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Oblique lateral interbody fusion for lumbosacral fractional curve correction in degenerative lumbar scoliosis

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A Correction to this article was published on 10 April 2024

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Abstract

Purpose

In combined anterior–posterior adult spinal deformity surgery, the optimal combination of anterior and posterior procedures remains unclear. We aimed to demonstrate the radiological outcomes and relevant factors in oblique lateral interbody fusion (OLIF) for lumbosacral fractional curve (FC) correction combined with open posterior surgery in degenerative lumbar scoliosis (DLS).

Methods

This study involved 42 consecutive patients with DLS who had a major curve (MC) ≥ 20° and an FC (L4 to S1) ≥ 10°, and underwent a combined anterior–posterior surgery Changes in the MC, FC, coronal balance distance, type of coronal imbalance, coronal/sagittal disc angle at L4-5 and L5-S1, L4 and L5 tilt, and sagittal parameters were examined. The associations between FC correction and demographic, surgical, and radiological factors were analysed.

Results

The FC decreased from 16.9 ± 7.3° preoperatively to 6.6 ± 4.4° at the last follow-up (P < 0.001). The coronal disc angle at L4-5 and L5-S1 were, respectively, 6.8 ± 2.2° and 6.0 ± 4.1° preoperatively and decreased to 2.2 ± 2.1 and 1.2 ± 1.3° at the last follow-up (both P < 0.001). The changes in FC were greater in uppermost instrumented level > T10 (P < 0.001), and associated with the preoperative FC (r = 0.820, P < 0.001), L4 tilt (r = 0.434, P = 0.007), and L5 tilt (r = 0.462, P = 0.003).

Conclusion

OLIF at the FC combined with open posterior surgery is an effective combined anterior–posterior correction strategy in DLS.

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Funding

The manuscript submitted does not contain information about medical device(s)/drug(s). No funds were received in support of this work. No benefits in any form have been or will be received from a commercial party related directly or indirectly to the subject of this article.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Ajou University School of Medicine, 164 World Cup-ro, Yeongtong-gu, Suwon, Geyounggi-do, 16499, South Korea

    Nam-Su Chung, Han-Dong Lee, Ki-Hoon Park, Jung Sunwoo & Hee-Woong Chung

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  1. Nam-Su Chung
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  2. Han-Dong Lee
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Chung, NS., Lee, HD., Park, KH. et al. Oblique lateral interbody fusion for lumbosacral fractional curve correction in degenerative lumbar scoliosis. Eur Spine J 33, 582–589 (2024). https://doi.org/10.1007/s00586-023-08113-5

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