Clinical outcomes of oblique lumbar interbody fusion in the treatment of degenerative disk disease: Experience in a university hospital in Spain
DOI:
https://doi.org/10.58814/01208845.23Keywords:
Lumbar Region, Retroperitoneal Space, Degenerative Disc Disease, Minimally Invasive Surgical Procedures, Psoas MusclesAbstract
Introduction: Oblique lumbar interbody fusion (OLIF) is a minimally invasive alternative to posterior interbody fusion. It preserves posterior vertebral elements, increases disk height with indirect decompression of neural elements, and inserts larger cages.
Objective: To describe the clinical outcomes achieved with OLIF for the treatment of degenerative disk disease in a university hospital in Spain.
Methodology: Retrospective case series study performed on 32 patients with degenerative lumbar spine disease who underwent OLIF treatment between January 2018 and June 2020. Clinical and sociodemographic information was collected by reviewing medical records. Clinical outcomes were assessed before surgery and at 1-year follow-up using the Oswestry disability index (ODI) and the visual analog scale (VAS) for low back and radicular pain, respectively.
Results: 42 interbody cages were implanted, and the average age was 56.25 years. The most frequently operated vertebral levels were L4-L5 (50%) and L3-L4 (28.57%). The average operative time and hospital stay was 153.13 minutes and 2.53 days, respectively. Statistically significant improvement was observed in the ODI (p<0.001) and VAS scores of low back pain (p=0.002) and radicular pain (p<0.001) before surgery and at one year.
Conclusion: OLIF is a safe and effective surgical treatment option to treat degenerative disease of the lumbar spine.
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