Metal failure and nonunion at L5-S1 after long instrumented fusion distal to pelvis for adult spinal deformity: Anterior versus transforaminal interbody fusion
被引:8
作者:
Park, Se-Jun
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机构:
Sungkyunkwan Univ, Samsung Med Ctr, Dept Orthoped Surg, Sch Med, Seoul, South KoreaSungkyunkwan Univ, Samsung Med Ctr, Dept Orthoped Surg, Sch Med, Seoul, South Korea
Park, Se-Jun
[1
]
Park, Jin-Sung
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机构:
Sungkyunkwan Univ, Samsung Med Ctr, Dept Orthoped Surg, Sch Med, Seoul, South KoreaSungkyunkwan Univ, Samsung Med Ctr, Dept Orthoped Surg, Sch Med, Seoul, South Korea
Park, Jin-Sung
[1
]
Lee, Chong-Suh
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机构:
Sungkyunkwan Univ, Samsung Med Ctr, Dept Orthoped Surg, Sch Med, Seoul, South KoreaSungkyunkwan Univ, Samsung Med Ctr, Dept Orthoped Surg, Sch Med, Seoul, South Korea
Lee, Chong-Suh
[1
]
Lee, Keun-Ho
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机构:
Hallym Univ, Kangdong Sacred Heart Hosp, Dept Orthoped Surg, Seoul, South KoreaSungkyunkwan Univ, Samsung Med Ctr, Dept Orthoped Surg, Sch Med, Seoul, South Korea
Lee, Keun-Ho
[2
]
机构:
[1] Sungkyunkwan Univ, Samsung Med Ctr, Dept Orthoped Surg, Sch Med, Seoul, South Korea
[2] Hallym Univ, Kangdong Sacred Heart Hosp, Dept Orthoped Surg, Seoul, South Korea
Purpose Pseudoarthrosis and metal failure at L5-S1 following long fusion surgery for adult spinal deformity (ASD) remain major issues. Few studies report on which anterior column support technique is better in terms of achieving fusion and avoiding metal failures. Our study aimed to evaluate the fusion status and metal failure rate at L5-S1 after anterior lumbar interbody fusion (ALIF) versus transforaminal lumbar interbody fusion (TLIF). Methods The study population included patients aged >50 years who underwent surgery for ASD. Anterior column supports at L5-S1 using ALIF and TLIF were compared with >= 2-year follow-up. Fusion status on 2-year computed tomography (CT) scan, metal failure, visual analog scale (VAS), and Oswestry disability index (ODI) were evaluated. Results 98 patients were included in this study (53 ALIF group and 45 TLIF group). We achieved solid fusion on 2-year CT scans in 88.9% and 69.8% patients in the TLIF and ALIF group, respectively. Metal failure developed in nine (17.0%) and six (13.3%) patients in the ALIF and TLIF group, respectively. The most common failure type was unilateral L5-S1 rod fracture (7 and five patients in the ALIF and TLIF group, respectively). Only one patient with bilateral rod fractures in the ALIF group required revision surgery. There were no differences in the VAS and ODI scores at the last follow-up. Conclusions TLIF showed a better fusion rate than ALIF at L5-S1 after long instrumented fusion for ASD. However, the capacity to restore sagittal parameters was greater in the ALIF group. There were no differences between the groups regarding metal failure rate, revision surgery, or clinical outcomes.
机构:
Brown Univ, Alpert Med Sch, Div Spine Surg, Dept Orthopaed, Providence, RI 02912 USABrown Univ, Alpert Med Sch, Div Spine Surg, Dept Orthopaed, Providence, RI 02912 USA
Daniels, Alan H.
;
DePasse, J. Mason
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h-index: 0
机构:
Brown Univ, Alpert Med Sch, Div Spine Surg, Dept Orthopaed, Providence, RI 02912 USABrown Univ, Alpert Med Sch, Div Spine Surg, Dept Orthopaed, Providence, RI 02912 USA
DePasse, J. Mason
;
Durand, Wesley
论文数: 0引用数: 0
h-index: 0
机构:
Brown Univ, Alpert Med Sch, Dept Orthoped, Providence, RI 02912 USABrown Univ, Alpert Med Sch, Div Spine Surg, Dept Orthopaed, Providence, RI 02912 USA
Durand, Wesley
;
Hamilton, D. Kojo
论文数: 0引用数: 0
h-index: 0
机构:
Univ Pittsburgh, Med Ctr, Dept Neurosurg, Pittsburgh, PA USABrown Univ, Alpert Med Sch, Div Spine Surg, Dept Orthopaed, Providence, RI 02912 USA
Hamilton, D. Kojo
;
Passias, Peter
论文数: 0引用数: 0
h-index: 0
机构:
NYU, Langone Orthoped Hosp, Dept Orthoped, New York, NY USABrown Univ, Alpert Med Sch, Div Spine Surg, Dept Orthopaed, Providence, RI 02912 USA
Passias, Peter
;
Kim, Han Jo
论文数: 0引用数: 0
h-index: 0
机构:
Hosp Special Surg, Dept Orthoped, 535 E 70th St, New York, NY 10021 USABrown Univ, Alpert Med Sch, Div Spine Surg, Dept Orthopaed, Providence, RI 02912 USA
Kim, Han Jo
;
Protopsaltis, Themistocles
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h-index: 0
机构:
NYU, Langone Orthoped Hosp, Dept Orthoped, New York, NY USABrown Univ, Alpert Med Sch, Div Spine Surg, Dept Orthopaed, Providence, RI 02912 USA
Protopsaltis, Themistocles
;
Reid, Daniel B. C.
论文数: 0引用数: 0
h-index: 0
机构:
Brown Univ, Alpert Med Sch, Div Spine Surg, Dept Orthopaed, Providence, RI 02912 USABrown Univ, Alpert Med Sch, Div Spine Surg, Dept Orthopaed, Providence, RI 02912 USA
Reid, Daniel B. C.
;
LaFage, Virginie
论文数: 0引用数: 0
h-index: 0
机构:
Hosp Special Surg, Dept Orthoped, 535 E 70th St, New York, NY 10021 USABrown Univ, Alpert Med Sch, Div Spine Surg, Dept Orthopaed, Providence, RI 02912 USA
LaFage, Virginie
;
Smith, Justin S.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Virginia Hlth Syst, Dept Neurosurg, Charlottesville, VA USABrown Univ, Alpert Med Sch, Div Spine Surg, Dept Orthopaed, Providence, RI 02912 USA
Smith, Justin S.
;
Shaffrey, Christopher
论文数: 0引用数: 0
h-index: 0
机构:
Univ Virginia Hlth Syst, Dept Neurosurg, Charlottesville, VA USABrown Univ, Alpert Med Sch, Div Spine Surg, Dept Orthopaed, Providence, RI 02912 USA
Shaffrey, Christopher
;
Gupta, Munish
论文数: 0引用数: 0
h-index: 0
机构:
Washington Univ, Dept Orthoped, St Louis, MO USABrown Univ, Alpert Med Sch, Div Spine Surg, Dept Orthopaed, Providence, RI 02912 USA
Gupta, Munish
;
Klineberg, Eric
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif Davis, Dept Orthoped, Sacramento, CA 95817 USABrown Univ, Alpert Med Sch, Div Spine Surg, Dept Orthopaed, Providence, RI 02912 USA
Klineberg, Eric
;
Schwab, Frank
论文数: 0引用数: 0
h-index: 0
机构:
Hosp Special Surg, Dept Orthoped, 535 E 70th St, New York, NY 10021 USABrown Univ, Alpert Med Sch, Div Spine Surg, Dept Orthopaed, Providence, RI 02912 USA
Schwab, Frank
;
Burton, Doug
论文数: 0引用数: 0
h-index: 0
机构:
Univ Kansas Hosp, Dept Orthoped, Kansas City, KS USABrown Univ, Alpert Med Sch, Div Spine Surg, Dept Orthopaed, Providence, RI 02912 USA
Burton, Doug
;
Bess, Shay
论文数: 0引用数: 0
h-index: 0
机构:
NYU, Langone Orthoped Hosp, Dept Orthoped, New York, NY USABrown Univ, Alpert Med Sch, Div Spine Surg, Dept Orthopaed, Providence, RI 02912 USA
Bess, Shay
;
Ames, Christopher
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Francisco, Dept Neurosurg, San Francisco, CA 94143 USABrown Univ, Alpert Med Sch, Div Spine Surg, Dept Orthopaed, Providence, RI 02912 USA
Ames, Christopher
;
Hart, Robert A.
论文数: 0引用数: 0
h-index: 0
机构:
Swedish Neurosci Inst, Dept Orthoped, Seattle, WA USABrown Univ, Alpert Med Sch, Div Spine Surg, Dept Orthopaed, Providence, RI 02912 USA
机构:
Univ Calif San Francisco, Dept Orthopaed Surg, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Orthopaed Surg, San Francisco, CA 94143 USA
Emami, A
;
Deviren, V
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h-index: 0
机构:
Univ Calif San Francisco, Dept Orthopaed Surg, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Orthopaed Surg, San Francisco, CA 94143 USA
Deviren, V
;
Berven, S
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h-index: 0
机构:
Univ Calif San Francisco, Dept Orthopaed Surg, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Orthopaed Surg, San Francisco, CA 94143 USA
Berven, S
;
Smith, JA
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h-index: 0
机构:
Univ Calif San Francisco, Dept Orthopaed Surg, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Orthopaed Surg, San Francisco, CA 94143 USA
Smith, JA
;
Hu, SS
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h-index: 0
机构:
Univ Calif San Francisco, Dept Orthopaed Surg, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Orthopaed Surg, San Francisco, CA 94143 USA
Hu, SS
;
Bradford, DS
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h-index: 0
机构:
Univ Calif San Francisco, Dept Orthopaed Surg, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Orthopaed Surg, San Francisco, CA 94143 USA
机构:
Brown Univ, Alpert Med Sch, Div Spine Surg, Dept Orthopaed, Providence, RI 02912 USABrown Univ, Alpert Med Sch, Div Spine Surg, Dept Orthopaed, Providence, RI 02912 USA
Daniels, Alan H.
;
DePasse, J. Mason
论文数: 0引用数: 0
h-index: 0
机构:
Brown Univ, Alpert Med Sch, Div Spine Surg, Dept Orthopaed, Providence, RI 02912 USABrown Univ, Alpert Med Sch, Div Spine Surg, Dept Orthopaed, Providence, RI 02912 USA
DePasse, J. Mason
;
Durand, Wesley
论文数: 0引用数: 0
h-index: 0
机构:
Brown Univ, Alpert Med Sch, Dept Orthoped, Providence, RI 02912 USABrown Univ, Alpert Med Sch, Div Spine Surg, Dept Orthopaed, Providence, RI 02912 USA
Durand, Wesley
;
Hamilton, D. Kojo
论文数: 0引用数: 0
h-index: 0
机构:
Univ Pittsburgh, Med Ctr, Dept Neurosurg, Pittsburgh, PA USABrown Univ, Alpert Med Sch, Div Spine Surg, Dept Orthopaed, Providence, RI 02912 USA
Hamilton, D. Kojo
;
Passias, Peter
论文数: 0引用数: 0
h-index: 0
机构:
NYU, Langone Orthoped Hosp, Dept Orthoped, New York, NY USABrown Univ, Alpert Med Sch, Div Spine Surg, Dept Orthopaed, Providence, RI 02912 USA
Passias, Peter
;
Kim, Han Jo
论文数: 0引用数: 0
h-index: 0
机构:
Hosp Special Surg, Dept Orthoped, 535 E 70th St, New York, NY 10021 USABrown Univ, Alpert Med Sch, Div Spine Surg, Dept Orthopaed, Providence, RI 02912 USA
Kim, Han Jo
;
Protopsaltis, Themistocles
论文数: 0引用数: 0
h-index: 0
机构:
NYU, Langone Orthoped Hosp, Dept Orthoped, New York, NY USABrown Univ, Alpert Med Sch, Div Spine Surg, Dept Orthopaed, Providence, RI 02912 USA
Protopsaltis, Themistocles
;
Reid, Daniel B. C.
论文数: 0引用数: 0
h-index: 0
机构:
Brown Univ, Alpert Med Sch, Div Spine Surg, Dept Orthopaed, Providence, RI 02912 USABrown Univ, Alpert Med Sch, Div Spine Surg, Dept Orthopaed, Providence, RI 02912 USA
Reid, Daniel B. C.
;
LaFage, Virginie
论文数: 0引用数: 0
h-index: 0
机构:
Hosp Special Surg, Dept Orthoped, 535 E 70th St, New York, NY 10021 USABrown Univ, Alpert Med Sch, Div Spine Surg, Dept Orthopaed, Providence, RI 02912 USA
LaFage, Virginie
;
Smith, Justin S.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Virginia Hlth Syst, Dept Neurosurg, Charlottesville, VA USABrown Univ, Alpert Med Sch, Div Spine Surg, Dept Orthopaed, Providence, RI 02912 USA
Smith, Justin S.
;
Shaffrey, Christopher
论文数: 0引用数: 0
h-index: 0
机构:
Univ Virginia Hlth Syst, Dept Neurosurg, Charlottesville, VA USABrown Univ, Alpert Med Sch, Div Spine Surg, Dept Orthopaed, Providence, RI 02912 USA
Shaffrey, Christopher
;
Gupta, Munish
论文数: 0引用数: 0
h-index: 0
机构:
Washington Univ, Dept Orthoped, St Louis, MO USABrown Univ, Alpert Med Sch, Div Spine Surg, Dept Orthopaed, Providence, RI 02912 USA
Gupta, Munish
;
Klineberg, Eric
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif Davis, Dept Orthoped, Sacramento, CA 95817 USABrown Univ, Alpert Med Sch, Div Spine Surg, Dept Orthopaed, Providence, RI 02912 USA
Klineberg, Eric
;
Schwab, Frank
论文数: 0引用数: 0
h-index: 0
机构:
Hosp Special Surg, Dept Orthoped, 535 E 70th St, New York, NY 10021 USABrown Univ, Alpert Med Sch, Div Spine Surg, Dept Orthopaed, Providence, RI 02912 USA
Schwab, Frank
;
Burton, Doug
论文数: 0引用数: 0
h-index: 0
机构:
Univ Kansas Hosp, Dept Orthoped, Kansas City, KS USABrown Univ, Alpert Med Sch, Div Spine Surg, Dept Orthopaed, Providence, RI 02912 USA
Burton, Doug
;
Bess, Shay
论文数: 0引用数: 0
h-index: 0
机构:
NYU, Langone Orthoped Hosp, Dept Orthoped, New York, NY USABrown Univ, Alpert Med Sch, Div Spine Surg, Dept Orthopaed, Providence, RI 02912 USA
Bess, Shay
;
Ames, Christopher
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Francisco, Dept Neurosurg, San Francisco, CA 94143 USABrown Univ, Alpert Med Sch, Div Spine Surg, Dept Orthopaed, Providence, RI 02912 USA
Ames, Christopher
;
Hart, Robert A.
论文数: 0引用数: 0
h-index: 0
机构:
Swedish Neurosci Inst, Dept Orthoped, Seattle, WA USABrown Univ, Alpert Med Sch, Div Spine Surg, Dept Orthopaed, Providence, RI 02912 USA
机构:
Univ Calif San Francisco, Dept Orthopaed Surg, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Orthopaed Surg, San Francisco, CA 94143 USA
Emami, A
;
Deviren, V
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Francisco, Dept Orthopaed Surg, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Orthopaed Surg, San Francisco, CA 94143 USA
Deviren, V
;
Berven, S
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Francisco, Dept Orthopaed Surg, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Orthopaed Surg, San Francisco, CA 94143 USA
Berven, S
;
Smith, JA
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Francisco, Dept Orthopaed Surg, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Orthopaed Surg, San Francisco, CA 94143 USA
Smith, JA
;
Hu, SS
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Francisco, Dept Orthopaed Surg, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Orthopaed Surg, San Francisco, CA 94143 USA
Hu, SS
;
Bradford, DS
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Francisco, Dept Orthopaed Surg, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Orthopaed Surg, San Francisco, CA 94143 USA