Reduction of spondylolisthesis and restoration of lumbar lordosis after anterior lumbar interbody fusion (ALIF) Article Swipe
Stefan Aspalter
,
Harald Stefanits
,
Christoph Johannes Maier
,
Christian Radl
,
Helga Wagner
,
Philipp Hermann
,
Martin Aichholzer
,
Nico Stroh
,
Andreas Gruber
,
Wolfgang Senker
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1186/s12893-023-01966-z
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1186/s12893-023-01966-z
Background Anterior lumbar interbody fusion (ALIF) is a well-established surgical treatment option for various diseases of the lumbar spine, including spondylolisthesis. This study aimed to evaluate the postoperative correction of spondylolisthesis and restoration of lumbar and segmental lordosis after ALIF. Methods Patients with spondylolisthesis who underwent ALIF between 2013 and 2019 were retrospectively assessed. We assessed the following parameters pre-and postoperatively (6-months follow-up): Visual Analogue Scale (VAS) for pain, Oswestry Disability Index (ODI), lumbar lordosis (LL), segmental lordosis (SL), L4/S1 lordosis, and degree of spondylolisthesis. Results 96 patients were included. In 84 cases (87.50%), additional dorsal instrumentation was performed. The most frequent diagnosis was isthmic spondylolisthesis (73.96%). VAS was reduced postoperatively, from 70 to 40, as was ODI (50% to 32%). LL increased from 59.15° to 64.45°, as did SL (18.95° to 28.55°) and L4/S1 lordosis (37.90° to 44.00°). Preoperative spondylolisthesis was 8.90 mm and was reduced to 6.05 mm postoperatively. Relative spondylolisthesis was 21.63% preoperatively and 13.71% postoperatively. All clinical and radiological improvements were significant (all p < 0.001). No significant difference considering the lordosis values nor spondylolisthesis was found between patients who underwent ALIF surgery without dorsal instrumentation and patients who received additional dorsal instrumentation. Venous laceration was the most frequent complication (10.42%). Conclusions With ALIF, good clinical results and safe and effective reduction of spondylolisthesis and restoration of lordosis can be achieved. Additional dorsal instrumentation does not significantly affect postoperative lordosis or spondylolisthesis. Individual vascular anatomy must be reviewed preoperatively before considering ALIF.
Related Topics
Concepts
Medicine
Spondylolisthesis
Lordosis
Surgery
Oswestry Disability Index
Visual analogue scale
Lumbar
Lumbar lordosis
Back pain
Low back pain
Radiography
Alternative medicine
Pathology
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1186/s12893-023-01966-z
- https://bmcsurg.biomedcentral.com/counter/pdf/10.1186/s12893-023-01966-z
- OA Status
- gold
- Cited By
- 4
- References
- 22
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4360999282
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4360999282Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1186/s12893-023-01966-zDigital Object Identifier
- Title
-
Reduction of spondylolisthesis and restoration of lumbar lordosis after anterior lumbar interbody fusion (ALIF)Work title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-03-27Full publication date if available
- Authors
-
Stefan Aspalter, Harald Stefanits, Christoph Johannes Maier, Christian Radl, Helga Wagner, Philipp Hermann, Martin Aichholzer, Nico Stroh, Andreas Gruber, Wolfgang SenkerList of authors in order
- Landing page
-
https://doi.org/10.1186/s12893-023-01966-zPublisher landing page
- PDF URL
-
https://bmcsurg.biomedcentral.com/counter/pdf/10.1186/s12893-023-01966-zDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://bmcsurg.biomedcentral.com/counter/pdf/10.1186/s12893-023-01966-zDirect OA link when available
- Concepts
-
Medicine, Spondylolisthesis, Lordosis, Surgery, Oswestry Disability Index, Visual analogue scale, Lumbar, Lumbar lordosis, Back pain, Low back pain, Radiography, Alternative medicine, PathologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
4Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 1, 2024: 3Per-year citation counts (last 5 years)
- References (count)
-
22Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| countries_distinct_count | 1 |
| institutions_distinct_count | 10 |
| citation_normalized_percentile.value | 0.7841765 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |