Comparative analysis of 3 surgical strategies for adult spinal deformity with mild to moderate sagittal imbalance

Journal of Neurosurgery. Spine
Junseok BaeVedat Deviren

Abstract

OBJECTIVE Surgical treatment of adult spinal deformity (ASD) is an effective endeavor that can be accomplished using a variety of surgical strategies. Here, the authors assess and compare radiographic data, complications, and health-related quality-of-life (HRQoL) outcome scores among patients with ASD who underwent a posterior spinal fixation (PSF)-only approach, a posterior approach combined with lateral lumbar interbody fusion (LLIF+PSF), or a posterior approach combined with anterior lumbar interbody fusion (ALIF+PSF). METHODS The medical records of consecutive adults who underwent thoracolumbar fusion for ASD between 2003 and 2013 at a single institution were reviewed. Included were patients who underwent instrumentation from the pelvis to L-1 or above, had a sagittal vertical axis (SVA) of < 10 cm, and underwent a minimum of 2 years' follow-up. Those who underwent a 3-column osteotomy were excluded. Three groups of patients were compared on the basis of the procedure performed, LLIF+PSF, ALIF+PSF, and PSF only. Perioperative spinal deformity parameters, complications, and HRQoL outcome scores (Oswestry Disability Index [ODI], Scoliosis Research Society 22-question Questionnaire [SRS-22], 36-Item Short Form Health Survey [...Continue Reading

References

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Citations

Apr 19, 2020·JBJS Reviews·Rajiv K SethiDavid W Polly
Mar 27, 2019·Asian Spine Journal·Pierre-Olivier ChampagneDaniel Shedid
Sep 16, 2020·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·M FormicaL Felli
Apr 16, 2018·Neurospine·Junseok Bae, Sang-Ho Lee
Apr 21, 2020·World Neurosurgery·Alan H DanielsUNKNOWN International Spine Study Group
May 29, 2021·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Yu YamatoYukihiro Matsuyama
Mar 13, 2021·Journal of Neurosurgery. Spine·Praveen V MummaneniUNKNOWN International Spine Study Group
Nov 6, 2021·Spine·Wesley M DurandUNKNOWN International Spine Study Group (ISSG)

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Methods Mentioned

BETA
dissection
chips

Software Mentioned

Guidepoint
NuVasive
Surgimap

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