Evidence map›Paper›PMID 41080632›Full record

ArticleBioMedicine2025

A Staged-OLIF approach can minimize construct lengths in adult spinal deformity- A case series and literature review.

Guna Pratheep Kalanchiam, Alexander Shao-Rong Pang, Jacob Yoong-Leong Oh

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Article in BioMedicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Guna Pratheep KalanchiamClinical Fellow, Spine Surgery Unit, Department of Orthopedics, Tan Tock Seng Hospital, Singapore.ORCID https://orcid.org/0000-0002-5869-4039
Alexander Shao-Rong PangYong Loo Lin School of Medicine, National University of Singapore, Singapore.ORCID https://orcid.org/0009-0003-3195-5491
Jacob Yoong-Leong OhDeputy Head of the Department of Orthopedics, Head of Service (Spine Surgery), Senior Consultant, Tan Tock Seng Hospital, Singapore.ORCID https://orcid.org/0000-0002-2832-8433

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Adult Spinal Deformity (ASD) is one of the challenging conditions to treat for spine surgeons. One of the important dilemmas in the management of these patients is the decision on the number of levels of instrumentation and the overall length of the construct. OLIF has the advantage of providing a minimally invasive approach to address this complex pathology also allowing us to stage the procedure and thus help clinicians reassess if the patient requires an additional decompression, long fusion lengths, or need for osteotomies. Aim: Our study aims to evaluate the possibility of minimizing the construct length following a staged OLIF approach in ASD patients and also to analyze the clinical and radiological outcomes following a staged OLIF surgery. Methods: We present three cases of ASD, where the patients had a significant imbalance in either the coronal/sagittal profiles, and by using a staged approach, the surgeon was able to reduce the construct lengths and also operate on these deformities using an all Minimally Invasive Surgery (MIS) approach. Results: Overall sagittal and coronal profiles improved in all three cases with satisfactory fusion rates and VAS scores (back pain) post-operatively. Two of the three patients had an all-MIS approach (OLIF with MIS Ponte osteotomy and robotic guided pedicle screw instrumentation) and in one patient a four-rod construct was preferred to improve the stability. No complications were observed during a mean follow-up period of 4 years. Conclusion: A staged approach in ASD (lateral OLIF and posterior instrumentation) is a valuable surgical strategy for better correction of the coronal and sagittal plane deformities with relatively lesser construct length. It reduces the problems associated with prolonged anesthesia, in addition, it helps the surgeon in reassessing the pelvic parameters, thereby helping to decide on the need for additional osteotomies during the second procedure.

Indexed as

Adult spinal deformityLength of constructMinimally invasiveOLIFStaged approach

Identifiers

PMID41080632
PMCPMC12513403

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