Anterior lumbar interbody fusion with percutaneous pedicle screw fixation for multiple-level isthmic spondylolisthesis

Hsieh, Chang-Sheng; Lee, Hyung Chang; Oh, Hyeong-Seok; Park, Sang-Joon; Hwang, Byeong-Wook; Lee, Sang-Ho

doi:10.1016/j.clineuro.2017.04.011

Cited by 4 publications

(2 citation statements)

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“…Previous studies have aimed to investigate the differences between surgical methods, fusion material and surgical technique. 28 – 32 In this current study, postoperative VAS pain score was not associated with type of fusion (autologous graft or cage) or the fusion techniques (fusion in situ or retraction), which was similar to the findings of previous studies. 28 – 31 These findings suggest that different types of fusion do not influence the effect of surgery.…”

Section: Discussionsupporting

confidence: 90%

“…These findings were inconsistent with anterior lumbar interbody fusion. 32 The anterior approach might be more beneficial for increases in lordosis but further research should be conducted to confirm whether increasing lordosis is essential for clinical improvement. The current study demonstrated that achieving a better disc height was associated with better improvements in postoperative LBP, which suggests that regardless of the type of fusion used, the surgery should aim to restore the disc height in order to reduce postoperative LBP.…”

Section: Discussionmentioning

confidence: 99%

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Risk factors of postoperative low back pain for low-grade isthmic spondylolisthesis: a retrospective study

et al. 2019

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Objective To investigate the risk factors of postoperative low back pain (LBP) following posterior lumbar interbody fusion (PLIF) surgery for low-grade isthmic spondylolisthesis (IS). Methods This retrospective study enrolled patients with IS that underwent PLIF between January 2011 and January 2016. Demographic, clinical, surgical and radiological characteristics were analysed to determine associations between these characteristics and LBP as measured using a visual analogue scale (VAS) pain score. Results A total of 192 patients were enrolled in the study. The mean VAS pain score of LBP decreased significantly after surgery. The mean preoperative VAS pain score was significantly greater in patients with symptoms of ≤3 years duration compared with those with symptoms lasting >3 years. The postoperative VAS pain score was significantly lower in patients with grade 1 slippage compared with those with grade 2 slippage. There was a significant correlation between preoperative to postoperative change of VAS pain score and postoperative disc height ( r = 0.99). Conclusion PLIF significantly improved LBP in patients with low-grade IS, although patients still reported some postoperative LBP. The grade of slippage was a risk factor for postoperative LBP. Restoring the disc height appeared to improve LBP.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Risk factors of postoperative low back pain for low-grade isthmic spondylolisthesis: a retrospective study

et al. 2019

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Lumbar Interbody Fusion Devices and Approaches: When to Use What

McEntee

Zotti

2019

Handbook of Spine Technology

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Lumbar interbody fusion is an established surgical technique for a variety of conditions affecting the lumbar spine. A large number of interbody fusion devices made of differing materials are now available for use. Approaches for interbody fusion include anterior lumbar interbody fusion, oblique lumbar interbody fusion, lateral lumbar interbody fusion, axial lumbar interbody fusion, transforaminal lumbar interbody fusion, and posterior lumbar interbody fusion. This chapter discusses the biomechanics of lumbar interbody fusion devices and approaches and the clinical rationale and the clinical results of each approach. The advantages and disadvantages of each approach are compared and contrasted. The importance of an appropriate preoperative assessment to determine the best approach for interbody fusion is emphasized, taking into account the condition being treated, sagittal balance, bone quality, and contraindications to a specific approach. The best approach to lumbar interbody fusion by indication and surgical level(s) is discussed.

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Lumbar Interbody Fusion Devices and Approaches: When to Use What

McEntee¹,

Zotti²

2021

Handbook of Spine Technology

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Anterior lumbar interbody fusion with percutaneous pedicle screw fixation for multiple-level isthmic spondylolisthesis

Cited by 4 publications

References 20 publications

Risk factors of postoperative low back pain for low-grade isthmic spondylolisthesis: a retrospective study

Risk factors of postoperative low back pain for low-grade isthmic spondylolisthesis: a retrospective study

Lumbar Interbody Fusion Devices and Approaches: When to Use What

Lumbar Interbody Fusion Devices and Approaches: When to Use What

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