Adult spinal deformity: effectiveness of interbody lordotic cages to restore disc angle and spino-pelvic parameters through completely mini-invasive trans-psoas and hybrid approach

Luca Proietti, Giovanni Barone, Federica Giudici, Giuseppe Barone, Laura Scaramuzzo, Antonino Zagra, Fabrizio Giudici

Risultato della ricerca: Contributo in rivistaArticolo in rivista

10 Citazioni (Scopus)

Abstract

Purpose: The aim of the study is to assess and quantify the effectiveness of interbody lordotic cages applied by trans-psoas approach to improve radiographic parameters, showing the differences between completely mini-invasive and hybrid approach. Methods: We collected data of 65 patients affected by degenerative lumbar deformity/diseases and underwent mini-invasive lateral interbody fusion followed by percutaneous (group A, completely mini-invasive) or open (group B, hybrid) posterior instrumentation. A subgroup underwent anterior column realignment (ACR). We assessed statistical differences in preoperative and postoperative (at least 6-month) coronal and sagittal parameters, and disc angle (DA) at each level of cage application. Results: 107 lordotic cages were implanted. Group B had the most significant mean changes, especially in coronal Cobb angle, sagittal vertical axis, lumbar lordosis (LL), pelvic incidence-LL mismatch and DA. Concerning DA, at each level of lordotic cage application, in group A changed from −2.9° preop to −6.5° postop (p = 0.01); in group B, DA changed from −2.6° to −9.5° (p = 0.002) and from +1° to −13.2° in patients underwent ACR. Conclusions: Minimally invasive lateral lumbar interbody fusion is an effective technique in improving sagittal parameters. When combined with posterior open approach and/or application of ACR procedure greater corrections are possible.
Lingua originaleEnglish
pagine (da-a)457-463
Numero di pagine7
RivistaEuropean Spine Journal
Volume26
DOI
Stato di pubblicazionePubblicato - 2017

Keywords

  • Adult
  • Adult spinal deformity
  • Humans
  • Lateral trans-psoas interbody fusion
  • Lordosis
  • Lordotic cages
  • Pelvis
  • Psoas Muscles
  • Retrospective Studies
  • Spinal Fusion
  • Spine
  • Spino-pelvic parameters
  • Treatment Outcome

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