دورية أكاديمية
Safety and efficacy of stand-alone anterior lumbar interbody fusion in low-grade L5-S1 isthmic spondylolisthesis
العنوان: | Safety and efficacy of stand-alone anterior lumbar interbody fusion in low-grade L5-S1 isthmic spondylolisthesis |
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المؤلفون: | C. Marvin Jesse, Othmar Schwarzenbach, Christian T. Ulrich, Levin Häni, Andreas Raabe, Ralph T. Schär |
المصدر: | Brain and Spine, Vol 2, Iss , Pp 100861- (2022) |
بيانات النشر: | Elsevier, 2022. |
سنة النشر: | 2022 |
المجموعة: | LCC:Neurology. Diseases of the nervous system |
مصطلحات موضوعية: | ALIF, Stand-alone ALIF, Isthmic spondylolisthesis, Anterior lumbar interbody fusion, Lumbar fusion, Neurology. Diseases of the nervous system, RC346-429 |
الوصف: | Introduction: Surgical management of isthmic spondylolisthesis is controversial and reports on anterior approaches in the literature are scarce. Research question: To evaluate the safety and efficacy of stand-alone anterior lumbar interbody fusion (ALIF) in patients with symptomatic low-grade L5-S1 isthmic spondylolisthesis. Material and methods: All adult patients with isthmic spondylolisthesis of the lumbosacral junction treated in a single institution between 2008 and 2019 with stand-alone ALIF were screened. A titan cage was inserted at L5-S1 with vertebral anchoring screws. Prospectively collected surgical, clinical and radiographic data were analyzed retrospectively. Results: 34 patients (19 men, 15 women, mean age 52.5 ± 11.5 years) with a mean follow-up of 3.2 (±2.5) years were analyzed. 91.2% (n = 31) of patients had a low-grade spondylolisthesis and 8.8% (n = 3) grade III according to Meyerding classification. Mean COMI and ODI scores improved significantly from 6.9 (±1.5) and 35.5 (±13.0) to 2.0 (±2.5) and 10.2 (±13.0), respectively after one year, and to 1.7 (±2.5) and 8.2 (±9.6), respectively, after two years. The COMI and ODI scores improved in 86.4% and 80%, respectively, after one year and 92.9% of patients after two years by at least the minimal clinically important difference. No intraoperative complications were recorded. 8.8% (n = 3) of patients needed a reoperation. Discussion and conclusion: After stand-alone ALIF for symptomatic isthmic spondylolisthesis, the patients improved clinically important after one and two years. Stand-alone ALIF is a safe and effective surgical treatment option for low-grade isthmic spondylolisthesis. |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 2772-5294 |
العلاقة: | http://www.sciencedirect.com/science/article/pii/S2772529422000029Test; https://doaj.org/toc/2772-5294Test |
DOI: | 10.1016/j.bas.2022.100861 |
الوصول الحر: | https://doaj.org/article/b582499e6b164ef2b80d9e4ce48b528dTest |
رقم الانضمام: | edsdoj.b582499e6b164ef2b80d9e4ce48b528d |
قاعدة البيانات: | Directory of Open Access Journals |