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New Effective Intraoperative Techniques for the Prevention of Coronal Imbalance after Circumferential Minimally Invasive Correction Surgery for Adult Spinal Deformity – Lumbar Fusion

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The article presents a study on the use of measures to correct coronal imbalance (CI) after circumferential minimally invasive correction surgery (CMIS) for adult spinal deformity (ASD). The study included 115 patients who underwent CMIS, and they were divided into two groups based on the distance between the upper instrumented vertebra and central sacrum vertical line (UIV-CSVL). The article investigates various measures introduced during surgery, preoperative and postoperative UIV-CSVL, and changes in UIV-CSVL after different techniques. The results show that the measures were effective in correcting UIV-CSVL and preventing CI after CMIS for ASD. PMID: 37685737 | DOI: 10.3390/jcm12175670

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

This study aimed to devise measures and investigate their effect on coronal imbalance (CI) after circumferential minimally invasive correction surgery (CMIS) with lateral lumbar interbody fusion and percutaneous pedicle screw for adult spinal deformity (ASD). A total of 115 patients with ASD who underwent CMIS from the lower thoracic spine to the ilium were included. Patients were stratified based on the distance between the spinous process of the upper instrumented vertebra and central sacrum…

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J Clin Med. 2023 Aug 31;12(17):5670. doi: 10.3390/jcm12175670.ABSTRACTThis study aimed to devise measures and investigate their effect on coronal imbalance (CI) after circumferential minimally invasive correction surgery (CMIS) with lateral lumbar interbody fusion and percutaneous pedicle screw for adult spinal deformity (ASD). A total of 115 patients with ASD who underwent CMIS from the lower,

J Clin Med. 2023 Aug 31;12(17):5670. doi: 10.3390/jcm12175670.

ABSTRACT

This study aimed to devise measures and investigate their effect on coronal imbalance (CI) after circumferential minimally invasive correction surgery (CMIS) with lateral lumbar interbody fusion and percutaneous pedicle screw for adult spinal deformity (ASD). A total of 115 patients with ASD who underwent CMIS from the lower thoracic spine to the ilium were included. Patients were stratified based on the distance between the spinous process of the upper instrumented vertebra and central sacrum vertical line (UIV-CSVL) after the first intraoperative rod application into groups P (UIV-CSVL > 10 mm, n = 50) and G (UIV-CSVL < 10 mm, n = 65). Measures to correct postoperative CI introduced during surgery, preoperative and postoperative UIV-CSVL, and changes in UIV-CSVL after various measures (ΔUIV-CSVL) were investigated in group P. Rod rotation (RR), S2 alar-iliac screw distraction (SD), and kickstand-rod (KR) technique were performed in group P. Group P was further divided into group RR (n = 38), group SD (RR and SD) (n = 7), and group KR (RR and KR) (n = 5); the ΔUIV-CSVLs were 13.9 mm, 20.1 mm, and 24.4 mm in these three groups, respectively. Postoperative C7-CSVL < 10 mm was achieved in all three correction groups. In , our measures enabled sufficient correction of the UIV-CSVL and are useful for preventing CI after CMIS for ASD.

PMID:37685737 | DOI:10.3390/jcm12175670

The London Spine Unit : best recognised treatment facility in UK

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New Effective Intraoperative Techniques for the Prevention of Coronal Imbalance after Circumferential Minimally Invasive Correction Surgery for Adult Spinal Deformity

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J Clin Med. 2023 Aug 31;12(17):5670. doi: 10.3390/jcm12175670.ABSTRACTThis study aimed to devise measures and investigate their effect on coronal imbalance (CI) after circumferential minimally invasive correction surgery (CMIS) with lateral lumbar interbody fusion and percutaneous pedicle screw for adult spinal deformity (ASD). A total of 115 patients with ASD who underwent CMIS from the lower

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