Comparison between intervertebral oblique lumbar interbody fusion and transforaminal lumbar interbody fusion: a multicenter study

Abstract

This study aimed to perform a comparative analysis of postoperative results between lumbar degenerative spondylolisthesis (LDS) treated with oblique lateral interbody fusion (OLIF) and transforaminal lumbar interbody fusion (TLIF) from the Chiba spine surgery registry database. Sixty-five patients who underwent single-level OLIF (O group) for LDS with ≥ 3 years’ follow-up were retrospectively reviewed. The control group comprised 78 patients who underwent single-level TLIF (T group). The analyzed variables included global alignment, radiological parameters of fused segments, asymptomatic and symptomatic ASD incidence, clinical outcomes at 3 years postoperatively using the Japanese Orthopedic Association Back Pain Evaluation Questionnaire data, visual analogue scale scores for low back pain, lower extremity pain, and lower extremity numbness. There was no significant change in global alignment between the two groups. The rate of improvement in anterior intervertebral disc height was not significantly different between the groups at 1-month postoperatively. However, at the final evaluation, the anterior intervertebral disc height and incidence of asymptomatic ASD were significantly higher in the O group. There was no significant difference in symptomatic ASD, reoperation cases, or clinical results between groups. Thus, single-level OLIF can maintain the corrected disc height, but as it has no effect on global alignment, its benefit is limited.

Pearls and Pitfalls of Oblique Lateral Interbody Fusion: A Comprehensive Narrative Review

“…In the same study, pooled analyses identified no significant differences in the overall complication rate and complication types [ 68 ]. Other comparative studies also reported similar complication rates between the surgical methods [ 66 , 67 , 69 ].…”

“…The authors found that the improvement in the psychological domain in the Japanese Orthopedic Association Back Pain Evaluation Questionnaire (JOABPEQ) was more significant in patients who underwent OLIF. However, Takaoka et al [ 67 ] reported that there were no significant differences in clinical scores, including VAS and JOABPEQ scores, between the 2 surgical methods in their retrospective multicenter study.…”

Clinical and radiological evaluation of cage subsidence following oblique lumbar interbody fusion combined with anterolateral fixation

“…Oblique lumbar interbody fusion (OLIF) is an effective treatment for patients with degenerative lumbar disc disease. Indirect decompression of neural elements can be achieved by distracting the reduced intervertebral space with an enlarged interbody cage, thus alleviating neurogenic intermittent claudication [ 1 , 2 ].…”

Comparison of Outcomes of Multi-Level Anterior, Oblique, Transforaminal Lumbar Interbody Fusion Surgery : Impact on Global Sagittal Alignment

“…11 Several comparative studies have examined various LIF techniques, focusing on local radiographic characteristics, fusion rates, and clinical outcomes to provide a comparison. 1,2,4,7,9,10,13,23,25 However, most studies have only conducted one-to-one comparisons between two surgical techniques. Moreover, although multilevel LIF has been shown to impact global sagittal alignment and even result in an iatrogenic flatback, studies evaluating global sagittal alignment after LIF are scarce.…”

“…Moreover, although multilevel LIF has been shown to impact global sagittal alignment and even result in an iatrogenic flatback, studies evaluating global sagittal alignment after LIF are scarce. 1,6,13,16,23 This study evaluated the surgical outcomes of various LIF approaches (ALIF, OLIF, and TLIF) for lumbar degenerative disorders. We compared the outcomes between the different treatment groups, with special consideration for spinopelvic parameters, to assess the impact of each approach on changes in global sagittal alignment.…”