Menu
Menu
19 Harley St, London, W1G 9QJ, UK
We are London's Top Spine Clinic

Ample restoration of disc peak and segmental lordosis by lumbar interbody fusion decreases adjoining phase degeneration.

Related Articles

Ample restoration of disc peak and segmental lordosis by lumbar interbody fusion decreases adjoining phase degeneration.

World Neurosurg. 2018 Jul 18;:

Authors: Tian H, Wu A, Guo M, Zhang Okay, Chen C, Li X, Cheng X, Zhou T, Murray SS, Solar X, Zhao J

Summary
OBJECTIVE: This research aimed to analyze the results of lumbar interbody fusion-induced biomechanical adjustments on the adjoining segments, particularly disc peak and segmental lordosis restoration, and supply extra info for correct surgical technique choice.
METHODS: The medical data of 528 sufferers who underwent posterior lumbar interbody fusion have been retrospectively reviewed, and a complete of 89 sufferers have been included. Surgical indications included degenerative spondylolisthesis (non-spondylolytic), marked disc herniation or lumbar spinal stenosis requiring intensive decompression at L4/5. Postoperative ASD was assessed primarily based on X-rays and practical standing. Disc peak, foraminal peak, segmental lordosis, lumbar lordosis and cage geometry have been in contrast between the ASD and Non-ASD sufferers. To determine the doable threat components for radiographic ASD, univariate evaluation was carried out first, adopted by multivariate logistic regression utilizing variables with p<zero.20.
RESULTS: Univariate evaluation revealed that the postoperative disc peak of the Non-ASD group have been considerably better than these of the ASD group. The postoperative segmental lordosis of the Non-ASD group was considerably better than that of the ASD group, and the lumbar lordosis of Non-ASD group was additionally considerably better than that of the ASD group on the last follow-up. 4 variables have been recognized as unbiased threat components for ASD by subsequent multivariate logistic regression: postoperative relative disc peak of L4/5 (p=zero.011), postoperative segmental lordosis (p=zero.046), lumbar lordosis at last observe up (p=zero.007), and cage peak (zero.038).
CONCLUSIONS: Improved lumbar lordosis is correlated with a decrease incidence of ASD, and satisfactory disc peak and segmental lordosis restoration are important for ASD prevention.

PMID: 30031179 [PubMed – as supplied by publisher]

Share to care...

Share on facebook
Facebook
Share on twitter
Twitter
Share on pinterest
Pinterest
Share on google
Google+
Share on linkedin
LinkedIn
Share on skype
Skype

What we do...

The Harley Street Hospital

Testimonials

What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

We treat all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

What our patients say about us ......