Evidence map›Paper›PMID 35568923›Full record

ArticleJournal of orthopaedic surgery and research2022

Biomechanical study of oblique lumbar interbody fusion (OLIF) augmented with different types of instrumentation: a finite element analysis.

Xin-Yi Cai, Han-Ming Bian, Chao Chen, Xin-Long Ma, Qiang Yang

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Article in Journal of orthopaedic surgery and research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

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26citing papers in PubMed
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3 · Its place in the literature

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26 citing papers in PubMed.

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  11. Clinical efficacy of robotZhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2025
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  15. Unilateral versus bilateral pedicle screw fixation with anterior lumbar interbody fusion: a comparison of postoperative outcomes.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 · 2024
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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Xin-Yi CaiDepartment of Spine Surgery, Tianjin Hospital, Tianjin University, 406 Jiefang South Road, Hexi District, Tianjin, 300211, China.
Han-Ming BianTianjin Medical University, Tianjin, 300070, China.
Chao ChenDepartment of Spine Surgery, Tianjin Hospital, Tianjin University, 406 Jiefang South Road, Hexi District, Tianjin, 300211, China.
Xin-Long MaDepartment of Spine Surgery, Tianjin Hospital, Tianjin University, 406 Jiefang South Road, Hexi District, Tianjin, 300211, China.
Qiang YangDepartment of Spine Surgery, Tianjin Hospital, Tianjin University, 406 Jiefang South Road, Hexi District, Tianjin, 300211, China. yangqiang1980@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo explore the biomechanical differences in oblique lumbar interbody fusion (OLIF) augmented by different types of instrumentation.

methodsA three-dimensional nonlinear finite element (FE) model of an intact L3-S1 lumbar spine was built and validated. The intact model was modified to develop five OLIF surgery models (Stand-alone OLIF; OLIF with lateral plate fixation [OLIF + LPF]; OLIF with unilateral pedicle screws fixation [OLIF + UPSF]; OLIF with bilateral pedicle screws fixation [OLIF + BPSF]; OLIF with translaminar facet joint fixation + unilateral pedicle screws fixation [OLIF + TFJF + UPSF]) in which the surgical segment was L4-L5. Under a follower load of 500 N, a 7.5-Nm moment was applied to all lumbar spine models to calculate the range of motion (ROM), equivalent stress peak of fixation instruments (ESPFI), equivalent stress peak of cage (ESPC), equivalent stress peak of cortical endplate (ESPCE), and equivalent stress average value of cancellous bone (ESAVCB).

resultsCompared with the intact model, the ROM of the L4-L5 segment in each OLIF surgery model decreased by > 80%. The ROM values of adjacent segments were not significantly different. The ESPFI, ESPC, and ESPCE values of the OLIF + BPSF model were smaller than those of the other OLIF surgery models. The ESAVCB value of the normal lumbar model was less than the ESAVCB values of all OLIF surgical models. In most postures, the ESPFI, ESPCE, and ESAVCB values of the OLIF + LPF model were the largest. The ESPC was higher in the Stand-alone OLIF model than in the other OLIF models. The stresses of several important components of the OLIF + UPSF and OLIF + TFJF + UPSF models were between those of the OLIF + LPF and OLIF + BPSF models.

conclusionsOur biomechanical FE analysis indicated the greater ability of OLIF + BPSF to retain lumbar stability, resist cage subsidence, and maintain disc height. Therefore, in the augmentation of OLIF, bilateral pedicle screws fixation may be the best approach.

Indexed as

Pedicle ScrewsSpinal FusionBiomechanical PhenomenaFinite Element AnalysisHumansLumbar VertebraeLumbosacral RegionRange of Motion, ArticularAugmentationBiomechanical studyFinite element analysisLumbar spineOblique lumbar interbody fusion

Identifiers

PMID35568923
PMCPMC9107272

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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.