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Results of Anterior Plating on Scientific Outcomes of Anterior Lumbar Interbody Fusion.
Clin Backbone Surg. 2016 Aug;29(7):300-Four
Authors: Snyder LA, Kalb S, Kakarla UK, Porter RW, Kaibara T, Dickman CA, Theodore N
Summary
STUDY DESIGN: Retrospective assessment.
OBJECTIVE: To check surgical outcomes of sufferers who’ve undergone anterior lumbar interbody fusion (ALIF) with and with out plating.
SUMMARY OF BACKGROUND DATA: In biomechanical testing, ALIF constructs supplemented with plating (ALIFP) scale back vary of movement and enhance assemble stiffness in contrast with ALIF alone. Nevertheless, whether or not ALIFP constructs translate into improved scientific outcomes over ALIF alone is unknown.
METHODS: From 2004 by 2010, 231 sufferers underwent ALIF with (146) or with out (85) plating. Eight sufferers misplaced to comply with up have been excluded from remaining analysis. Sufferers’ information have been evaluated retrospectively for demographics, problems, and outcomes.
RESULTS: At a imply follow-up of 13.7 months (vary, 1-108 mo), the imply Financial, Purposeful, and Whole Prolo scores for ALIF sufferers have been Four.23, three.63, and seven.87, respectively. The imply Oswestry Incapacity Index (ODI) was 24%. At a imply follow-up of 11.2 months (vary, 1-93 mo), the imply Financial, Purposeful, and Whole Prolo scores for ALIFP sufferers have been Four.28, three.67, and seven.95, respectively. The imply ODI was 22.9%. There was no vital distinction between charge of problems or Prolo scores or ODI between the two teams (t check). Neither diabetes, hypertension, smoking, intercourse, nor age older than 55 years was considerably associated as to if sufferers had larger Prolo scores with or with out plating. Sufferers with a standard physique mass index and ALIF had considerably higher Prolo Financial scores and complete scores than sufferers with a standard physique mass index and ALIFP (P=zero.04 and zero.02, impartial samples t check). Sufferers have been additionally stratified by surgical indication for surgical procedure, and there was no vital distinction in Prolo scores or ODI for sufferers who underwent ALIF alone versus ALIFP.
CONCLUSIONS: Even when stratified by indication for surgical procedure, anterior plating doesn’t appear to enhance Prolo scores or ODI, suggesting that not all sufferers present process ALIF require plating.
PMID: 23222098 [PubMed – indexed for MEDLINE]