Sequential correction of sagittal vertical alignment and lumbar lordosis in adult flatback deformity

Autor: Ashley MacConnell, MD, Joseph Krob, MD, Muturi G. Muriuki, PhD, Robert M. Havey, MS, Lauren Matteini, MD, Bartosz Wojewnik, MD, Nikolas Baksh, MD, Avinash G. Patwardhan, PhD
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: North American Spine Society Journal, Vol 19, Iss , Pp 100544- (2024)
Druh dokumentu: article
ISSN: 2666-5484
DOI: 10.1016/j.xnsj.2024.100544
Popis: Background: Flatback deformity, or lumbar hypolordosis, can cause sagittal imbalance, causing back pain, fatigue, and functional limitation. Surgical correction through osteotomies and interbody fusion techniques can restore sagittal balance and relieve pain. This study investigated sagittal vertical alignment (SVA) and lumbar lordosis correction achieved through sequential procedures on human spine specimens. Methods: Human T10-sacrum specimens were stratified into 2 groups: degenerative flatback specimens had smaller L1-S1 lordosis compared to the iatrogenic group (26.1°±15.0° vs. 47.8°±19.3°, p
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