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Treatment of degenerative lumbar scoliosis using transforaminal lumbar interbody fusion based on the concept of intervertebral correction

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Abstract

Purpose

The study aimed to examine the outcomes of posterior approach transforaminal lumbar interbody fusion (TLIF) in the treatment of degenerative lumbar scoliosis (DLS) based on the concept of intervertebral correction.

Methods

A retrospective analysis was performed on 76 surgical patients (36 males and 40 females) who underwent posterior TLIF and internal fixation based on the concept of intervertebral correction in Shenzhen Traditional Chinese Medicine Hospital from February 2014 to March 2021.The operation duration, intraoperative blood loss, incision length, and complications were recorded. Clinical efficacy was evaluated preoperatively and postoperative time points through the visual analog scale (VAS) and the Oswestry disability index (ODI). The changes in the coronal scoliosis curve (Cobb angle), coronal balance distance (CBD), the sagittal vertical axis (SVA), lumbar lordosis (LL), and pelvic tilt angle (PT) were assessed perioperatively at the last follow-up.

Results

All patients successfully underwent the operation. The average operation duration was 243.81 ± 35.35 (220 − 350) min; the average intraoperative blood loss was 836.27 ± 50.28 (700 − 2500) mL; the average incision length was 8.30 ± 2.33 (8 − 15) cm. The total complication rate was 18.42% (14/76). The VAS score of low back pain, lower extremity pain, and ODI score of patients at the last follow-up was significantly improved compared with those before the operation (P < 0.05). At the last follow-up, the Cobb Angle, CBD, SVA, and PT of patients were significantly lower than those before the operation (P < 0.05), and LL was higher than those before the operation (P < 0.05).

Conclusion

TLIF based on the concept of intervertebral correction for the treatment of DLS may provide favourable clinical outcomes.

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Data availability

The datasets generated during or analyzed during the current study are available from the corresponding author on reasonable request.

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Acknowledgements

The authors thank the National Natural Science Foundation of China (Grant numbers 82174397) for supporting this work.

Funding

This work was supported by the National Natural Science Foundation of China (Grant numbers 82174397).

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Author notes

  1. Juyi Lai and Huangsheng Tan contributed equally to this manuscript.

Authors and Affiliations

  1. The Fourth Clinical Medical College Affiliated to Guangzhou University of Chinese Medicine, Guangzhou, China

    Juyi Lai & Huangsheng Tan

  2. Shenzhen Traditional Chinese Medicine Hospital, No.1, Fuhua Road, Futian District, Shenzhen, Guangdong Province, China

    Juyi Lai, Hualong Feng, Zhiming Lan, Zhitao Sun, Jian Wang, Yuanfei Fu & Shenghua He

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  1. Juyi Lai
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Contributions

Juyi Lai wrote, reviewed, and edited the study. Shenghua He overarched research goals and aims. Huangsheng Tan and Yuanfei Fu supervised and led responsibility for the research activity planning and execution. Hualong Feng and Zhiming Lan conducted the data/evidence collection. Zhitao Sun was responsible for the writing—original draft preparation. Jian Wang was in charge of application of statistical to analyze or synthesizing study data. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Shenghua He.

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Ethics approval

This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Ethics Committee of Shenzhen Traditional Chinese Medicine Hospital, China (No: K2021069).

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Informed consent was obtained from all individual participants included in the study.

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The authors affirm that human research participants provided informed consent for publication of the images in Figs. 1, 2, and 3.

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Lai, J., Tan, H., Feng, H. et al. Treatment of degenerative lumbar scoliosis using transforaminal lumbar interbody fusion based on the concept of intervertebral correction. International Orthopaedics (SICOT) 47, 1303–1313 (2023). https://doi.org/10.1007/s00264-023-05774-1

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