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Comparison of Lateral Lumbar Interbody Fusion and Posterior Lumbar Interbody Fusion as Corrective Surgery for Patients with Adult Spinal Deformity—A Propensity Score Matching Analysis

Lateral lumbar interbody fusion (LLIF) is increasingly performed as corrective surgery for patients with adult spinal deformity (ASD). This paper compares the surgical results of LLIF and conventional posterior lumbar interbody fusion (PLIF)/transforaminal lumbar interbody fusion (TLIF) in ASD using...

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Autores principales: Matsukura, Yu, Yoshii, Toshitaka, Morishita, Shingo, Sakai, Kenichiro, Hirai, Takashi, Yuasa, Masato, Inose, Hiroyuki, Kawabata, Atsuyuki, Utagawa, Kurando, Hashimoto, Jun, Tomori, Masaki, Torigoe, Ichiro, Yamada, Tsuyoshi, Kusano, Kazuo, Otani, Kazuyuki, Sumiya, Satoshi, Numano, Fujiki, Fukushima, Kazuyuki, Tomizawa, Shoji, Egawa, Satoru, Arai, Yoshiyasu, Shindo, Shigeo, Okawa, Atsushi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8539171/
https://www.ncbi.nlm.nih.gov/pubmed/34682860
http://dx.doi.org/10.3390/jcm10204737
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author Matsukura, Yu
Yoshii, Toshitaka
Morishita, Shingo
Sakai, Kenichiro
Hirai, Takashi
Yuasa, Masato
Inose, Hiroyuki
Kawabata, Atsuyuki
Utagawa, Kurando
Hashimoto, Jun
Tomori, Masaki
Torigoe, Ichiro
Yamada, Tsuyoshi
Kusano, Kazuo
Otani, Kazuyuki
Sumiya, Satoshi
Numano, Fujiki
Fukushima, Kazuyuki
Tomizawa, Shoji
Egawa, Satoru
Arai, Yoshiyasu
Shindo, Shigeo
Okawa, Atsushi
author_facet Matsukura, Yu
Yoshii, Toshitaka
Morishita, Shingo
Sakai, Kenichiro
Hirai, Takashi
Yuasa, Masato
Inose, Hiroyuki
Kawabata, Atsuyuki
Utagawa, Kurando
Hashimoto, Jun
Tomori, Masaki
Torigoe, Ichiro
Yamada, Tsuyoshi
Kusano, Kazuo
Otani, Kazuyuki
Sumiya, Satoshi
Numano, Fujiki
Fukushima, Kazuyuki
Tomizawa, Shoji
Egawa, Satoru
Arai, Yoshiyasu
Shindo, Shigeo
Okawa, Atsushi
author_sort Matsukura, Yu
collection PubMed
description Lateral lumbar interbody fusion (LLIF) is increasingly performed as corrective surgery for patients with adult spinal deformity (ASD). This paper compares the surgical results of LLIF and conventional posterior lumbar interbody fusion (PLIF)/transforaminal lumbar interbody fusion (TLIF) in ASD using a propensity score matching analysis. We retrospectively reviewed patients with ASD who received LLIF and PLIF/TLIF, and investigated patients’ backgrounds, radiographic parameters, and complications. The propensity scores were calculated from patients’ characteristics, including radiographic parameters and preoperative comorbidities, and one–to-one matching was performed. Propensity score matching produced 21 matched pairs of patients who underwent LLIF and PLIF/TLIF. All radiographic parameters significantly improved in both groups at the final follow-up compared with those of the preoperative period. The comparison between both groups demonstrated no significant difference in terms of postoperative pelvic tilt, lumbar lordosis (LL), or pelvic incidence–LL at the final follow-up. However, the sagittal vertical axis tended to be smaller in the LLIF at the final follow-up. Overall, perioperative and late complications were comparable in both procedures. However, LLIF procedures demonstrated significantly less intraoperative blood loss and a smaller incidence of postoperative epidural hematoma compared with PLIF/TLIF procedures in patients with ASD.
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spelling pubmed-85391712021-10-24 Comparison of Lateral Lumbar Interbody Fusion and Posterior Lumbar Interbody Fusion as Corrective Surgery for Patients with Adult Spinal Deformity—A Propensity Score Matching Analysis Matsukura, Yu Yoshii, Toshitaka Morishita, Shingo Sakai, Kenichiro Hirai, Takashi Yuasa, Masato Inose, Hiroyuki Kawabata, Atsuyuki Utagawa, Kurando Hashimoto, Jun Tomori, Masaki Torigoe, Ichiro Yamada, Tsuyoshi Kusano, Kazuo Otani, Kazuyuki Sumiya, Satoshi Numano, Fujiki Fukushima, Kazuyuki Tomizawa, Shoji Egawa, Satoru Arai, Yoshiyasu Shindo, Shigeo Okawa, Atsushi J Clin Med Article Lateral lumbar interbody fusion (LLIF) is increasingly performed as corrective surgery for patients with adult spinal deformity (ASD). This paper compares the surgical results of LLIF and conventional posterior lumbar interbody fusion (PLIF)/transforaminal lumbar interbody fusion (TLIF) in ASD using a propensity score matching analysis. We retrospectively reviewed patients with ASD who received LLIF and PLIF/TLIF, and investigated patients’ backgrounds, radiographic parameters, and complications. The propensity scores were calculated from patients’ characteristics, including radiographic parameters and preoperative comorbidities, and one–to-one matching was performed. Propensity score matching produced 21 matched pairs of patients who underwent LLIF and PLIF/TLIF. All radiographic parameters significantly improved in both groups at the final follow-up compared with those of the preoperative period. The comparison between both groups demonstrated no significant difference in terms of postoperative pelvic tilt, lumbar lordosis (LL), or pelvic incidence–LL at the final follow-up. However, the sagittal vertical axis tended to be smaller in the LLIF at the final follow-up. Overall, perioperative and late complications were comparable in both procedures. However, LLIF procedures demonstrated significantly less intraoperative blood loss and a smaller incidence of postoperative epidural hematoma compared with PLIF/TLIF procedures in patients with ASD. MDPI 2021-10-15 /pmc/articles/PMC8539171/ /pubmed/34682860 http://dx.doi.org/10.3390/jcm10204737 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Matsukura, Yu
Yoshii, Toshitaka
Morishita, Shingo
Sakai, Kenichiro
Hirai, Takashi
Yuasa, Masato
Inose, Hiroyuki
Kawabata, Atsuyuki
Utagawa, Kurando
Hashimoto, Jun
Tomori, Masaki
Torigoe, Ichiro
Yamada, Tsuyoshi
Kusano, Kazuo
Otani, Kazuyuki
Sumiya, Satoshi
Numano, Fujiki
Fukushima, Kazuyuki
Tomizawa, Shoji
Egawa, Satoru
Arai, Yoshiyasu
Shindo, Shigeo
Okawa, Atsushi
Comparison of Lateral Lumbar Interbody Fusion and Posterior Lumbar Interbody Fusion as Corrective Surgery for Patients with Adult Spinal Deformity—A Propensity Score Matching Analysis
title Comparison of Lateral Lumbar Interbody Fusion and Posterior Lumbar Interbody Fusion as Corrective Surgery for Patients with Adult Spinal Deformity—A Propensity Score Matching Analysis
title_full Comparison of Lateral Lumbar Interbody Fusion and Posterior Lumbar Interbody Fusion as Corrective Surgery for Patients with Adult Spinal Deformity—A Propensity Score Matching Analysis
title_fullStr Comparison of Lateral Lumbar Interbody Fusion and Posterior Lumbar Interbody Fusion as Corrective Surgery for Patients with Adult Spinal Deformity—A Propensity Score Matching Analysis
title_full_unstemmed Comparison of Lateral Lumbar Interbody Fusion and Posterior Lumbar Interbody Fusion as Corrective Surgery for Patients with Adult Spinal Deformity—A Propensity Score Matching Analysis
title_short Comparison of Lateral Lumbar Interbody Fusion and Posterior Lumbar Interbody Fusion as Corrective Surgery for Patients with Adult Spinal Deformity—A Propensity Score Matching Analysis
title_sort comparison of lateral lumbar interbody fusion and posterior lumbar interbody fusion as corrective surgery for patients with adult spinal deformity—a propensity score matching analysis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8539171/
https://www.ncbi.nlm.nih.gov/pubmed/34682860
http://dx.doi.org/10.3390/jcm10204737
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