Prospective Evaluation of Spino-Pelvic Parameters with Clinical Correlation in Patients Operated with an Anterior Lumbar Interbody Fusion
| Autor: | Chahine Assi, Rémy Coulomb, Etienne Maury, Stanislas Marouby, Pascal Kouyoumdjian, O. Mares |
|---|---|
| Přispěvatelé: | Hôpital Universitaire Carémeau [Nîmes] (CHU Nîmes), Centre Hospitalier Universitaire de Nîmes (CHU Nîmes) |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Lordosis Visual analogue scale Anterior lumbar interbody fusion lcsh:Medicine [SDV.MHEP.CHI]Life Sciences [q-bio]/Human health and pathology/Surgery 03 medical and health sciences 0302 clinical medicine Lumbar disc replacement Lumbar interbody fusion Medicine Segmental lordosis Orthopedics and Sports Medicine Prospective cohort study 030222 orthopedics business.industry Sagittal balance lcsh:R medicine.disease Sagittal plane Oswestry Disability Index Surgery medicine.anatomical_structure Pelvic parameters [SDV.MHEP.RSOA]Life Sciences [q-bio]/Human health and pathology/Rhumatology and musculoskeletal system Clinical Study business 030217 neurology & neurosurgery Lumbosacral joint |
| Zdroj: | Asian Spine Journal Asian Spine Journal, 2020, 14 (1), pp.88-96. ⟨10.31616/asj.2019.0041⟩ Asian Spine Journal, Vol 14, Iss 1, Pp 88-96 (2020) |
| ISSN: | 1976-1902 |
| DOI: | 10.31616/asj.2019.0041⟩ |
| Popis: | STUDY DESIGN Prospective study. PURPOSE The goal of this study was to evaluate the impact of anterior lumbar interbody fusion (ALIF) on L5-S1 level for restitution of distal segmental lordosis and to investigate its consequences on spino-pelvic parameters and the global sagittal balance. OVERVIEW OF LITERATURE Lumbar surgery must be adapted to the spinal morphology in order to restore an adequate relation between pelvic and spinal parameters and especially to the pelvic incidence. METHODS An observational, prospective study was conducted between January 2013 and May 2017. Eighty-six patients were treated by L5-S1 ALIF procedure regardless of disc replacement above L5-S1 level. Thirty-seven patients were included and subset analyses were performed on 25 patients operated on an isolated ALIF L5-S1 (group 1), and 12 patients with hybrid surgery consisting of an L5- S1 ALIF procedure and a L4-L5 lumbar disc replacement (group 2). Clinical parameters were analyzed using Visual Analog Scale (VAS) and Oswestry Disability Index (ODI) at M0 (preoperative) and M12 (12 months). Lumbo-pelvic parameters were assessed on a standing full-spine X-ray, preoperatively and at M12 after surgery. RESULTS We observed a significant evolution of L1-S1 lumbar lordosis (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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