{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T16:58:17Z","timestamp":1774025897539,"version":"3.50.1"},"reference-count":26,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:sec><jats:title>OBJECTIVE<\/jats:title><jats:p>In adult spinal deformity and degenerative conditions of the spine, interbody fusion to the sacrum often is performed to enhance arthrodesis, induce lordosis, and alleviate stenosis. Anterior lumbar interbody fusion (ALIF) has traditionally been performed, but minimally invasive oblique lumbar interbody fusion (OLIF) may or may not cause less morbidity because less retraction of the abdominal viscera is required. The authors evaluated whether there was a difference between the results of ALIF and OLIF in multilevel anterior or lateral interbody fusion to the sacrum.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>Patients from 2013 to 2018 who underwent multilevel ALIF or OLIF to the sacrum were retrospectively studied. Inclusion criteria were adult spinal deformity or degenerative pathology and multilevel ALIF or OLIF to the sacrum. Demographic, implant, perioperative, and radiographic variables were collected. Statistical calculations were performed for significant differences.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Data from a total of 127 patients were analyzed (66 OLIF patients and 61 ALIF patients). The mean follow-up times were 27.21 (ALIF) and 24.11 (OLIF) months. The mean surgical time was 251.48 minutes for ALIF patients and 234.48 minutes for OLIF patients (p = 0.154). The mean hospital stay was 7.79 days for ALIF patients and 7.02 days for OLIF patients (p = 0.159). The mean time to being able to eat solid food was 4.03 days for ALIF patients and 1.30 days for OLIF patients (p &lt; 0.001). After excluding patients who had undergone L5\u2013S1 posterior column osteotomy, 54 ALIF patients and 41 OLIF patients were analyzed for L5\u2013S1 radiographic changes. The mean cage height was 14.94 mm for ALIF patients and 13.56 mm for OLIF patients (p = 0.001), and the mean cage lordosis was 15.87\u00b0 in the ALIF group and 16.81\u00b0 in the OLIF group (p = 0.278). The mean increases in anterior disc height were 7.34 mm and 4.72 mm for the ALIF and OLIF groups, respectively (p = 0.001), and the mean increases in posterior disc height were 3.35 mm and 1.24 mm (p &lt; 0.001), respectively. The mean change in L5\u2013S1 lordosis was 4.33\u00b0 for ALIF patients and 4.59\u00b0 for OLIF patients (p = 0.829).<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>Patients who underwent multilevel OLIF and ALIF to the sacrum had comparable operative times. OLIF was associated with a quicker ileus recovery and less blood loss. At L5\u2013S1, ALIF allowed larger cages to be placed, resulting in a greater disc height change, but there was no significant difference in L5\u2013S1 segmental lordosis.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2020.4.spine20198","type":"journal-article","created":{"date-parts":[[2020,6,26]],"date-time":"2020-06-26T07:15:53Z","timestamp":1593155753000},"page":"461-470","source":"Crossref","is-referenced-by-count":14,"title":["Anterior lumbar compared to oblique lumbar interbody approaches for multilevel fusions to the sacrum in adults with spinal deformity and degeneration"],"prefix":"10.3171","volume":"33","author":[{"given":"Zhuo","family":"Xi","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery,"},{"name":"Department of Neurosurgery, Shengjing Hospital of China Medical University, Shenyang, Liaoning, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dean","family":"Chou","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Praveen V.","family":"Mummaneni","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huibing","family":"Ruan","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles","family":"Eichler","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery, and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chih-Chang","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shane","family":"Burch","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, University of California, San Francisco, California; and"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"1","key":"b1","series-title":"J Spine Surg","first-page":"2","article-title":"Lumbar interbody fusion: techniques, indications and comparison of interbody fusion options including PLIF, TLIF, MI-TLIF, OLIF\/ATP, LLIF and ALIF","volume":"1","author":"Mobbs RJ","year":"2015","unstructured":"Mobbs RJ, Phan K, Malham G,  Lumbar interbody fusion: techniques, indications and comparison of interbody fusion options including PLIF, TLIF, MI-TLIF, OLIF\/ATP, LLIF and ALIF. 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