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Research article
Zuozhong Liu
Yongchuan Hospital of Chongqing Medical University
Corresponding Author
ORCiD: https://orcid.org/0000-0002-2027-7205
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Objectives:To study the clinical effect of OLIF channel combined with posterior percutaneous pedicle screw fixation in the treatment of single-segment lumbar tuberculosis.
Methods:Using a retrospective controlled study, patients who were diagnosed with single-segment lumbar tuberculosis were divided into the minimal invasive group(the anterior debridement and fusion by OLIF technique combined percutaneous pedicle screw group) and the open group(the anterior-posterior combined surgery group) according to different surgical methods from July 2016 to October 2018,then the surgical-related parameters and surgical effects of the two groups of patients were compared.
Results:The minimal invasive group was superior to the open group in operation time, abdominal incision length,intraoperative blood loss,postoperative drainage, and CPK,the differences were statistically significant (P<0.05);The VAS scores of low back pain after 3 days,3mounths and last follow-up of surgery was significantly lower than before surgery in both goups (P<0.05), which in the minimal invasive group was significantly lower than those in the open group at 3days after surgery （P<0.05）,but no significance in other time point(P＞0.05).The ODI index, ESR, CRP before operation, 3 months and the last follow-up after surgery were not statistically different between two groups(P＞0.05),and significant difference in the group(P<0.05). Postoperative lumbar lordosis increased significantly in the two groups after operation, and there was no statistical difference between the groups at each time point(P＞0.05).
Conclusion:The clinical effect of OLIF channel combined with posterior percutaneous pedicle screw fixation in the treatment of single-segment lumbar tuberculosis is not different from the anterior-posterior combined surgery, but the trauma is smaller and the recovery is faster in the former, which has certain advantages in clinic.
Keywords
Lumbar tuberculosis, Minimally invasive, Oblique lumber interbody fusion, Posterior percutaneous pedicle screw fixation
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A new preprint design is coming!
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This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Research article
Zuozhong Liu
Yongchuan Hospital of Chongqing Medical University
Corresponding Author
ORCiD: https://orcid.org/0000-0002-2027-7205
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Version 1
Posted 09 Oct, 2020
No community comments so far
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Objectives:To study the clinical effect of OLIF channel combined with posterior percutaneous pedicle screw fixation in the treatment of single-segment lumbar tuberculosis.
Methods:Using a retrospective controlled study, patients who were diagnosed with single-segment lumbar tuberculosis were divided into the minimal invasive group(the anterior debridement and fusion by OLIF technique combined percutaneous pedicle screw group) and the open group(the anterior-posterior combined surgery group) according to different surgical methods from July 2016 to October 2018,then the surgical-related parameters and surgical effects of the two groups of patients were compared.
Results:The minimal invasive group was superior to the open group in operation time, abdominal incision length,intraoperative blood loss,postoperative drainage, and CPK,the differences were statistically significant (P<0.05);The VAS scores of low back pain after 3 days,3mounths and last follow-up of surgery was significantly lower than before surgery in both goups (P<0.05), which in the minimal invasive group was significantly lower than those in the open group at 3days after surgery （P<0.05）,but no significance in other time point(P＞0.05).The ODI index, ESR, CRP before operation, 3 months and the last follow-up after surgery were not statistically different between two groups(P＞0.05),and significant difference in the group(P<0.05). Postoperative lumbar lordosis increased significantly in the two groups after operation, and there was no statistical difference between the groups at each time point(P＞0.05).
Conclusion:The clinical effect of OLIF channel combined with posterior percutaneous pedicle screw fixation in the treatment of single-segment lumbar tuberculosis is not different from the anterior-posterior combined surgery, but the trauma is smaller and the recovery is faster in the former, which has certain advantages in clinic.
Figure 1
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