Correction of marked sagittal deformity with circumferential minimally invasive surgery using oblique lateral interbody fusion in adult spinal deformity
DC Field | Value | Language |
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dc.contributor.author | Park S.W. | - |
dc.contributor.author | Ko M.J. | - |
dc.contributor.author | Kim Y.B. | - |
dc.contributor.author | Le Huec J.C. | - |
dc.date.available | 2020-04-03T05:21:51Z | - |
dc.date.issued | 2020-01 | - |
dc.identifier.issn | 1749-799X | - |
dc.identifier.uri | https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/37962 | - |
dc.description.abstract | Background: Spinal surgery performed entirely with minimally invasive surgery is referred to as circumferential MIS (cMIS). However, cMIS still has a limited sagittal correction capability for adult spinal deformity (ASD) with a marked sagittal deformity. We investigated the effectiveness of cMIS using oblique lateral interbody fusion (OLIF) and percutaneous posterior spine fixation in correcting marked sagittal deformity. Methods: This study retrospectively evaluated 23 patients with ASD with marked sagittal deformity who underwent cMIS using OLIF without osteotomy and were followed-up for at least 24 months (whole group). The whole group was divided into the following two groups according to the type of interbody fusion at L5-S1: The OLIF51 group (n = 13) underwent OLIF at L1-L5 and L5-S1 and the TLIF51 group (n = 10) underwent OLIF at L1-L5 and transforaminal lumbar interbody fusion (TLIF) at L5-S1. Results: Sagittal vertebral axis (SVA; 125.7 vs. 29.5 mm, p < 0.001), lumbar lordosis (LL; 18.2° vs. 51.7°, p < 0.001), and pelvic incidence-LL mismatch (PI-LL, 35.5° vs. 5.3°) significantly improved postoperatively in the whole group. The OLIF51 group showed significantly higher postoperative LL than the TLIF51 group (55.5° vs. 46.9°, p < 0.001). OLIF yielded a significantly greater disc angle at L5-S1 than did TLIF (18.4° vs. 6.9°, p < 0.001). Proximal junctional kyphosis occurred significantly earlier in the OLIF51 group than in the TLIF51 group (8.6 vs. 26.3 months, p < 0.001). Conclusion: Successful sagittal correction in ASD patients with marked sagittal deformity was achieved with cMIS using OLIF. OLIF at L5-S1 showed a synergistic effect in sagittal deformity correction by cMIS. © 2020 The Author(s). | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | BioMed Central Ltd. | - |
dc.title | Correction of marked sagittal deformity with circumferential minimally invasive surgery using oblique lateral interbody fusion in adult spinal deformity | - |
dc.type | Article | - |
dc.identifier.doi | 10.1186/s13018-020-1545-7 | - |
dc.identifier.bibliographicCitation | Journal of Orthopaedic Surgery and Research, v.15, no.1 | - |
dc.description.isOpenAccess | Y | - |
dc.identifier.wosid | 000513609100002 | - |
dc.identifier.scopusid | 2-s2.0-85077941019 | - |
dc.citation.number | 1 | - |
dc.citation.title | Journal of Orthopaedic Surgery and Research | - |
dc.citation.volume | 15 | - |
dc.type.docType | Article | - |
dc.publisher.location | 영국 | - |
dc.subject.keywordAuthor | Adult spinal deformity | - |
dc.subject.keywordAuthor | Marked sagittal deformity | - |
dc.subject.keywordAuthor | Minimally invasive spine surgery | - |
dc.subject.keywordAuthor | Oblique lateral interbody fusion | - |
dc.subject.keywordAuthor | Percutaneous fixation | - |
dc.subject.keywordAuthor | Sagittal correction | - |
dc.subject.keywordPlus | PROXIMAL JUNCTIONAL KYPHOSIS | - |
dc.subject.keywordPlus | POSTERIOR INSTRUMENTATION | - |
dc.subject.keywordPlus | RADIOGRAPHIC PARAMETERS | - |
dc.subject.keywordPlus | ALIGNMENT | - |
dc.subject.keywordPlus | RISK | - |
dc.subject.keywordPlus | COMPLICATIONS | - |
dc.subject.keywordPlus | RESTORATION | - |
dc.subject.keywordPlus | STRATEGIES | - |
dc.subject.keywordPlus | SCOLIOSIS | - |
dc.subject.keywordPlus | ANTERIOR | - |
dc.relation.journalResearchArea | Orthopedics | - |
dc.relation.journalWebOfScienceCategory | Orthopedics | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
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