Oblique versus Transforaminal Lumbar Interbody Fusion in Degenerative Spondylolisthesis: A Systematic Review and Meta-analysis

Irvan Irvan; Elson Elson; John Christian Parsaoran Butarbutar; Jephtah Furano Lumban Tobing; Michael Anthonius Lim; Raymond Pranata

doi:10.3889/oamjms.2022.9440

Authors

Irvan Irvan Department of Orthopedic and Traumatology, Faculty of Medicine, Universitas Pelita Harapan, Siloam Hospitals Lippo Village, Tangerang, Indonesia
Elson Elson Department of Orthopedic and Traumatology, Faculty of Medicine, Universitas Pelita Harapan, Siloam Hospitals Lippo Village, Tangerang, Indonesia
John Christian Parsaoran Butarbutar Department of Orthopedic and Traumatology, Faculty of Medicine, Universitas Pelita Harapan, Siloam Hospitals Lippo Village, Tangerang, Indonesia https://orcid.org/0000-0003-4061-0148
Jephtah Furano Lumban Tobing Department of Orthopedic and Traumatology, Faculty of Medicine, Universitas Pelita Harapan, Siloam Hospitals Lippo Village, Tangerang, Indonesia https://orcid.org/0000-0003-0677-4026
Michael Anthonius Lim Department of Orthopedic and Traumatology, Faculty of Medicine, Universitas Pelita Harapan, Siloam Hospitals Lippo Village, Tangerang, Indonesia https://orcid.org/0000-0001-7631-6835
Raymond Pranata Department of Medicine, Faculty of Medicine, Universitas Pelita Harapan, Siloam Hospitals Lippo Village, Tangerang, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2022.9440

Keywords:

Oblique, Antero-lateral, Transforaminal, Lumbar interbody fusion, Degenerative spondylolisthesis

Abstract

BACKGROUND: This meta-analysis compared transforaminal interbody fusion (TLIF) and oblique lumbar interbody fusion (OLIF) techniques for degenerative lumbar spondylolisthesis.

AIM: The aim is to evaluate Oswestry Disability Index (ODI), Japanese Orthopedic Association Back Pain Evaluation Questionnaire, visual analog scale improvement for back and leg pain, disc height, slipped percentage, blood loss, surgical time, and complication rates in both groups.

METHODS: A systematic literature search was carried out to obtain a study that compared OLIF and TLIF for degenerative lumbar spondylolisthesis. A literature search was performed using PubMed, Scopus, EuropePMC, and EBSCOHost. While the intervention was the OLIF technique, the control was the TLIF technique. The primary outcome was clinical outcome (ODI, Japanese Orthopaedic Association Back Pain Evaluation Questionnaire [JOABPEQ], visual analog scale [VAS] improvement for back, and leg pain). The Newcastle-Ottawa Scale was used to assess the quality of the studies.

RESULTS: Total of 384 patients from four studies were included in this study. OLIF group was better than TLIF group in terms of disc height, slipped percentage, and blood loss. ODI, JOABPEQ, VAS improvement for back pain (standardized mean difference [SMD] 0.06 [−0.18, 0.29], p = 0.63, I2 = 0%, p = 0.87) and leg pain (SMD 0.12 [−0.36, 0.60], p = 0.63, I²= 74%, p = 0.02), surgical time, and complication rates were similar in both groups.

CONCLUSION: OLIF technique was better than TLIF technique in terms of radiologic outcome and surgical blood loss. Both techniques showed similar outcomes in clinical outcome, complication, and surgical time.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Wang YX, Káplár Z, Deng M, Leung JC. Lumbar degenerative spondylolisthesis epidemiology: A systematic review with a focus on gender-specific and age-specific prevalence. J Orthop Transl. 2017;11:39-52. https://doi.org/10.1016/j.jot.2016.11.001 PMid:29662768

Guigui P, Ferrero E. Surgical treatment of degenerative spondylolisthesis. Orthop Traumatol Surg Res. 2017;103:S11-20. http://doi.org/10.1016/j.otsr.2016.06.022 PMid:28043848

Jacobsen S, Sonne-Holm S, Rovsing H, Monrad H, Gebuhr P. Degenerative lumbar spondylolisthesis: An epidemiological perspective. Spine (Phila Pa 1976). 2007;32:120-5. https://doi.org/10.1097/01.brs.0000250979.12398.96 PMid:17202902

Grobler LJ, Robertson PA, Novotny JE, Pope MH. Etiology of spondylolisthesis. Assessment of the role played by lumbar facet joint morphology. Spine (Phila Pa 1976). 1993;18:80-91. PMid:8434330

Love TW, Fagan AB, Fraser RD. Degenerative spondylolisthesis. Developmental or acquired? J Bone Joint Surg B. 1999;81:670-4. https://doi.org/10.1302/0301-620x.81b4.9682 PMid:10463743

Matsunaga S, Sakou T, Morizono Y, Masuda A, Demirtas AM. Natural history of degenerative spondylolisthesis: Pathogenesis and natural course of the slippage. Spine (Phila. Pa. 1976). 1990;15(11):1204-10. https://doi.org/10.1097/00007632-199011010-00021 PMid:2267617

Nagaosa Y, Kikuchi S, Hasue M, Sato S. Pathoanatomic mechanisms of degenerative spondylolisthesis. A radiographic study. Spine (Phila. Pa. 1976). 1998;23(13):1447-51. https://doi.org/10.1097/00007632-199807010-00004 PMid:9670395

Samuel AM, Moore HG, Cunningham ME. Treatment for degenerative lumbar spondylolisthesis: Current concepts and new evidence. Curr Rev Musculoskelet Med. 2017;10:521-9. https://doi.org/10.1007/s12178-017-9442-3 PMid:28994028

Ogon M, Krismer M, Söllner W, Kantner-Rumplmair W, Lampe A. Chronic low back pain measurement with visual analogue scales in different settings. Pain. 1996;64:425-8. https://doi.org/10.1016/0304-3959(95)00208-1 PMid:8783305

Fukui M, Chiba K, Kawakami M, Kikuchi S, Konno S, Miyamoto M, et al. Japanese orthopaedic association back pain evaluation questionnaire. Part 2. Verification of its reliability. J Orthop Sci. 2007;12:526-32. https://doi.org/10.1007/s00776-007-1168-4 PMid:18040634

Andersson GB, Schultz A, Nathan A, Irstam L. Roentgenographic measurement of lumbar intervertebral disc height. Spine (Phila Pa 1976). 1981;6:154-8. https://doi.org/10.1097/00007632-198103000-00008 PMid:7280816

Laurent LE, Einola S. Spondylolisthesis in children and adolescents. Acta Orthop Scand. 1961;31:45-64. https://doi.org/10.3109/17453676108989297 PMid:13759516

Koike Y, Kotani Y, Terao H, Iwasaki N. Comparison of outcomes of oblique lateral interbody fusion with percutaneous posterior fixation in lateral position and minimally invasive transforaminal lumbar interbody fusion for degenerative spondylolisthesis. Asian Spine J. 2021;15:97-106. https://doi.org/10.31616/asj.2019.0342 PMid:32521951

Kotani Y, Koike Y, Ikeura A, Tokunaga H, Saito T. Clinical and radiologic comparison of anterior-posterior single-position lateral surgery versus MIS-TLIF for degenerative lumbar spondylolisthesis. J Orthop Sci. 2020;26(6):992-8. https://doi.org/10.1016/j.jos.2020.10.013 PMid:33339720

Li R, Shao X, Li X, Liu Y, Jiang W. Comparison of clinical outcomes and spino-pelvic sagittal balance in degenerative lumbar spondylolisthesis. Medicine (Baltimore). 2021;100:e23783. https://doi.org/10.1097/MD.0000000000023783 PMid:33545942

Sheng SR, Geng YB, Zhou KL, Wu AM, Wang XY, Ni WF. Minimally invasive surgery for degenerative spondylolisthesis: Transforaminal or oblique lumbar interbody fusion. J Comp Eff Res. 2020;9:45-51. https://doi.org/10.2217/cer-2019-0055 PMid:31838875

Phan K, Maharaj M, Assem Y, Mobbs RJ. Review of early clinical results and complications associated with oblique lumbar interbody fusion (OLIF). J Clin Neurosci. 2016;31:23-9. https://doi.org/10.1016/j.jocn.2016.02.030 PMid:27349468

Tsahtsarlis A, Wood M. Minimally invasive transforaminal lumber interbody fusion and degenerative lumbar spine disease. Eur Spine J. 2012;21:2300-5. https://doi.org/10.1007/s00586-012-2376-y PMid:22692557

Harms J, Rolinger H. Die operative behandlung der spondylolisthese durch dorsale aufrichtung und ventrale verblockung. Z Orthop Ihre Grenzgeb. 2008;120:343-7. https://doi.org/10.1055/s-2008-1051624

Foley KT, Lefkowitz MA. Advances in minimally invasive spine surgery. Clin Neurosurg. 2002;49:499-517. PMid:12506566

Mobbs RJ, Phan K, Malham G, Seex K, Rao PJ. Lumbar interbody fusion: Techniques, indications and comparison of interbody fusion options including PLIF, TLIF, MI-TLIF, OLIF/ATP, LLIF and ALIF. J spine Surg (Hong Kong). 2015;1:2-18. https://doi.org/10.3978/j.issn.2414-469X.2015.10.05 PMid:27683674

Faundez AA, Schwender JD, Safriel Y, Gilbert TJ, Mehbod AA, Denis F, et al. linical and radiological outcome of anteriorposterior fusion versus transforaminal lumbar interbody fusion for symptomatic disc degeneration: A retrospective comparative study of 133 patients. Eur Spine J. 2009;18:203-11. https://doi.org/10.1007/s00586-008-0845-0 PMid:19125304

Mura PP, Costaglioli M, Piredda M, Caboni S, Casula S. TLIF for symptomatic disc degeneration: A retrospective study of 100 patients. Eur Spine J 2011;20(1):S57-60. https://doi.org/10.1007/s00586-011-1761-2 PMid:21461695

Sakeb N, Ahsan K. Comparison of the early results of transforaminal lumbar interbody fusion and posterior lumbar interbody fusion in symptomatic lumbar instability. Indian J Orthop. 2013;47:255-63. https://doi.org/10.4103/0019-5413.111484 PMid:23798756

Grob D, Humke T, Dvorak J. Direct pediculo-body fixation in cases of spondylolisthesis with advanced intervertebral disc degeneration. Eur Spine J. 1996;5:281-5. https://doi.org/10.1007/BF00301335 PMid:8886744

Birkenmaier C, Suess O, Pfeiffer M, Burger R, Schmieder K, Wegener B. The European multicenter trial on the safety and efficacy of guided oblique lumbar interbody fusion (GO-LIF). BMC Musculoskelet Disord. 2010;11:199. https://doi.org/10.1186/1471-2474-11-199 PMid:20819219

Arnold PM, Anderson KK, McGuire RA Jr. The lateral transpsoas approach to the lumbar and thoracic spine: A review. Surg Neurol Int. 2012;3:S198-215. https://doi.org/10.4103/2152-7806.98583 PMid:22905326

Phan K, Mobbs RJ. Oblique lumbar interbody fusion for revision of non-union following prior posterior surgery: A case report. Orthop Surg. 2015;7:364-7. https://doi.org/10.1111/os.12204 PMid:26791588

Hammad A, Wirries A, Ardeshiri A, Nikiforov O, Geiger F. Open versus minimally invasive TLIF: Literature review and meta-analysis. J Orthop Surg Res. 2019;14:229. https://doi.org/10.1186/s13018-019-1266-y PMid:31331364

Ohtori S, Orita S, Yamauchi K, Eguchi Y, Ochiai N, Kishida S, et al. Mini-open anterior retroperitoneal lumbar interbody fusion: Oblique lateral interbody fusion for lumbar spinal degeneration disease. Yonsei Med J. 2015;56:1051-9. https://doi.org/10.3349/ymj.2015.56.4.1051 PMid:26069130

Cheung MY, Cheung P. Oblique lumbar interbody fusion in management of lumbar degenerative spinal stenosis in Chinese population. J Orthop Trauma Rehabil. 2020;27:119-27. https://doi.org/10.1177/2210491720923058

Kepler CK, Rihn JA, Radcliff KE, Patel AA, Anderson DG, Vaccaro AR, et al. Restoration of lordosis and disk height after single-level transforaminal lumbar interbody fusion. Orthop Surg. 2012;4:15-20. https://doi.org/10.1111/j.1757-7861.2011.00165.x PMid:22290814

Fujibayashi S, Hynes RA, Otsuki B, Kimura H, Takemoto M, Matsuda S. Effect of indirect neural decompression through oblique lateral interbody fusion for degenerative lumbar disease. Spine (Phila Pa 1976) 2015;40:E175-82. https://doi.org/10.1097/BRS.0000000000000703 PMid:25394317

Jin C, Xie M, He L, Xu W, Han W, Liang W, et al. Oblique lumbar interbody fusion for adjacent segment disease after posterior lumbar fusion: A case-controlled study. J Orthop Surg Res 2019;14:216. https://doi.org/10.1186/s13018-019-1276-9 PMid:31311556

Silvestre C, Mac-Thiong JM, Hilmi R, Roussouly P. Complications and morbidities of mini-open anterior retroperitoneal lumbar interbody fusion: Oblique lumbar interbody fusion in 179 patients. Asian Spine J 2012;6:89. https://doi.org/10.4184/asj.2012.6.2.89 PMid:22708012