在单一水平的OLIF和XLIF之间比较临床和放射性结果:系统性审查和元分析
Arash Emami1, Neil Patel1, Daniel Coban1
1Department of Orthopaedic Surgery, St. Joseph's University Medical Center, 703 Main St, Paterson, NJ 07503, United States.
North American Spine Society journal
|May 26, 2023
概括
斜腰间体融合 (OLIF) 和极端侧面间体融合 (XLIF) 在L1-L5脊柱融合中显示了类似的结果. XLIF具有更高的神经过敏率,而OLIF具有更高的血管损伤率.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 最少侵入性的脊髓融合.
- 整形外科手术 整形外科手术
背景情况:
- 斜腰间体融合 (OLIF) 和极端侧面间体融合 (XLIF) 是领先的微创脊柱融合技术.
- 患者的解剖学显著影响OLIF和XLIF之间的选择.
- 以前的比较研究通常包括L5-S1水平,该水平通过XLIF无法访问.
研究的目的:
- 为了比较OLIF和XLIF的放射和临床结果,特别是在L1-L5脊柱区域.
- 为了提供一个专注的比较,不包括L5-S1水平.
- 在L1-L5区域分析与每个方法相关的并发症概况.
主要方法:
- 在PubMed,CINAHL plus和SCOPUS进行了系统的文献搜索.
- 对符合条件的研究数据进行了随机效应元分析,比较L1和L5.5之间的单级OLIF和XLIF.
- 分析的结果包括磁盘高度,细分主管病,并发症率,以及患者报告的疼痛和残疾评分.
主要成果:
- 分析了来自24项研究的1010名患者 (408名OLIF,602名XLIF).
- 在OLIF和XLIF之间的圆盘高度,腰部细分角度或腰部主角角的改善方面没有观察到显著差异.
- 与OLIF (10.9%) 相比,XLIF表现出显著更高的神经过敏率 (21.2%),而OLIF显示出较高的血管损伤率 (3.2%) 与XLIF (0.0%).
结论:
- 单级OLIF和XLIF在L1-L5脊柱区域产生了可比的临床和放射性结果.
- 在OLIF和XLIF之间做出选择可能会受到特定风险概况的影响:XLIF与较高的神经过敏率相关,而OLIF与较高的血管损伤率相关.
- 本研究提供了L1-L5地区的OLIF和XLIF的集中比较,考虑到方法的限制.
关键词:
在psoas的前面.侧侧腰部融合 侧侧腰部融合腰椎脊柱的腰椎脊柱是指腰椎脊柱的部分.进行元分析分析.最少的侵入性侵袭性疾病这就是OLIF OLIF.结果的结果.单一层次的单一层次的在Transpsoas中使用.XLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXLIFXL
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