{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T05:17:58Z","timestamp":1788671878909,"version":"build-2803163510"},"reference-count":37,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2022,10,21]],"date-time":"2022-10-21T00:00:00Z","timestamp":1666310400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Adjacent segment disease (ASD) is considered any abnormal process that develops in the mobile segment next to spinal fusion, accompanied by related symptoms. To evaluate the efficacy and complications of oblique lateral interbody fusion (OLIF) combined with bridge\u2010locking fusion on ASD after lumbar fusion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 35 ASD patients who required re\u2010operation after lumbar fusion in our hospital from March 2014 to March 2020 were retrospectively analyzed, among which 13 cases (seven males and six females; 62.3\u2009\u00b1\u200911.3\u2009years old) received the treatment of OLIF\u2009+\u2009bridge\u2010locking cage internal fixation (OLIF group), and 22 cases (14 males and eight females; 52.3\u2009\u00b1\u200917.8\u2009years old) received the treatment of transforaminal lumbar interbody fusion (TLIF)\u2009+\u2009pedicle screw fixation (TLIF group). The comparison of the operation time, intraoperative blood loss, postoperative drainage volume, and length of hospital stay between the two groups of patients was performed using the <jats:italic>t<\/jats:italic>\u2010test. The comparison of Visual Analogue Scale (VAS) and Oswestry Disability Index (ODI) at different time points before and after the operation was performed using analysis of variance for repeated measurement data. The fusion rate and postoperative complications of the two groups of patients were also evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The operation time of patients in the OLIF group (55.4\u2009\u00b1\u200912.4 min) was significantly shorter than that of patients in the TLIF group (94.3\u2009\u00b1\u200922.9 min) (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05), the length of stay of patients in the OLIF group (7.4\u2009\u00b1\u20092.3 day) was significantly shorter than that of patients in the TLIF group (12.4\u2009\u00b1\u20093.2 day) (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05); the intraoperative blood loss (62.2\u2009\u00b1\u200930.1 mL) and postoperative drainage (47.3\u2009\u00b1\u200922.4 mL) of patients in the OLIF group were significantly less than those of patients in the TLIF group with intraoperative blood loss (363.4\u2009\u00b1\u2009120.2 mL) and postoperative drainage (285.5\u2009\u00b1\u200957.8 mL) (all <jats:italic>P<\/jats:italic>s\u2009&lt;\u20090.05). Besides, the VAS and ODI scores of the two groups of patients were improved 3\u00a0months after the operation and at the last follow\u2010up (all <jats:italic>P<\/jats:italic>s\u2009&lt;\u20090.05). Three patients in the OLIF group developed complications such as hip flexion weakness and fusion cage sink, with an incidence of 23.1%. Three patients in the TLIF group developed complications including wound infection and intraoperative nerve injury, with an incidence of 22.7%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The combination of OLIF and bridge\u2010locking cage may be a safe and effective therapy for ASD patients after lumbar fusion operation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.13449","type":"journal-article","created":{"date-parts":[[2022,10,22]],"date-time":"2022-10-22T06:43:23Z","timestamp":1666421003000},"page":"3268-3276","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Application of Oblique Lateral Interbody Fusion Combined with Bridge\u2010Locking Cage in Adjacent Segment Disease After Lumbar Fusion"],"prefix":"10.1111","volume":"14","author":[{"given":"Shuai","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Orthopedics 900th Hospital of PLA  Fuzhou 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