Evidence map›Paper›PMID 29878716›Full record

ArticleOrthopaedic surgery2018

Complications and Prevention Strategies of Oblique Lateral Interbody Fusion Technique.

Zhong-You Zeng, Zhao-Wan Xu, Deng-Wei He, Xing Zhao, Wei-Hu Ma, Wen-Fei Ni, Yong-Xing Song, Jian-Qiao Zhang, Wei Yu, Xiang-Qian Fang and 13 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Orthopaedic surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 90 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
90citing papers in PubMed, 7 pooled it
10.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

90 citing papers in PubMed, 7 syntheses or guidelines pooled it, 177 citations in OpenAlex.

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  3. OLIF versus ALIF: Which is the better surgical approach for degenerative lumbar disease? A systematic review.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2023
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30 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors at 8 institutions in 1 country.

Zhong-You ZengDepartment of Orthopaedics, Sir Run Run Shaw Hospital of Medical College of Zhejiang University, Hangzhou, China.
Zhao-Wan XuDepartment of Spine Surgery, Weifang People's Hospital, Weifang, China.
Deng-Wei HeDepartment of Orthopaedics, Sir Run Run Shaw Hospital of Medical College of Zhejiang University, Hangzhou, China.
Xing ZhaoDepartment of Orthopaedics, Sir Run Run Shaw Hospital of Medical College of Zhejiang University, Hangzhou, China.
Wei-Hu MaDepartment of Spine, Ningbo Sixth Hospital, Ningbo, China.
Wen-Fei NiDepartment of Spine, The second Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Yong-Xing SongSecond Department of Orthopedics, Jiaxing Hospital of Zhejiang General Corps of Armed Police Forces, Jiaxing, China.
Jian-Qiao ZhangSecond Department of Orthopedics, Jiaxing Hospital of Zhejiang General Corps of Armed Police Forces, Jiaxing, China.
Wei YuSecond Department of Orthopedics, Jiaxing Hospital of Zhejiang General Corps of Armed Police Forces, Jiaxing, China.
Xiang-Qian FangDepartment of Orthopaedics, Sir Run Run Shaw Hospital of Medical College of Zhejiang University, Hangzhou, China.
Zhi-Jie ZhouDepartment of Orthopaedics, Sir Run Run Shaw Hospital of Medical College of Zhejiang University, Hangzhou, China.
Nan-Jian XuDepartment of Spine, Ningbo Sixth Hospital, Ningbo, China.
Wen-Jian HuangDepartment of Spine, Lishui Center Hospital, Lishui, China.
Zhi-Chao HuDepartment of Spine, The second Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Ai-Lian WuDepartment of Spine, The second Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Jian-Fei JiDepartment of Spine Surgery, Weifang People's Hospital, Weifang, China.
Jian-Fu HanSecond Department of Orthopedics, Jiaxing Hospital of Zhejiang General Corps of Armed Police Forces, Jiaxing, China.
Shun-Wu FanDepartment of Orthopaedics, Sir Run Run Shaw Hospital of Medical College of Zhejiang University, Hangzhou, China.
Feng-Dong ZhaoDepartment of Orthopaedics, Sir Run Run Shaw Hospital of Medical College of Zhejiang University, Hangzhou, China.
Hui JinSecond Department of Orthopedics, Jiaxing Hospital of Zhejiang General Corps of Armed Police Forces, Jiaxing, China.
Fei PeiSecond Department of Orthopedics, Jiaxing Hospital of Zhejiang General Corps of Armed Police Forces, Jiaxing, China.
Shi-Yang FanSecond Department of Orthopedics, Jiaxing Hospital of Zhejiang General Corps of Armed Police Forces, Jiaxing, China.
De-Xiu SuiOrthopedics Medical Instruments of Hanwei, Weifang, China.
First Hospital of Jiaxing · CNSir Run Run Shaw Hospital · CNWenzhou Medical University · CNLishui City People's Hospital · CNNingbo No.6 Hospital · CNWeifang People's Hospital · CNZhejiang University · CNWeifang Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyze the early complications and causes of oblique lateral interbody fusion, and put forward preventive measures.

methodsThere were 235 patients (79 males and 156 females) analyzed in our study from October 2014 to May 2017. The average age was 61.9 ± 0.21 years (from 32 to 83 years). Ninety-one cases were treated with oblique lateral interbody fusion (OLIF) alone (OLIF alone group) and 144 with OLIF combined with posterior pedicle screw fixation through the intermuscular space approach (OLIF combined group). In addition, 137/144 cases in the combined group were primarily treated by posterior pedicle screw fixation, while the treatments were postponed in 7 cases. There were 190 cases of single fusion segments, 11 of 2 segments, 21 of 3 segments, and 13 of 4 segments. Intraoperative and postoperative complications were observed.

resultsAverage follow-up time was 15.6 ± 7.5 months (ranged from 6 to 36 months). Five cases were lost to follow-up (2 cases from the OLIF alone group and 3 cases from the OLIF combined group). There were 7 cases of vascular injury, 22 cases of endplate damage, 2 cases of vertebral body fracture, 11 cases of nerve injury, 18 cases of cage sedimentation or cage transverse shifting, 3 cases of iliac crest pain, 1 case of right psoas major hematoma, 2 cases of incomplete ileus, 1 case of acute heart failure, 1 case of cerebral infarction, 3 case of left lower abdominal pain, 9 cases of transient psoas weakness, 3 cases of transient quadriceps weakness, and 8 cases of reoperation. The complication incidence was 32.34%. Thirty-three cases occurred in the OLIF alone group, with a rate of 36.26%, and 43 cases in the group of OLIF combined posterior pedicle screw fixation, with a rate of 29.86%. Fifty-seven cases occurred in single-segment fusion, with a rate of 30.0% (57/190), 4 cases occurred in two-segment fusion, with a rate of 36.36% (4/11), 9 cases occurred in three-segment fusion, with a rate of 42.86% (9/21), and 6 cases occurred in four-segment fusion, with a rate of 46.15% (6/13).

conclusionIn summary, OLIF is a relatively safe and very effective technique for minimally invasive lumbar fusion. Nonetheless, it should be noted that OLIF carries the risk of complications, especially in the early stage of development.

Indexed as

AdultAgedAged, 80 and overFemaleFollow-Up StudiesHumansIntraoperative ComplicationsLumbar VertebraeMaleMiddle AgedMuscle WeaknessPedicle ScrewsPostoperative ComplicationsRadiographySpinal FracturesSpinal FusionComplicationsLumbarOblique lateral interbody fusionPedicle screw

Identifiers

PMID29878716
PMCPMC6594526
OpenAlexW2805519382

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.