Article: [Clinical efficacy of oblique lumbar interbody fusion combined with unilateral pedicle screw fixation via Wiltse approach in the treatment of lumbar spinal stenosis].
Zhongguo gu shang = China journal of orthopaedics and traumatology
2022 Volume 35, Issue 10, Page(s) 943–950
Abstract: Objective: To evaluate the efficacy of oblique lumbar interbody fusion combined with unilateral pedicle screw fixation via Wiltse approach in the treatment of lumbar spinal stenosis.: Methods: From July 2017 to January 2019, 90 patients with lumbar ... ...
| Abstract | Objective: To evaluate the efficacy of oblique lumbar interbody fusion combined with unilateral pedicle screw fixation via Wiltse approach in the treatment of lumbar spinal stenosis. Methods: From July 2017 to January 2019, 90 patients with lumbar spinal stenosis, including 38 males and 52 females, aged from 43 to 75 years old with an average of(59.9±8.8) years old, and were treated with oblique lumbar interbody fusion(OLIF) combined with Wiltse unilateral pedicle screw fixation. Surgical decompression and fixation was performed in 50 cases of single segment, 32 cases of double segments and 8 cases of three segments. The distribution of responsible segments included 8 cases of L Results: All patients were followed up from 12 to 33 months, with an average of (20.2±6.6) months. Mean operation time was (103.3±35.9) min, and mean intraoperative blood loss was (70.4±17.8) ml. VAS of low back pain leg pain, and ODI decreased from 6.2±1.1, 6.1±0.9 and (59.9±4.2)% to 2.7±0.5, 2.5±0.5 and (31.3±8.8)%. SF-36 scale significantly increased from (37.2±3.1) to (54.9±6.1) at the six months postoperation( Conclusion: OLIF combined with unilateral pedicle screw fixation via Wiltse approach is effective in treating lumbar spinal stenosis with minimally invasive advantages such as less trauma and less complications. Under the premise of strictly grasping the indications, this method could also achieve satisfactory clinical results in multi-segments oprations. |
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| MeSH term(s) | Male ; Female ; Humans ; Adult ; Middle Aged ; Aged ; Spinal Stenosis/surgery ; Pedicle Screws ; Spinal Fusion/methods ; Lumbar Vertebrae/surgery ; Treatment Outcome ; Low Back Pain |
| Language | Chinese |
| Publishing date | 2022-10-20 |
| Publishing country | China |
| Document type | English Abstract ; Journal Article |
| ISSN | 1003-0034 |
| ISSN | 1003-0034 |
| DOI | 10.12200/j.issn.1003-0034.2022.10.007 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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