Predictors of Spontaneous Restoration of Lumbar Lordosis after Single-Level Transforaminal Lumbar Interbody Fusion for Degenerative Lumbar Diseases

Autor: Shuhei Ohyama, Yasuchika Aoki, Masahiro Inoue, Takayuki Nakajima, Yusuke Sato, Atsuya Watanabe, Hiroshi Takahashi, Go Kubota, Arata Nakajima, Junya Saito, Yawara Eguchi, Sumihisa Orita, Koichi Nakagawa, Seiji Ohtori
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Spine Surgery and Related Research, Vol 5, Iss 6, Pp 397-404 (2021)
Druh dokumentu: article
ISSN: 2432-261X
DOI: 10.22603/ssrr.2020-0195
Popis: Introduction: Preoperative factors that predict postoperative restoration of lumbar lordosis (LL) are not well understood. To investigate whether preoperative postural correction of LL, sagittal malalignment, or lumbar flexibility are associated with the postoperative restoration of LL in patients treated with a single-level transforaminal lumbar interbody fusion (TLIF), a retrospective cohort study was conducted. Methods: We enrolled 104 patients (mean age: 67.5±10.7 years old; 47 men and 57 women) with lumbar degenerative diseases treated with a single-level TLIF. The pre- and postoperative LL were examined using lateral radiographs in the standing position and computed tomography (CT) images in the supine position. The correlation between postoperative LL restoration and preoperative postural correction of LL (difference in LL between the standing and supine positions: D-LL), sagittal imbalance (pelvic incidence minus LL: PI-LL), and lumbar flexibility (difference in LL between the flexion and extension postures) were analyzed. Patients were divided into two groups according to the D-LL (D-LL0° and D-LL
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