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Preoperative lordosis in L4/5 predicts segmental lordosis correction achievable by transforaminal lumbar interbody fusion
- Source :
- European Spine Journal. 30:1277-1284
- Publication Year :
- 2021
- Publisher :
- Springer Science and Business Media LLC, 2021.
-
Abstract
- The mean potential of lordosis restoration by transforaminal lumbar interbody fusion (TLIF) is supposed to be low in general. In contrast, clinical experience shows a wide range of segmental lordosis correction. In this study, the predictability of lordosis correction should be investigated. Prospectively collected register data were analyzed retrospectively. One hundred twenty-one consecutive patients (2014–2016) operated with single-level TLIF L4/5 (10°-lordotic cage). Segmental lordosis (L4/5) and overall lordosis (L1–S1) were measured on lumbar X-rays: preoperatively (pre), after 3–5 days (post), at least 24 months postoperatively (2yFU). Outcome and satisfaction of patients were assessed. Parameters were statistically compared by students t-tests (a = 0.05). In addition, predictors of correction were analyzed. Age was 60.7 years, rate of 2yFU 41.3% (n = 50). Lordosis correction L4/5 was statistically significant with (post–pre) 4.9 ± 5.7° (p
- Subjects :
- 030222 orthopedics
Lumbar Vertebrae
Lordosis
business.industry
Lumbosacral Region
Middle Aged
medicine.disease
Degenerative spondylolisthesis
03 medical and health sciences
Spinal Fusion
Treatment Outcome
0302 clinical medicine
Lumbar
Lumbar interbody fusion
Register data
medicine
Humans
Orthopedics and Sports Medicine
Surgery
Lumbar spine
business
Nuclear medicine
030217 neurology & neurosurgery
Retrospective Studies
Subjects
Details
- ISSN :
- 14320932 and 09406719
- Volume :
- 30
- Database :
- OpenAIRE
- Journal :
- European Spine Journal
- Accession number :
- edsair.doi.dedup.....92dd82628a0c4a1c8a300f9b49009318