Abstract：Objective To summarize the incidence and causes of postoperative fusion device deposition in patients with lumbar degenerative diseases treated by oblique lateral interbody fusion (OLIF).Methods “斜外侧腰椎间融合术 ”“腰椎间融合术”“融合器”“沉降”“并发症”“椎弓根螺钉”“终板损伤”“骨质疏松”“微创融合术” and “oblique lateral interbody fusion,” “interlumbar fusion,” “cage,” “subsidence,” “complications,” “pedicle screw,” “end plate damage,” “osteoporosis,” and “minimally invasive fusion” were used as key words for identifying articles about the application of OLIF in the treatment of spinal disorders and with publication dates before March 2020 in CNKI, Wanfang database, SinoMed, and PubMed. A total of 856 articles were searched, of which 29 were finally included after excluding articles that did not conform to the content, repeated studies, studies that have design defects, and articles without available full texts.Results The incidence of fusion cage settlement after OLIF operation was 4.38%-27.90%. The main reasons for the settlement of the fusion cage are the lack of effective nail and rod system fixation, poor selection of fusion cage type, end plate damage caused by various reasons, and osteoporosis.Conclusions The incidence of postoperative fusion cage settlement is high in OLIF and caused by many factors. Methods for preventing the settlement of fusion cage should be further explored.
李瑶, 常恒瑞, 刘振鹏, 徐佳欣, 孟宪中. 斜外侧腰椎间融合术后融合器沉降原因的研究进展[J]. 中华解剖与临床杂志, 2021, 26(1): 115-119.
Li Yao, Chang Hengrui, Liu Zhenpeng, Xu Jiaxin, Meng Xianzhong. Causes of the settlement of fusion cage after lateral oblique lumbar fusion. Chinese Journal of Anatomy and Clinics, 2021, 26(1): 115-119.
Mayer HM. A new microsurgical technique for minimally invasive anterior lumbar interbody fusion[J]. Spine (Phila Pa 1976), 1997, 22(6): 691-700. DOI:10.1097/00007632-199703150-00023.
[2]
Silvestre C, Mac-Thiong JM, Hilmi R, et al.Complications and morbidities of mini-open anterior retroperitoneal lumbar interbody fusion:obliquelumbar interbody fusion in 179 patients[J]. Asian Spine J, 2012, 6(2): 89-97. DOI:10.4184/asj.2012.6.2.89.
[3]
Marchi L, Abdala N, Oliveira L, et al. Radiographic and clinical evaluation of cage subsidence after stand-alone lateral interbody fusion[J]. J Neurosurg Spine, 2013, 19(1): 110-118. DOI:10.3171/2013.4.SPINE12319.
[4]
沈俊宏, 王建, 刘超, 等. 斜外侧腰椎间融合术治疗退变性腰椎疾病的并发症和早期临床结果[J]. 中国脊柱脊髓杂志, 2018, 28(5): 397-404. DOI:10.3969/j.issn.1004-406X.2018.05.03.Shen JH, Wang J, Liu C, et al. Early clinical results and complications of oblique lumbar interbody fusion for degenerative lumbar diseases[J]. Chinese Journal of Spine and Spinal Cord, 2018, 28(5): 397-404. DOI:10.3969/j.issn.1004-406X.2018.05.03.
[5]
Jin J, Ryu KS, Hur JW, et al. Comparative study of the difference of perioperative complication and radiologic results: MIS-DLIF (minimally invasive direct lateral lumbar interbody fusion) versus MIS-OLIF (minimally invasive oblique lateral lumbar interbody fusion)[J]. Clin Spine Surg, 2018, 31(1): 31-36. DOI:10.1097/BSD.0000000000000474.
[6]
Abe K, Orita S, Mannoji C, et al. Perioperative complications in 155 patients who underwent oblique lateral interbody fusion surgery: perspectives and indications from a retrospective, multicenter survey[J]. Spine (Phila Pa 1976), 2017, 42(1): 55-62. DOI:10.1097/BRS.0000000000001650.
[7]
Hijji FY, Narain AS, Bohl DD, et al. Lateral lumbar interbody fusion: a systematic review of complication rates[J]. Spine J, 2017, 17(10): 1412-1419. DOI:10.1016/j.spinee.2017.04.022.
[8]
Malham GM, Parker RM, Blecher CM, et al. Assessment and classification of subsidence after lateral interbody fusion using serial computed tomography[J]. J Neurosurg Spine, 2015, 23(5): 589-597. DOI:10.3171/2015.1.SPINE14566.
[9]
Zeng ZY, Xu ZW, He DW, et al. Complications and prevention strategies of oblique lateral interbody fusion technique[J]. Orthop Surg, 2018, 10(2): 98-106.DOI:10.1111/os.12380.
[10]
刘进平, 王奇, 冯海龙. 斜外侧腰椎间融合术(OLIF)并发症的临床分析[J]. 中华神经外科疾病研究杂志, 2017, 16(6): 1617-2897.Liu JP, Wang Q, Feng HL, et al. Clinical analysis of the complications of oblique lateral interbody fusion (OLIF)[J]. Chin J Neurosurg Dis Res, 2017, 16(6): 538-541.
[11]
Sato J, Ohtori S, Orita S, et al. Radiographic evaluation of indirect decompression of mini-open anterior retroperitoneal lumbar interbody fusion: oblique lateral interbody fusion for degenerated lumbar spondylolisthesis[J]. Eur Spine J, 2017, 26(3): 671-678. DOI:10.1007/s00586-015-4170-0.
[12]
张建锋, 范顺武, 方向前, 等. 斜外侧椎间融合术在单节段腰椎间盘退行性疾病中的应用[J]. 中华骨科杂志, 2017, 37(2): 80-88. DOI:10.3760/cma.j.issn.0253-2352.2017.02.003.Zhang JF, Fan SW, Fang XQ, et al. Clinical value of one level oblique lateral interbody fusion in the treatment of degenerative lumbar disc diseases[J]. Chin J Orthop, 2017, 37(2): 80-88. DOI:10.3760/cma.j.issn.0253-2352.2017.02.003.
[13]
Woods KR, Billys JB, Hynes RA. Technical description of oblique lateral interbody fusion at L1-L5 (OLIF 25) and at L5-S1 (OLIF 51) and evaluation of complication and fusion rates[J]. Spine J, 2017, 17(4): 545-553. DOI:10.1016/j.spinee.2016.10.026.
[14]
Cappuccino A, Cornwall GB, Turner AW, et al. Biomechanical analysis and review of lateral lumbar fusion constructs[J]. Spine (Phila Pa 1976), 2010, 35(26 Suppl): S361-367. DOI:10.1097/BRS.0b013e318202308b.
[15]
Reinhold M, Schmoelz W, Canto F, et al. A new distractable implant for vertebral body replacement: biomechanical testing of four implants for the thoracolumbar spine[J]. Arch Orthop Trauma Surg, 2009, 129(10): 1375-1382. DOI:10.1007/s00402-009-0823-y.
[16]
Faizan A, Kiapour A, Kiapour AM, et al. Biomechanical analysis of various footprints of transforaminal lumbar interbody fusion devices[J]. J Spinal Disord Tech, 2014, 27(4): E118-E127. DOI:10.1097/BSD.0b013e3182a11478.
[17]
Tender GC. Caudal vertebral body fractures following lateral interbody fusion in nonosteoporotic patients[J]. Ochsner J, 2014, 14(1): 123-130.
[18]
郑晓青, 尹东, 顾宏林, 等. 斜向腰椎融合中不同型号椎间融合器与椎体终板损伤的关系[J]. 中国组织工程研究, 2019, 23(34): 5418-5424. DOI:10.3969/j.issn.2095-4344.1933. Zheng XQ, Yin D, Gu HL, et al. Relationship between different types of interbody fusion cage and vertebral endplate injury in oblique lateral lumbar interbody fusion[J]. Chinese Journal of Tissue Engineering Research, 2019, 23(34): 5418-5424. DOI:10.3969/j.issn.2095-4344.1933.
[19]
Lowe TG, Hashim S, Wilson LA, et al. A biomechanical study of regional endplate strength and cage morphology as it relates to structural interbody support[J]. Spine (Phila Pa 1976), 2004, 29(21): 2389-2394. DOI:10.1097/01.brs.0000143623.18098.e5.
[20]
任先军, 梅芳瑞, 周军海. 颈椎终板的解剖及其生物力学特征的实验研究[J]. 中国临床解剖学杂志, 1999, 17(2): 172-174.Ren XJ, Mei FR, Zhou JH. Anatomical structure and experimental study on biomechanical characteristics of cervical vertebral endplate[J]. Chinese Journal of Clinical anatomy, 1999, 17(2): 172-174.
[21]
Abe K, Orita S, Mannoji C, et al. Perioperative complications in 155 patients who underwent oblique lateral interbody fusion surgery: perspectives and indications from a retrospective, multicenter survey[J]. Spine (Phila Pa 1976), 2017, 42(1): 55-62. DOI:10.1097/BRS.0000000000001650.
[22]
Tempel ZJ, Gandhoke GS, Okonkwo DO, 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 Suppl 3: 414-419. DOI:10.1007/s00586-015-3844-y.
[23]
Hou Y, Luo Z. A study on the structural properties of the lumbar endplate: histological structure, the effect of bone density, and spinal level[J]. Spine (Phila Pa 1976), 2009, 34(12): E427-433. DOI:10.1097/BRS.0b013e3181a2ea0a.
[24]
Hou Y, Yuan W. Influences of disc degeneration and bone mineral density on the structural properties of lumbar end plates[J]. Spine J, 2012, 12(3): 249-256. DOI:10.1016/j.spinee.2012.01.021.
[25]
Tu CW, Huang KF, Hsu HT, et al. Zoledronic acid infusion for lumbar interbody fusion in osteoporosis[J]. J Surg Res, 2014, 192(1): 112-116. DOI:10.1016/j.jss.2014.05.034.
[26]
Chen Y, Wang X, Lu X, et al. Comparison of titanium and polyetheretherketone (PEEK) cages in the surgical treatment of multilevel cervical spondylotic myelopathy: a prospective, randomized, control study with over 7-year follow-up[J]. Eur Spine J, 2013, 22(7): 1539-1546. DOI:10.1007/s00586-013-2772-y.
[27]
Le TV, Baaj AA, Dakwar E, et al. Subsidence of polyetheretherketone intervertebral cages in minimally invasive lateral retroperitoneal transpsoas lumbar interbody fusion[J]. Spine (Phila Pa 1976), 2012, 37(14): 1268-1273. DOI:10.1097/BRS.0b013e3182458b2f.
[28]
Kim MC, Chung HT, Cho JL, et al. Subsidence of polyetheretherketone cage after minimally invasive transforaminal lumbar interbody fusion[J]. J Spinal Disord Tech, 2013, 26(2): 87-92. DOI:10.1097/BSD.0b013e318237b9b1.
[29]
Marchi L, Abdala N, Oliveira L, et al. Radiographic and clinical evaluation of cage subsidence after stand-alone lateral interbody fusion[J]. J Neurosurg Spine, 2013, 19(1): 110-118. DOI:10.3171/2013.4.SPINE12319.
[30]
Phan K, Maharaj M, Assem Y, et al. Review of early clinical results and complications associated with oblique lumbar interbody fusion (OLIF)[J]. J Clin Neurosci, 2016, 31: 23-29. DOI:10.1016/j.jocn.2016.02.030.
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