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Anterior lumbar interbody fusion versus transforaminal lumbar interbody fusion for correction of lumbosacral fractional curves in adult (thoraco)lumbar scoliosis: A systematic review – Lumbar Fusion

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The article discusses the comparison between anterior lumbar interbody fusion (ALIF) and transforaminal lumbar interbody fusion (TLIF) for correcting the lumbosacral fractional curve (LsFC) in adult lumbar scoliosis. The purpose of the study was to evaluate the available data on the radiographic correction of LsFC provided by ALIF and TLIF. A systematic review was conducted on original articles discussing fractional curve correction, and 7 articles met the inclusion criteria. The results indicated that ALIF may be advantageous for reducing the coronal Cobb angle of the LsFC. However, the efficacy of ALIF and TLIF in restoring global coronal alignment varied. Therefore, further research is needed to determine the ideal interbody support strategies for addressing the LsFC in adult lumbar scoliosis

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most established spine hospital in London

Published article

S: Limited level III and IV evidence suggests ALIF as advantageous for reducing the coronal Cobb angle of the LsFC in de novo adult (thoraco) lumbar scoliosis. Relative efficacy of ALIF and TLIF in the LsFC for restoration of global coronal alignment may be dictated by several factors, including directionality and magnitude of preoperative coronal deformity. Given the limited and low-quality evidence, additional research is warranted to determine the ideal interbody support strategies…

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N Am Spine Soc J. 2023 Nov 30;17:100299. doi: 10.1016/j.xnsj.2023.100299. eCollection 2024 Mar.ABSTRACTBACKGROUND: Anterior lumbar interbody fusion (ALIF) or transforaminal lumbar interbody fusion (TLIF) may be used to correct the lumbosacral fractional curve (LsFC) in de novo adult (thoraco) lumbar scoliosis. Yet, the relative benefits of ALIF and TLIF for LsFC correction remain largely undetermined.PURPOSE:,

N Am Spine Soc J. 2023 Nov 30;17:100299. doi: 10.1016/j.xnsj.2023.100299. eCollection 2024 Mar.

ABSTRACT

BACKGROUND: Anterior lumbar interbody fusion (ALIF) or transforaminal lumbar interbody fusion (TLIF) may be used to correct the lumbosacral fractional curve (LsFC) in de novo adult (thoraco) lumbar scoliosis. Yet, the relative benefits of ALIF and TLIF for LsFC correction remain largely undetermined.

PURPOSE: To compare the currently available data comparing radiographic correction of the LsFC provided by ALIF and TLIF of LsFC in adult (thoraco)lumbar scoliosis.

METHODS: A systematic review was performed on original articles discussing fractional curve correction of lumbosacral spinal deformity (using search criteria: “lumbar” and “fractional curve”). Articles which discussed TLIF or ALIF for LsFC correction were presented and radiographic results for TLIF and ALIF were compared.

RESULTS: Thirty-one articles were returned in the original search criteria, with 7 articles included in the systematic review criteria. All 7 articles presented radiographic results using TLIF for LsFC correction. Three of these articles also discussed results for patients whose LsFC were treated with ALIFs; 2 articles directly compared TLIF and ALIF for LsFC correction. Level III and level IV evidence indicated ALIF as advantageous for reducing the coronal Cobb angle of the LsFC. There were mixed results on relative efficacy of ALIF and TLIF in the LsFC for restoration of adequate global coronal alignment.

S: Limited level III and IV evidence suggests ALIF as advantageous for reducing the coronal Cobb angle of the LsFC in de novo adult (thoraco) lumbar scoliosis. Relative efficacy of ALIF and TLIF in the LsFC for restoration of global coronal alignment may be dictated by several factors, including directionality and magnitude of preoperative coronal deformity. Given the limited and low-quality evidence, additional research is warranted to determine the ideal interbody support strategies to address the LsFC in adult (thoraco) lumbar scoliosis.

PMID:38193108 | PMC:PMC10772279 | DOI:10.1016/j.xnsj.2023.100299

The London Spine Unit : most established spine hospital in London

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Anterior lumbar interbody fusion versus transforaminal lumbar interbody fusion for correction of lumbosacral fractional curves in adult (thoraco)lumbar scoliosis: A systematic review

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N Am Spine Soc J. 2023 Nov 30;17:100299. doi: 10.1016/j.xnsj.2023.100299. eCollection 2024 Mar.ABSTRACTBACKGROUND: Anterior lumbar interbody fusion (ALIF) or transforaminal lumbar interbody fusion (TLIF) may be used to correct the lumbosacral fractional curve (LsFC) in de novo adult (thoraco) lumbar scoliosis. Yet, the relative benefits of ALIF and TLIF for LsFC correction remain largely undetermined.PURPOSE:

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