2022
DOI: 10.1007/s00586-021-07100-y
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Anterior longitudinal ligament release from a posterior approach: an alternative to three-column osteotomy

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Cited by 3 publications
(3 citation statements)
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“…Patients with hip-spine syndrome represent a unique treatment challenge with special considerations. In fact, in severe spinal deformities such as in this case, vertebral column resection using osteotomies constitute the standard management [14] which can be supplemented by anterior column support using ALIF [15] or TLIF to restore lordosis [16] . While some hip or spine pathologies have little impact on treatments of either condition, hip flexion contracture with or without hip osteoarthritis resistant to physical therapy has significant implications on spinal realignment in the setting of sagittal deformity.…”
Section: Discussionmentioning
confidence: 99%
“…Patients with hip-spine syndrome represent a unique treatment challenge with special considerations. In fact, in severe spinal deformities such as in this case, vertebral column resection using osteotomies constitute the standard management [14] which can be supplemented by anterior column support using ALIF [15] or TLIF to restore lordosis [16] . While some hip or spine pathologies have little impact on treatments of either condition, hip flexion contracture with or without hip osteoarthritis resistant to physical therapy has significant implications on spinal realignment in the setting of sagittal deformity.…”
Section: Discussionmentioning
confidence: 99%
“…86 In particular, surgical methods such as the cantilever technique (c-TLIF) incorporate bilateral facetectomy and posterior column compression in conjunction with expansion of the anterior column through release of the anterior longitudinal ligament (ALL), mechanically inducing further sagittal correction. [87][88][89] In this regard the open TLIF can approach the lordotic success of the ALIF, though this potential evades the MIS-TLIF as the restricted operative view eliminates the ability for contralateral facetectomy or safe ALL release. Current data regarding lordosis restoration following MIS-TLIF is variable, highlighting the need for further investigation.…”
Section: Current Mis-tlif Outcomesmentioning
confidence: 99%
“…Open TLIFs also have potential for considerable lordotic restoration, accomplishing comprehensive bilateral anterior column stabilization through a unilateral approach [ 86 ]. In particular, surgical methods such as the cantilever technique (c-TLIF) incorporate bilateral facetectomy and posterior column compression in conjunction with expansion of the anterior column through release of the anterior longitudinal ligament (ALL), mechanically inducing further sagittal correction [ 87 - 89 ]. In this regard the open TLIF can approach the lordotic success of the ALIF, though this potential evades the MIS-TLIF as the restricted operative view eliminates the ability for contralateral facetectomy or safe ALL release.…”
Section: In the Present: Characterizing The Mis-tlifmentioning
confidence: 99%