| Autor: |
Marc Szadkowski, Sami Bahroun, Ivan Aleksic, Michiel Vande Kerckhove, Sonia Ramos-Pascual, Vincent Fière, Henri d'Astorg |
| Jazyk: |
angličtina |
| Rok vydání: |
2021 |
| Předmět: |
|
| Zdroj: |
Interdisciplinary Neurosurgery, Vol 26, Iss , Pp 101312- (2021) |
| Druh dokumentu: |
article |
| ISSN: |
2214-7519 |
| DOI: |
10.1016/j.inat.2021.101312 |
| Popis: |
Objectives: To assess early clinical outcomes of stand-alone minimally invasive ALIF for patients with DDD at L4-L5 and determine whether the procedure affects spino-pelvic parameters. Methods: The authors reviewed the records of all patients with DDD that underwent stand-alone minimally invasive ALIF at L4-L5 using the self-locking SynFix cage (DePuy Synthes, PA, USA). Patients were evaluated using the Oswestry Disability Index (ODI), Short Form 12, and lower back and legs pain on Visual Analog Scale. Spino-pelvic parameters were measured from whole-spine standing radiographs. Results: From the initial cohort of 48 patients, 3 could not be reached, and 4 were reoperated due to pseudarthrosis using posterior instrumentation with bone graft, leaving 41 for clinical and radiologic evaluation. At a follow-up of 18.2 ± 7.3 months, all 5 clinical scores improved from pre-operative values. Multi-variable regressions revealed no significant associations between independent variables and ODI. Comparing pre- and post-operative radiographs: global lumbar lordosis increased by 3.6 ± 7.7° (p = 0.001), L4-L5 lordosis increased by 7.4 ± 6.1° (p |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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