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ORIGINAL RESEARCH article
Front. Surg.
Sec. Orthopedic Surgery
Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1486695
Analysis of the Therapeutic Efficacy of OLIF Combined with Posterior Percutaneous Pedicle Screw Fixation in the Treatment of Patients with Primary Lumbar spondylodiscitis
Provisionally accepted- 1 Department of Orthopaedics, Jiangxi Provincial People’s Hospital, Nanchang, China
- 2 Anfu prefecture hospital of traditional Chinese medicine, Anfu County, China
Primary lumbar spondylodiscitis is a serious condition with an increasing incidence rate. From January 2021 to June 2023, we adopted a single-stage oblique lateral approach for the debridement of lumbar infection foci, intervertebral bone grafting fusion, tube irrigation drainage, combined with posterior percutaneous pedicle screw fixation for the treatment of primary lumbar spondylodiscitis. We found that this surgical technique significantly improved the patients' lower back pain symptoms. During postoperative follow-ups at 1, 3, 6, and 12 months, patients showed remarkable improvements in their JOA and VAS scores, as well as in ESR and CRP levels, compared to the preoperative period. We believe that the single-stage oblique lateral approach for debridement of lumbar infection foci, intervertebral bone grafting fusion, tube irrigation drainage, and combined posterior percutaneous pedicle screw fixation is an ideal treatment method for primary lumbar spondylodiscitis. This technique offers thorough debridement of the infection focus, sufficient bone grafting, safe operation, and reliable fixation.
Keywords: Primary Lumbar spondylodiscitis, Oblique lateral interbody fusion (OLIF), Posterior percutaneous pedicle screw fixation, Catheter Irrigation and Drainage, JOA and VAS scores
Received: 27 Aug 2024; Accepted: 11 Feb 2025.
Copyright: © 2025 deng, zhou, Xiong, zeng, luo, guo and Xiao. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Qiang Xiao, Department of Orthopaedics, Jiangxi Provincial People’s Hospital, Nanchang, China
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