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  • 中華民國骨科醫學會109年度第78次聯合學術研討會投稿

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    許芳偉
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    This document is an abstract submission for a conference of the Chinese Orthopedic Association. It summarizes a study comparing changes in adjacent disc morphology after anterior lumbar interbody fusion (ALIF) and oblique lateral interbody fusion (OLIF). 47 patients who received ALIF or OLIF were reviewed. Radiological measurements and clinical outcomes were analyzed at pre-op, 1 month, and 1 year post-op. Results showed the index lordosis increased significantly in both groups. Adjacent disc height decreased at 1 month but stabilized at 1 year, except posterior height decreased more after OLIF. ALIF maintained better lordosis and prevented adjacent disc changes compared to OLIF.

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    This document is an abstract submission for a conference of the Chinese Orthopedic Association. It summarizes a study comparing changes in adjacent disc morphology after anterior lumbar interbody fusion (ALIF) and oblique lateral interbody fusion (OLIF). 47 patients who received ALIF or OLIF were reviewed. Radiological measurements and clinical outcomes were analyzed at pre-op, 1 month, and 1 year post-op. Results showed the index lordosis increased significantly in both groups. Adjacent disc height decreased at 1 month but stabilized at 1 year, except posterior height decreased more after OLIF. ALIF maintained better lordosis and prevented adjacent disc changes compared to OLIF.

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    34 views2 pages

    中華民國骨科醫學會109年度第78次聯合學術研討會投稿

    Uploaded by

    許芳偉
    This document is an abstract submission for a conference of the Chinese Orthopedic Association. It summarizes a study comparing changes in adjacent disc morphology after anterior lumbar interbody fusion (ALIF) and oblique lateral interbody fusion (OLIF). 47 patients who received ALIF or OLIF were reviewed. Radiological measurements and clinical outcomes were analyzed at pre-op, 1 month, and 1 year post-op. Results showed the index lordosis increased significantly in both groups. Adjacent disc height decreased at 1 month but stabilized at 1 year, except posterior height decreased more after OLIF. ALIF maintained better lordosis and prevented adjacent disc changes compared to OLIF.

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    © All Rights Reserved
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    中華民國骨科醫學會 109 年度第 78 次聯合學術研討會投稿摘要用紙

    投 稿 類 別 ： █ 口頭演講 □ 壁報 □ 兩者皆可
    論 文 分 類 ： □Adult Recon □Pediatrics □Hand □Sports □Trauma □Research
    █Spine □Tumor □Foot-Ankle □Infection □Knee Arthroscopy
    □Shoulder Elbow □Physician clinic □Others: ____________
    參加優秀論文比賽︰□ 參加 █ 不參加 (請注意:1.僅接受本會會員及骨科專科住院醫師參加，非以上
    身分者請勾選「不參加」。2. 108 年度起取消壁報優秀論文比賽。)
    (以上資料務必詳填，缺一不可，未按規定作業者﹐恕不受理)
    ------------------------------------------------------------------------------------------
    題目（Title） Comparison of The Morphology Change of Adjacent Disc After Anterior Lumbar Interbody
    Fusion and Oblique Lateral Interbody Fusion
    ALIF 與 OLIF 術後鄰近節椎間盤型態改變之比較
    作者（Author） 許芳偉 1,2 陳昆輝 1 潘建州 1 金寧建 1 石承民 1 吳蘊哲 1 李政鴻 1
    單位（Organization）台中榮民總醫院骨科部 1 光田綜合醫院骨科部 2

    【Introduction】
    Spondylolisthesis and degenerative disc disorder in adults are most common cause of lumbar surgery. There
    are many surgical options and the interbody fusion is the most common technique and has shown satisfactory
    results. But solid fusion has been reported to accelerate degenerative changes at adjacent segment and sagittal
    alignment of the fusion segments also influences the adjacent segments stresses and affects the degeneration
    rate. The anterior and oblique lumbar interbody fusion cages has lordotic angle and reported restore the index
    segment lordosis for prevent the adjacent segment degeneration. The purpose of this study was to compare
    morphology change of adjacent disc in patients who had received the anterior lumbar interbody fusion and
    oblique lumbar interbody fusion.

    【Materials and Methods】


    We retrospective reviewed the 47 patients who received the anterior lumbar interbody fusion (ALIF) or
    oblique lumbar interbody fusion (OLIF) for lumbar degenerative disease. The radiology measurement of index
    segment angle, adjacent disc angle, and adjacent disc height including anterior and posterior. The three timing
    of measurement was pre-operative, post-operative one month and post-operative one year follow up. Clinical
    outcomes including European Quality of life scale (EQ5D), total Visual Analog Scale of pain (VASPT), VASP
    of back (VASPB), and Oswestry Disability Index (ODI).

    【Results】
    The 47 patients include 23 cases received the ALIF and 24 cases received the OLIF. All 47 cases the index
    lordosis had significant increase after post-op one year follow up. The adjacent disc anterior and posterior disc
    height also decrease after post-op one month follow up significantly, but after follow up to one year, no
    significantly decrease. In the ALIF group, the index lordosis significant increase after post-op one year. The
    adjacent disc height only anterior disc height significant decrease after post-op one month follow up. In the
    OLIF group, the anterior and posterior adjacent disc height were significant decrease after post-op one year
    follow up. Both group the adjacent disc angle no significant change after surgery follow up.

    【Discussion】
    After the spinal fusion surgery without restore the lordosis, the adjacent segment degeneration will occur and
    flat back deformity also developed. We know that the ALIF and OLIF are lordotic cages and can restore the
    lordosis at index level. In our hypothesis, the adjacent disc can prevent degeneration and compensative lordosis
    change after ALIF or OLIF surgery. The result revealed that after surgery, the index angle increased and the
    adjacent disc angle did not change. Although, the adjacent disc height decreased after ALIF and OLIF, no
    progressive decreasing was noted after follow up to one year. We found that index angle was significant change
    in ALIF than OLIF, we thought that the anterior longitudinal ligament was released in ALIF surgery and
    increase the anterior disc height at index level. Due to the anterior longitudinal ligament not released at OLIF
    surgery, the index level pressure was high and cause the cages subsidence after surgery and lordosis increasing
    not significant at index level.

    【Conclusions】
    In our study, after the ALIF or OLIF surgery the adjacent disc angle did not change and anterior disc height
    decrease significant. But posterior disc height only decrease after OLIF. The index lordosis only significant
    after ALIF surgery. We suggest that ALIF can maintain good lordosis and prevent the adjacent disc height
    decrease and compensate shape change. OLIF also prevent the adjacent disc angle change for compensate, but
    the disc height can not preserved after surgery.

    代表作者服務單位：光田綜合醫院骨科部 聯絡電話：0933213564 E-mail：[email protected]


    (務必填寫)

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