Clinical Evaluation of Oblique Lateral Interbody Fusion in the Treatment of Elderly Patients with Lumbar Tuberculosis

Abstract

Abstract:

〔Abstract〕 Objective： To compare the short-term clinical effects of oblique lateral interbody fusion（OLIF） and posterior lumbar interbody fusion（PLIF） in the treatment of elderly patients with lumbar tuberculosis. Methods： A retrospective analysis of the case data of 42 patients with lumbar tuberculosis with intervertebral space lesions treated by orthopedic surgery in The Third People's Hospital of Kunming from October 2019 to January 2021.According to surgical methods， they were divided into OLIF group（n=15） and PLIF group（n=27）.The operation time， intraoperative blood loss， postoperative out-of-bed activity time， and complications were compared between the two groups. Results： There were no significant differences in operation time and complication rate between the two groups （P>0.05）.The OLIF group had better blood loss during operation and postoperative out-of-bad activity time than the PLIF group， and the differences were statistically significant（P<0.05）.At the last follow-up， no signs of tuberculosis recurrence were found in all patients， and no internal fixation device obstruction was found. Conclusion： The short-term effect of OLIF in the treatment of lumbar tuberculosis mainly with intervertebral space destruction is safe and effective. Compared with traditional PLIF， it has less intraoperative blood loss， less postoperative pain， less trauma， does not increase the operation time and complication rate， and meets the requirements of rapid recovery. Whether polyetheretherketone materials can be used safely in the treatment of spinal tuberculosis still needs further observation and research.

Key words:

"> ">〔Key words">〕 oblique lateral interbody fusion">, posterior lumbar interbody fusion">, lumbar tuberculosis">, elderly patients

CLC Number:

Liu Siyuan, Rao Tao, Zhao Heng, Dou Jichen, Zhou Yi, Liu Qinghua, Cun Ｘinhua, .

Clinical Evaluation of Oblique Lateral Interbody Fusion in the Treatment of Elderly Patients with Lumbar Tuberculosis [J]. Journal of Dali University, 2022, 7(4): 52-56.

References

〔1〕 World Health Organization. Global Ｔuberculosis Ｒeport 2020〔R〕. Geneva： World Health Organization， 2020.

〔2〕 ZHAO Y， XU S， WANG L， et al. National Survey of Drug-Resistant Tuberculosis in China〔J〕. N Engl J Med， 2012，366（23）：2161-2170.

〔3〕寸新华，万荣，冯程，等.病灶清除植骨融合内固定术治疗跳跃型脊柱结核〔J〕.脊柱外科杂志，2018，16（4）：234-238.

〔4〕 SILVESTRE C， MAC-THIONG J M， HILMI R， et al. Complications and Morbidities of Mini-Open Anterior Retroperitoneal Lumbar Interbody Fusion： Oblique Lumbar Interbody Fusion in 179 Patients〔J〕. Asian Spine J， 2012，6（2）：89-97.

〔5〕康新桂，周海洋，徐娟丽，等.结核分枝杆菌相关γ-干扰素定量检测在脊柱结核诊断中的应用〔J〕.脊柱外科杂志，2020，18（1）：14-18.

〔6〕刘思源，窦吉辰，饶涛，等.术前穿刺置管冲洗引流联合手术治疗复发性脊柱结核的效果分析〔J〕.中国防痨杂志，2019，41（4）：457-462.

〔7〕曾忠友，张建乔，宋永兴，等.对比斜外侧椎间融合与后路融合治疗腰椎管狭窄症〔J〕.中华骨科杂志，2020，40（11）：707-718.

〔8〕张佳林，乔永东，袁海峰，等.OLIF技术联合后路Wiltse入路内固定治疗单节段腰椎结核〔J〕.中国矫形外科杂志，2019，27（21）：1954-1959.

〔9〕 WOODS K， FONSECA A， MILLER L E. Two-Year Outcomes from a Single Surgeon's Learning Curve Experience of Oblique Lateral Interbody Fusion without Intraoperative Neuromonitoring〔J〕. Cureus，2017，9（12）： e1980.

〔10〕朱世杰，毛威，叶志炜，等.多节段斜外侧椎间融合术矫正退行性腰椎侧凸的短期临床疗效〔J〕.中国骨与关节杂志，2021，10（1）：11-18.

〔11〕 HERKOWITZ H N. Degenerative Lumbar Spondylolis-thesis： A Surgeon's Perspective of 30 Years in Practice〔J〕. Spine J，2010，10（10）：916-917.

〔12〕 MALHAM G M， PARKER R M， BLECHER C M， et al. Assessment and Classification of Subsidence after Lateral Interbody Fusion Using Serial Computed Tomography〔J〕. J Neurosurg Spine，2015，23（5）：589-597.

〔13〕 TEMPEL Z J， GANDHOKE G S， OKONKWO D O， et al. Impaired Bone Mineral Density as a Predictor of Graft Subsidence Following Minimally Invasive Transpsoas Lateral Lumbar Interbody Fusion〔J〕. Eur Spine J，2015， 24（Ｓ3）：414-419.

〔14〕 JAIN A K， JAIN S. Instrumented Stabilization in Spinal Tuberculosis〔J〕. Int Orthop，2012，36（2）：285-292.

〔15〕王鹏翔，赵剑，赵敦炎，等.结核杆菌在不同内固定材料表面粘附情况的实验研究〔J〕.交通医学，2007，21（1）： 11-13.

〔16〕 LI Z， WU W， CHEN R， et al. Could Allograft Bones Combined with Poly-Ether-Ether-Ketone Cages or Tita-nium Mesh Cages Be an Alternative Grafting Method in the Management of Cervical Spinal Tuberculosis? 〔J〕. World Neurosurg， 2019，128：e653-e659.

〔17〕 HAHNEL S， WIESER A， LANG R， et al. Biofilm Formation on the Surface of Modern Implant Abutment Materials〔J〕. Clin Oral Implants Res，2015，26（11）： 1297-1301.

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