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.
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.
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DOI：
10.3390/jcm10204737
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发表时间：
2021-10-15
影响因子：
3.9
通讯作者：
Okawa A
中科院分区：
文献类型：
--
作者：
Matsukura Y;Yoshii T;Morishita S;Sakai K;Hirai T;Yuasa M;Inose H;Kawabata A;Utagawa K;Hashimoto J;Tomori M;Torigoe I;Yamada T;Kusano K;Otani K;Sumiya S;Numano F;Fukushima K;Tomizawa S;Egawa S;Arai Y;Shindo S;Okawa A
侧位腰椎椎体间融合术（LLIF）越来越多地被用作成人脊柱畸形（ASD）患者的矫正手术。本文使用倾向评分匹配分析比较了LLIF与传统后路腰椎椎间融合术(PLIF)/经椎间孔腰椎椎间融合术（TLIF）治疗ASD的手术结果。我们回顾性回顾了接受LLIF和PLIF/TLIF的ASD患者，并调查了患者的背景、影像学参数和并发症。根据患者的特征（包括影像学参数和术前合并症）计算倾向得分，并进行一对一匹配。倾向评分匹配产生21对匹配的LLIF和PLIF/TLIF患者。与术前相比，两组患者在最后随访时所有影像学指标均有显著改善。两组在术后骨盆倾斜、腰椎前凸（LL）或最终随访时骨盆发生率（LL）方面的比较均无显著差异。然而，在最后的随访中，LLIF的矢状垂直轴趋于较小。总的来说，两种手术的围手术期和晚期并发症是相似的。然而，在ASD患者中，与PLIF/TLIF手术相比，LLIF手术显示术中出血量明显减少，术后硬膜外血肿发生率也更低。
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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DOI：
10.1016/j.spinee.2005.08.012
发表时间：
2006-07-01
期刊：
The spine journal : official journal of the North American Spine Society
影响因子：
--
作者：
Ozgur, Burak M;Aryan, Henry E;Taylor, William R
通讯作者：
Taylor, William R
影响因子：
4.1
作者：
Hosseini, Pooria;Mundis, Gregory M., Jr.;Akbarnia, Behrooz A.
通讯作者：
Akbarnia, Behrooz A.
影响因子：
4.8
作者：
Schwab, Frank;Blondel, Benjamin;Lafage, Virginie
通讯作者：
Lafage, Virginie
影响因子：
3
作者：
Scheer, Justin K.;Hostin, Richard;Ames, Christopher P.
通讯作者：
Ames, Christopher P.
影响因子：
2.8
作者：
Bae, Junseok;Theologis, Alexander A.;Deviren, Vedat
通讯作者：
Deviren, Vedat