Bokov AE, Kalinina SY, Khaltyrov MI, Saifullin AP, Bulkin AA. Factors that influence the results of indirect decompression employing oblique lumbar interbody fusion. World J Orthop 2024; 15(8): 734-743 [PMID: 39165880 DOI: 10.5312/wjo.v15.i8.734]
Corresponding Author of This Article
Andrey E Bokov, MD, PhD, Neurosurgeon, Department of Neurosurgery, Institute of Traumatology and Orthopedics, Privolzhsky Research Medical University, Verkhnevolzhskaya Naberezhnaya 18, Nizhniy Novgorod 603005, Russia. andrei_bokov@mail.ru
Research Domain of This Article
Orthopedics
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
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World J Orthop. Aug 18, 2024; 15(8): 734-743 Published online Aug 18, 2024. doi: 10.5312/wjo.v15.i8.734
Table 1 Preoperative and postoperative radiographic parameters of the enrolled group according to the results of computed tomography examination
Preoperative value
Postoperative value
Statistical
Р value
Vertebral canal square in axial plane mm2
m = 102.4468 ± 8.6091
m = 150.3774 ± 8.9059
t-test for matched samples
< 0.0001
SD = 67.7880
SD = 70.1252
95%CI: 85.2319, 119.6617
95%CI: 132.5689, 168.1859
Left lateral recess depth in axial plane mm
M = 3.90
M = 4.95
Wilcoxon test
< 0.0001
25%-75%: (2.8, 4.8)
25%-75%: (3.7, 6.2)
Left lateral recess depth in axial plane mm
M = 3.45
M = 4.95
Wilcoxon test
< 0.0001
25%-75%: (2.7, 5.0)
25%-75%: (3.8, 6.2)
Disc height along the midline of anterior boarders of vertebral bodies
m = 6.6677 ± 0.3016
m = 12.0161 ± 0.2734
t-test for matched samples
< 0.0001
SD = 2.3751
SD = 2.1531
95%CI: 6.0646, 7.2709
95%CI: 11.8693, 12.963
Disc height along the midline of posterior boarders of vertebral bodies
m = 4.4500 ± 0.2496
m = 7.1871 ± 0.2749
t-test for matched samples
< 0.0001
SD = 1.9656
SD = 2.1649
95%CI: 3.9508, 4.949
95%CI: 6.6373, 7.736
Table 2 The parameters of linear regression model for postoperative vertebral canal square in patients who were treated with anterior column reconstruction and reduction
Component of linear regression equation
Beta coefficient
Regression coefficient
Р value
Intercept
39.2163
0.0001
Preoperative vertebral canal square
0.8486
0.8893
< 0.0001
Difference in the upper vertebral body anterior slip
0.1782
6.2508
0.0029
Difference in the disc space height along the anterior boarder, midline
-0.0302
-0.7912
0.6087
Difference in the disc space height along the posterior boarder, midline
-0.0460
-1.3984
0.4312
Table 3 The results of covariance analysis for the postoperative right lateral recess depth
Component of ANCOVA regression
Beta coefficient
Regression coefficient
Р value
Intercept
1.8432
< 0.0001
Preoperative lateral recess depth
0.7401
0.8139
< 0.0001
Weishaupt 4 degenerative changes in the facet joints
0.1746
0.4954
0.0041
Table 4 The results of covariance analysis for the postoperative right lateral recess depth
Component of ANCOVA regression
Beta coefficient
Regression coefficient
Р value
Intercept
1.3199
0.0384
Preoperative lateral recess depth
0.6515
0.8145
< 0.0001
Weishaupt 4 degenerative changes in the facet joints
0.1746
0.4954
0.0041
Difference in the disc space height along the anterior boarder, midline
0.1886
0.1477
0.0384
Table 5 The parameters of linear regression model for postoperative vertebral canal square in patients who were treated with anterior reconstruction without reduction applied
Component of linear regression equation
Beta coefficient
Regression coefficient
Р value
Intercept
6.4119
0.5567
Preoperative vertebral canal square, mm2
0.9527
0.9968
< 0.0001
Difference in the disc space height along the anterior boarder, midline
0.11073
1.8073
0.1181
Difference in the disc space height along the posterior boarder, midline
0.1689
4.2827
0.0287
Table 6 The parameters for the discriminant regression function for the failure of the indirect decompression prediction
Component of the regression equation
Regression coefficient
Р value
Beta coefficient
Intercept
0.5591
< 0.0001
-
Postoperative square of the vertebral canal below 80 mm2
0.2777
0.0001
0.5783
Lateral recess depth below 3 mm
0.1008
0.0088
0.2671
Vertebral canal square mm2
-0.0005
0.3351
-0.1013
Right lateral recess depth, mm
0.0221
0.2670
0.1426
Left lateral recess depth, mm
-0.0037
0.8763
0.0207
Citation: Bokov AE, Kalinina SY, Khaltyrov MI, Saifullin AP, Bulkin AA. Factors that influence the results of indirect decompression employing oblique lumbar interbody fusion. World J Orthop 2024; 15(8): 734-743