Comparison of staged lateral lumbar interbody fusion combined two-stage posterior screw fixation and two osteotomy strategies for adult degeneration scoliosis: a retrospective comparative study

The commonly used treatments of adult degeneration scoliosis (ADS) were posterior long segment screw fixation with osteotomies. Recently, lateral lumbar intervertebral fusion combined two-stage posterior screw fixation (LLIF + PSF) as a new strategy without osteotomy. Herein, this study aimed to com...

Full description

Saved in:
Bibliographic Details
Published in:BMC musculoskeletal disorders 2023-05, Vol.24 (1), p.387-387, Article 387
Main Authors: Xu, Dingli, Gan, Kaifeng, Zhao, Xuchen, Lian, Leidong, Hu, Xudong, Luo, Ni, Ma, Weihu
Format: Article
Language:English
Subjects:
Abdomen
Adult
Adult degeneration scoliosis
Animals
Bone implants
Care and treatment
Degeneration
Development and progression
Fractures
Hospitals
Humans
Lateral lumbar interbody fusion
Lordosis - surgery
Lumbar Vertebrae - diagnostic imaging
Lumbar Vertebrae - surgery
Medical records
Osteotomy
Osteotomy - adverse effects
Pain
Patient outcomes
Patients
Pedicle subtraction osteotomy
Ponte osteotomy
Retrospective Studies
Scoliosis
Scoliosis - complications
Scoliosis - diagnostic imaging
Scoliosis - surgery
Spinal fusion
Spinal Fusion - adverse effects
Surgeons
Surgery
Treatment Outcome
Vertebrae
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The commonly used treatments of adult degeneration scoliosis (ADS) were posterior long segment screw fixation with osteotomies. Recently, lateral lumbar intervertebral fusion combined two-stage posterior screw fixation (LLIF + PSF) as a new strategy without osteotomy. Herein, this study aimed to compare the clinical and radiological outcomes among LLIF + PSF and pedicle subtraction osteotomy (PSO), posterior column osteotomies (PCO). Totals of 139 ADS patients underwent operation with 2 years longer follow-up visit between January 2013 and January 2018 in Ningbo No.6 Hospital were enrolled into this study. 58 patients were included in PSO group, 45 in PCO group and 36 in LLIF + PSF group, The clinical and radiological data were reviewed from medical records. Baseline characteristic, perioperative radiological data (sagittal vertical axis (SVA), coronal balance (CB), Cobb angle of Mian curve (MC), Lumbar lordosis (LL), pelvic tilt (PT) and pelvic incidence-lumbar lordosis mismatch (PI-LL)), clinical outcomes (VAS of back and leg, Oswestry disability index (ODI) and Scoliosis Research Society 22-question Questionnaire (SRS-22)) and complications were evaluated and compared. There were no significantly difference in baseline characteristics, preoperative radiological parameters and clinical outcomes among three groups. LLIF + PSF group was significantly shorter in operation time than other two groups (P 
ISSN:1471-2474
1471-2474
DOI:10.1186/s12891-023-06449-z