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 originale | English |
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pagine (da-a) | 457-463 |
Numero di pagine | 7 |
Rivista | European Spine Journal |
Volume | 26 |
DOI | |
Stato di pubblicazione | Pubblicato - 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