqing Qian},
  title = {Clinical Efficacy of OLIF in the Treatment of Lumbar Spinal Stenosis},
  journal = {Journal of Surgery},
  volume = {10},
  number = {4},
  pages = {136-139},
  doi = {10.11648/j.js.20221004.11},
  url = {https://doi.org/10.11648/j.js.20221004.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20221004.11},
  abstract = {The safety and efficacy of oblique lateral interbody fusion (OLIF) for lumbar spinal stenosis (DLCS) were analysed. clinical and imaging data of 63 patients who underwent OLIF for DLCS at our hospital from October 2020 to June 2022, of whom 24 were male and 39 were female; 55 patients had simple spinal stenosis and 8 patients had combined lumbar spondylolisthesis; 63 The age distribution of the patients was over 60 years, with a mean of (66.4±6.0) years. Patients' preoperative and postoperative pain visual analogue scale (VAS) scores, Oswestry dysfunction index (ODI), Japanese Orthopaedic Association treatment assessment (JOA) scores at 3, 6 and 12 months and surgical complications were statistically analysed. All 63 patients over 60 years of age with degenerative DLCS underwent successful surgery, with an operative time of 48.5 ± 15.48 minutes (40-70 minutes) and intraoperative bleeding of 39.37 ± 29.78 ml (20-75 ml). All 63 patients were followed up for approximately 12 months and leg VAS scores improved from 8. 32±2.7 (preoperatively) to 1.2±0.4 (p < 0.001) at 12 months postoperatively. The low back VAS score improved from 6.53±1.9 preoperatively to 1.5±0.7 at 12 months postoperatively (P < 0.05). the JOA score improved from 13.3±7.8 preoperatively to 25.7±5.2 at 12 months postoperatively (P < 0.05). the ODI score improved from 56.6±16.9 preoperatively to 15.6±12.6 at 12 months postoperatively (P < 0.05). Complications at 12 months postoperatively included two dural tears and one inadequate decompression. The OLIF technique provides safe and effective decompression of the DLCS and also has many advantages, such as less trauma, less bleeding, shorter operative time and hospital stay, and fewer postoperative complications, making it the clinical choice.},
 year = {2022}
}

Copy | Download

TY  - JOUR
T1  - Clinical Efficacy of OLIF in the Treatment of Lumbar Spinal Stenosis
AU  - Mengmeng Xu
AU  - Dingjie Liang
AU  - Jianing Zhang
AU  - Weiqing Qian
Y1  - 2022/08/29
PY  - 2022
N1  - https://doi.org/10.11648/j.js.20221004.11
DO  - 10.11648/j.js.20221004.11
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 136
EP  - 139
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20221004.11
AB  - The safety and efficacy of oblique lateral interbody fusion (OLIF) for lumbar spinal stenosis (DLCS) were analysed. clinical and imaging data of 63 patients who underwent OLIF for DLCS at our hospital from October 2020 to June 2022, of whom 24 were male and 39 were female; 55 patients had simple spinal stenosis and 8 patients had combined lumbar spondylolisthesis; 63 The age distribution of the patients was over 60 years, with a mean of (66.4±6.0) years. Patients' preoperative and postoperative pain visual analogue scale (VAS) scores, Oswestry dysfunction index (ODI), Japanese Orthopaedic Association treatment assessment (JOA) scores at 3, 6 and 12 months and surgical complications were statistically analysed. All 63 patients over 60 years of age with degenerative DLCS underwent successful surgery, with an operative time of 48.5 ± 15.48 minutes (40-70 minutes) and intraoperative bleeding of 39.37 ± 29.78 ml (20-75 ml). All 63 patients were followed up for approximately 12 months and leg VAS scores improved from 8. 32±2.7 (preoperatively) to 1.2±0.4 (p < 0.001) at 12 months postoperatively. The low back VAS score improved from 6.53±1.9 preoperatively to 1.5±0.7 at 12 months postoperatively (P < 0.05). the JOA score improved from 13.3±7.8 preoperatively to 25.7±5.2 at 12 months postoperatively (P < 0.05). the ODI score improved from 56.6±16.9 preoperatively to 15.6±12.6 at 12 months postoperatively (P < 0.05). Complications at 12 months postoperatively included two dural tears and one inadequate decompression. The OLIF technique provides safe and effective decompression of the DLCS and also has many advantages, such as less trauma, less bleeding, shorter operative time and hospital stay, and fewer postoperative complications, making it the clinical choice.
VL  - 10
IS  - 4
ER  -

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