Staged lateral⁃posterior lumbar interbody fusion for degenerative spinal deformity
Objective To evaluate the efficacy and safety of a staged lateral ⁃ posterior lumbar interbody fusion in the treatment of degenerative spinal deformity (DSD). Methods A retrospective analysis was performed on 22 patients with degenerative spinal deformity who underwent staged lateral ⁃ posterior sur...
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Tianjin Huanhu Hospital
2024-12-01
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| Series: | Chinese Journal of Contemporary Neurology and Neurosurgery |
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| Online Access: | http://www.cjcnn.org/index.php/cjcnn/article/view/2963 |
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| author | LIU Zhen‐lei WANG Kai LI Kang ZHANG Lei JIAN Feng‐zeng WU Hao |
| author_facet | LIU Zhen‐lei WANG Kai LI Kang ZHANG Lei JIAN Feng‐zeng WU Hao |
| author_sort | LIU Zhen‐lei |
| collection | DOAJ |
| description | Objective To evaluate the efficacy and safety of a staged lateral ⁃ posterior lumbar interbody fusion in the treatment of degenerative spinal deformity (DSD). Methods A retrospective analysis was performed on 22 patients with degenerative spinal deformity who underwent staged lateral ⁃ posterior surgery at Xuanwu Hospital, Capital Medical University from December 2021 to June 2022. The first stage involved lateral surgery, while the second stage consisted of posterior osteotomy combined with internal fixation. Pain severity was assessed by Visual Analog Scales (VAS), and disability was evaluated by Oswestry Disability Index (ODI). Radiographic measurements included the coronal balance distance (CBD), Cobb angle, sagittal vertical axis (SVA), lumbar lordosis (LL), pelvic incidence (PI), pelvic incidence and lumbar lordosis (PI ⁃LL) and pelvic tilt (PT). Results Compared with preoperation, the VAS score of low back pain (Z = 4.107, P = 0.000), the VAS score of leg pain (Z = 3.669, P = 0.000) and the ODI (Z = 4.107, P = 0.000) were decreased at the last follow ⁃ up. After staged lateral ⁃ posterior surgery, Cobb angle (χ2 = 40.364, P = 0.000), SVA (χ2 = 22.455, P = 0.000), LL (χ2 = 26.329, P = 0.000), PI ⁃LL (χ2 = 26.329, P = 0.000), PT (χ2 = 12.091, P = 0.002) improved. Compared with preoperation, Cobb angle (Z = 2.714, P = 0.000), LL (Z = 3.844, P = 0.000), PI ⁃ LL (Z = 3.844, P = 0.000), PT (Z = 2.563, P = 0.010) decreased after lateral surgery, while Cobb angle (Z = 6.332, P = 0.000), SVA (Z = 4.673, P = 0.000), LL (Z = 4.749, P = 0.000), PI ⁃LL (Z = 4.749, P = 0.000), PT (Z = 3.317, P = 0.001) decrease after posterior surgery. Compared with the lateral surgery, only Cobb angle (Z = 3.618, P = 0.000) and SVA (Z = 3.015, P = 0.000) decreased after the posterior surgery. Proximal junction failure (PJF) occurred in 2 patients (9.09%) one year after surgery, and interbody fusion sink occurred in 4 patients (18.18%) 2 years after surgery. Conclusions The staged lateral ⁃ posterior lumbar interbody fusion demonstrated good efficacy in improving clinical symptoms and restoring spinal balance in patients with degenerative spinal deformity. However, the long ⁃ term stability and safety of the procedure require further validation through large⁃scale cohort studies. |
| format | Article |
| id | doaj-art-87179deb21154ec98be3ba8e377b2713 |
| institution | Kabale University |
| issn | 1672-6731 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Tianjin Huanhu Hospital |
| record_format | Article |
| series | Chinese Journal of Contemporary Neurology and Neurosurgery |
| spelling | doaj-art-87179deb21154ec98be3ba8e377b27132025-01-14T11:09:39ZengTianjin Huanhu HospitalChinese Journal of Contemporary Neurology and Neurosurgery1672-67312024-12-01241299299910.3969/j.issn.1672⁃6731.2024.12.004Staged lateral⁃posterior lumbar interbody fusion for degenerative spinal deformityLIU Zhen‐lei0WANG Kai1LI Kang2ZHANG Lei3JIAN Feng‐zeng4WU Hao5Department of Neurosurgery, Xuanwu Hospital, Capital Medical University; Lab of Spinal Cord Injury and Functional Reconstruction, Neurospine Center, China International Neuroscience Institute (CHINA ⁃ INI), Beijing 100053, ChinaDepartment of Neurosurgery, Xuanwu Hospital, Capital Medical University; Lab of Spinal Cord Injury and Functional Reconstruction, Neurospine Center, China International Neuroscience Institute (CHINA ⁃ INI), Beijing 100053, ChinaDepartment of Neurosurgery, Xuanwu Hospital, Capital Medical University; Lab of Spinal Cord Injury and Functional Reconstruction, Neurospine Center, China International Neuroscience Institute (CHINA ⁃ INI), Beijing 100053, ChinaDepartment of Neurosurgery, Xuanwu Hospital, Capital Medical University; Lab of Spinal Cord Injury and Functional Reconstruction, Neurospine Center, China International Neuroscience Institute (CHINA ⁃ INI), Beijing 100053, ChinaDepartment of Neurosurgery, Xuanwu Hospital, Capital Medical University; Lab of Spinal Cord Injury and Functional Reconstruction, Neurospine Center, China International Neuroscience Institute (CHINA ⁃ INI), Beijing 100053, ChinaDepartment of Neurosurgery, Xuanwu Hospital, Capital Medical University; Lab of Spinal Cord Injury and Functional Reconstruction, Neurospine Center, China International Neuroscience Institute (CHINA ⁃ INI), Beijing 100053, ChinaObjective To evaluate the efficacy and safety of a staged lateral ⁃ posterior lumbar interbody fusion in the treatment of degenerative spinal deformity (DSD). Methods A retrospective analysis was performed on 22 patients with degenerative spinal deformity who underwent staged lateral ⁃ posterior surgery at Xuanwu Hospital, Capital Medical University from December 2021 to June 2022. The first stage involved lateral surgery, while the second stage consisted of posterior osteotomy combined with internal fixation. Pain severity was assessed by Visual Analog Scales (VAS), and disability was evaluated by Oswestry Disability Index (ODI). Radiographic measurements included the coronal balance distance (CBD), Cobb angle, sagittal vertical axis (SVA), lumbar lordosis (LL), pelvic incidence (PI), pelvic incidence and lumbar lordosis (PI ⁃LL) and pelvic tilt (PT). Results Compared with preoperation, the VAS score of low back pain (Z = 4.107, P = 0.000), the VAS score of leg pain (Z = 3.669, P = 0.000) and the ODI (Z = 4.107, P = 0.000) were decreased at the last follow ⁃ up. After staged lateral ⁃ posterior surgery, Cobb angle (χ2 = 40.364, P = 0.000), SVA (χ2 = 22.455, P = 0.000), LL (χ2 = 26.329, P = 0.000), PI ⁃LL (χ2 = 26.329, P = 0.000), PT (χ2 = 12.091, P = 0.002) improved. Compared with preoperation, Cobb angle (Z = 2.714, P = 0.000), LL (Z = 3.844, P = 0.000), PI ⁃ LL (Z = 3.844, P = 0.000), PT (Z = 2.563, P = 0.010) decreased after lateral surgery, while Cobb angle (Z = 6.332, P = 0.000), SVA (Z = 4.673, P = 0.000), LL (Z = 4.749, P = 0.000), PI ⁃LL (Z = 4.749, P = 0.000), PT (Z = 3.317, P = 0.001) decrease after posterior surgery. Compared with the lateral surgery, only Cobb angle (Z = 3.618, P = 0.000) and SVA (Z = 3.015, P = 0.000) decreased after the posterior surgery. Proximal junction failure (PJF) occurred in 2 patients (9.09%) one year after surgery, and interbody fusion sink occurred in 4 patients (18.18%) 2 years after surgery. Conclusions The staged lateral ⁃ posterior lumbar interbody fusion demonstrated good efficacy in improving clinical symptoms and restoring spinal balance in patients with degenerative spinal deformity. However, the long ⁃ term stability and safety of the procedure require further validation through large⁃scale cohort studies.http://www.cjcnn.org/index.php/cjcnn/article/view/2963scoliosisintervertebral disc degenerationlumbar vertebraespinal fusionorthopedic procedures |
| spellingShingle | LIU Zhen‐lei WANG Kai LI Kang ZHANG Lei JIAN Feng‐zeng WU Hao Staged lateral⁃posterior lumbar interbody fusion for degenerative spinal deformity Chinese Journal of Contemporary Neurology and Neurosurgery scoliosis intervertebral disc degeneration lumbar vertebrae spinal fusion orthopedic procedures |
| title | Staged lateral⁃posterior lumbar interbody fusion for degenerative spinal deformity |
| title_full | Staged lateral⁃posterior lumbar interbody fusion for degenerative spinal deformity |
| title_fullStr | Staged lateral⁃posterior lumbar interbody fusion for degenerative spinal deformity |
| title_full_unstemmed | Staged lateral⁃posterior lumbar interbody fusion for degenerative spinal deformity |
| title_short | Staged lateral⁃posterior lumbar interbody fusion for degenerative spinal deformity |
| title_sort | staged lateral⁃posterior lumbar interbody fusion for degenerative spinal deformity |
| topic | scoliosis intervertebral disc degeneration lumbar vertebrae spinal fusion orthopedic procedures |
| url | http://www.cjcnn.org/index.php/cjcnn/article/view/2963 |
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