Reduction of spondylolisthesis and restoration of lumbar lordosis after anterior lumbar interbody fusion (ALIF) Article Swipe
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· 2023
· Open Access
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· DOI: https://doi.org/10.21203/rs.3.rs-2451020/v1
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 (50–32%). 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 8.90mm and was reduced to 6.05mm 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
- Type
- preprint
- Language
- en
- Landing Page
- https://doi.org/10.21203/rs.3.rs-2451020/v1
- https://www.researchsquare.com/article/rs-2451020/latest.pdf
- OA Status
- green
- References
- 22
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4317753425
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4317753425Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.21203/rs.3.rs-2451020/v1Digital Object Identifier
- Title
-
Reduction of spondylolisthesis and restoration of lumbar lordosis after anterior lumbar interbody fusion (ALIF)Work title
- Type
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preprintOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-01-23Full publication date if available
- Authors
-
Stefan Aspalter, Harald Stefanits, Christoph Johannes Maier, Christian Radl, Helga Wanger, Philipp Hermann, Martin Aichholzer, Nico Stroh, Andreas Gruber, Wolfgang SenkerList of authors in order
- Landing page
-
https://doi.org/10.21203/rs.3.rs-2451020/v1Publisher landing page
- PDF URL
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https://www.researchsquare.com/article/rs-2451020/latest.pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
greenOpen access status per OpenAlex
- OA URL
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https://www.researchsquare.com/article/rs-2451020/latest.pdfDirect OA link when available
- Concepts
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Medicine, Spondylolisthesis, Lordosis, Surgery, Oswestry Disability Index, Lumbar, Lumbar lordosis, Visual analogue scale, Back pain, Low back pain, Radiography, Alternative medicine, PathologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
0Total citation count in OpenAlex
- References (count)
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22Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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