Clinical Efficacy of OLIF in the Treatment of Lumbar Spinal Stenosis
Mengmeng Xu,
Dingjie Liang,
Jianing Zhang,
Weiqing Qian
Issue:
Volume 10, Issue 4, August 2022
Pages:
136-139
Received:
7 August 2022
Accepted:
20 August 2022
Published:
29 August 2022
DOI:
10.11648/j.js.20221004.11
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Abstract: The safety and efficacy of oblique lateral interbody fusion (OLIF) for lumbar spinal stenosis (DLCS) were analysed. clinical and imaging data of 63 patients who underwent OLIF for DLCS at our hospital from October 2020 to June 2022, of whom 24 were male and 39 were female; 55 patients had simple spinal stenosis and 8 patients had combined lumbar spondylolisthesis; 63 The age distribution of the patients was over 60 years, with a mean of (66.4±6.0) years. Patients' preoperative and postoperative pain visual analogue scale (VAS) scores, Oswestry dysfunction index (ODI), Japanese Orthopaedic Association treatment assessment (JOA) scores at 3, 6 and 12 months and surgical complications were statistically analysed. All 63 patients over 60 years of age with degenerative DLCS underwent successful surgery, with an operative time of 48.5 ± 15.48 minutes (40-70 minutes) and intraoperative bleeding of 39.37 ± 29.78 ml (20-75 ml). All 63 patients were followed up for approximately 12 months and leg VAS scores improved from 8. 32±2.7 (preoperatively) to 1.2±0.4 (p < 0.001) at 12 months postoperatively. The low back VAS score improved from 6.53±1.9 preoperatively to 1.5±0.7 at 12 months postoperatively (P < 0.05). the JOA score improved from 13.3±7.8 preoperatively to 25.7±5.2 at 12 months postoperatively (P < 0.05). the ODI score improved from 56.6±16.9 preoperatively to 15.6±12.6 at 12 months postoperatively (P < 0.05). Complications at 12 months postoperatively included two dural tears and one inadequate decompression. The OLIF technique provides safe and effective decompression of the DLCS and also has many advantages, such as less trauma, less bleeding, shorter operative time and hospital stay, and fewer postoperative complications, making it the clinical choice.
Abstract: The safety and efficacy of oblique lateral interbody fusion (OLIF) for lumbar spinal stenosis (DLCS) were analysed. clinical and imaging data of 63 patients who underwent OLIF for DLCS at our hospital from October 2020 to June 2022, of whom 24 were male and 39 were female; 55 patients had simple spinal stenosis and 8 patients had combined lumbar sp...
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The Non-Ossifying Fibroma: A Case Report and Review of the Literature
Shengjie Sun,
Weixiong Ye,
Yangyang Xu,
Zhencheng Feng,
Qingqi Meng
Issue:
Volume 10, Issue 4, August 2022
Pages:
140-143
Received:
31 August 2022
Accepted:
12 September 2022
Published:
27 September 2022
DOI:
10.11648/j.js.20221004.12
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Abstract: Nonossifying fibroma is a benign tumor lesion commonly seen in children that is characterized by spontaneous regression and is usually located in the cortex of long bones, but cases occurring in other bone tissues have also been reported. It is usually not accompanied by clinical manifestations such as pain and dysfunction of the affected limb throughout the course of the disease, and the shape of the same affected limb is not significantly changed, usually found by imaging examination after injury. In this paper, we report a 12-year-old male patient who was admitted to our hospital with left lower leg pain caused by a fall during running. Emergency radiography of the left leg showed cystic swelling lesion in the cortex at the anterior edge of the left tibial metaphysis, aneurysmal bone cyst? non-ossifying fibroma? Relevant preoperative examinations were perfected after admission, and through adequate preoperative planning and discussion, it was decided to perform debridement and bone grafting of the left lower tibial tumor lesion. After operation, the function of left lower limb recovered well after professional rehabilitation training, and the therapeutic effect was satisfactory. When imaging studies after injury suspect uncured fibroma or pathological fractures, debridement and bone grafting of the lesion is necessary to prevent further aggravation of the fracture.
Abstract: Nonossifying fibroma is a benign tumor lesion commonly seen in children that is characterized by spontaneous regression and is usually located in the cortex of long bones, but cases occurring in other bone tissues have also been reported. It is usually not accompanied by clinical manifestations such as pain and dysfunction of the affected limb thro...
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