A magnetic resonance imaging-based morphometric analysis of bilateral L1-L5 oblique lumbar interbody fusion corridor: feasibility of safe surgical approach and influencing factors.

IF 2.3 Q2 ORTHOPEDICS Asian Spine Journal Pub Date : 2024-10-22 DOI:10.31616/asj.2024.0193
Archit Goyal, Mayukh Guha, Rajat Mahajan
{"title":"A magnetic resonance imaging-based morphometric analysis of bilateral L1-L5 oblique lumbar interbody fusion corridor: feasibility of safe surgical approach and influencing factors.","authors":"Archit Goyal, Mayukh Guha, Rajat Mahajan","doi":"10.31616/asj.2024.0193","DOIUrl":null,"url":null,"abstract":"<p><strong>Study design: </strong>Retrospective cross-sectional study.</p><p><strong>Purpose: </strong>To investigate the size and local anatomy of the right and the left-sided oblique corridors between L1-L5 levels and identify the potential impact of increasing age and sex on corridor size.</p><p><strong>Overview of literature: </strong>The oblique lumbar interbody fusion (OLIF) was introduced by Silvestre and his colleagues as a solution to the approach-related complications associated with anterior lumbar interbody fusion and lateral lumbar interbody fusion. Limited data were available describing the local anatomy and morphology of this approach.</p><p><strong>Methods: </strong>Imaging data of 300 patients (150 males and 150 females) who underwent 1.5T magnetic resonance imaging (MRI) scans of the lumbar spine at Indian Spinal Injuries Centre, New Delhi, India between January 2023 and January 2024 were retrospectively reviewed. The cohort was stratified into six age groups (21-30, 31-40, 41-50, 51-60, 61-70, and >70 years) with 25 patients in each age group for both sexes. T2 weighted axial MRI images were analyzed from the L1-L5 level at the mid-disc level to calculate the corridor size. The local anatomical differences were recorded.</p><p><strong>Results: </strong>At L1-L2, L2-L3, L3-L4, and L4-L5 levels, the mean corridor sizes in males were 17.48, 15.50, 13.41, and 9.32 mm on the left side, and 11.48, 7.12, 4.34, and 1.64 mm on the right side, respectively. The corresponding mean corridor sizes in females were 10.34, 12.94, 12.64, and 7.22 mm on the left side and 2.66, 3.52, 3.69, and 1.64 mm on the right side, respectively. For both sides, the corridor size was significantly affected by sex, increased with age, and decreased at the lower lumbar disc levels.</p><p><strong>Conclusions: </strong>A left-sided OLIF approach is more feasible for both sexes. The right-sided approach is less likely to be performed effectively.</p>","PeriodicalId":8555,"journal":{"name":"Asian Spine Journal","volume":null,"pages":null},"PeriodicalIF":2.3000,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Asian Spine Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.31616/asj.2024.0193","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0

Abstract

Study design: Retrospective cross-sectional study.

Purpose: To investigate the size and local anatomy of the right and the left-sided oblique corridors between L1-L5 levels and identify the potential impact of increasing age and sex on corridor size.

Overview of literature: The oblique lumbar interbody fusion (OLIF) was introduced by Silvestre and his colleagues as a solution to the approach-related complications associated with anterior lumbar interbody fusion and lateral lumbar interbody fusion. Limited data were available describing the local anatomy and morphology of this approach.

Methods: Imaging data of 300 patients (150 males and 150 females) who underwent 1.5T magnetic resonance imaging (MRI) scans of the lumbar spine at Indian Spinal Injuries Centre, New Delhi, India between January 2023 and January 2024 were retrospectively reviewed. The cohort was stratified into six age groups (21-30, 31-40, 41-50, 51-60, 61-70, and >70 years) with 25 patients in each age group for both sexes. T2 weighted axial MRI images were analyzed from the L1-L5 level at the mid-disc level to calculate the corridor size. The local anatomical differences were recorded.

Results: At L1-L2, L2-L3, L3-L4, and L4-L5 levels, the mean corridor sizes in males were 17.48, 15.50, 13.41, and 9.32 mm on the left side, and 11.48, 7.12, 4.34, and 1.64 mm on the right side, respectively. The corresponding mean corridor sizes in females were 10.34, 12.94, 12.64, and 7.22 mm on the left side and 2.66, 3.52, 3.69, and 1.64 mm on the right side, respectively. For both sides, the corridor size was significantly affected by sex, increased with age, and decreased at the lower lumbar disc levels.

Conclusions: A left-sided OLIF approach is more feasible for both sexes. The right-sided approach is less likely to be performed effectively.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
基于磁共振成像的双侧 L1-L5 斜腰椎椎间融合走廊形态计量分析:安全手术方法的可行性及影响因素。
研究设计目的:研究 L1-L5 水平之间右侧和左侧斜行走廊的大小和局部解剖结构,并确定年龄和性别增长对走廊大小的潜在影响:斜行腰椎椎体间融合术(OLIF)是由 Silvestre 及其同事提出的,旨在解决与前路腰椎椎体间融合术和侧路腰椎椎体间融合术相关的并发症。描述这种方法局部解剖和形态的数据有限:回顾性分析了 2023 年 1 月至 2024 年 1 月期间在印度新德里印度脊柱损伤中心接受腰椎 1.5T 磁共振成像(MRI)扫描的 300 名患者(150 名男性和 150 名女性)的成像数据。研究对象分为六个年龄组(21-30 岁、31-40 岁、41-50 岁、51-60 岁、61-70 岁和大于 70 岁),每个年龄组有 25 名男女患者。从 L1-L5 椎间盘中段水平分析 T2 加权轴向 MRI 图像,计算走廊大小。记录局部解剖学差异:结果:在 L1-L2、L2-L3、L3-L4 和 L4-L5 水平,男性左侧走廊的平均尺寸分别为 17.48、15.50、13.41 和 9.32 毫米,右侧分别为 11.48、7.12、4.34 和 1.64 毫米。女性的相应平均走廊尺寸在左侧分别为 10.34、12.94、12.64 和 7.22 毫米,在右侧分别为 2.66、3.52、3.69 和 1.64 毫米。两侧的走廊大小受性别影响明显,随年龄增长而增大,在腰椎间盘水平较低时减小:结论:左侧 OLIF 方法对男女患者都更可行。结论:左侧 OLIF 方法对男女患者都更可行,而右侧方法的有效率较低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
Asian Spine Journal
Asian Spine Journal ORTHOPEDICS-
CiteScore
5.10
自引率
4.30%
发文量
108
审稿时长
24 weeks
期刊最新文献
A magnetic resonance imaging-based morphometric analysis of bilateral L1-L5 oblique lumbar interbody fusion corridor: feasibility of safe surgical approach and influencing factors. A novel pedicle screw design to maximize screw-bone interface strength using finite element analysis and design of experiment techniques. Factors related to surgical site infection in spinal instrumentation surgery: a retrospective study in Japan. Perioperative complications in patients aged ≥85 years undergoing spinal surgery: a retrospective comparative study of pre-old and old patients in Japan. A novel technique for posterior lumbar interbody fusion to obtain a good local lordosis angle: anterior-release posterior lumbar interbody fusion.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1