Robert J Rothrock1, Ian T McNeill2, Kurt Yaeger2, Eric K Oermann2, Samuel K Cho2, John M Caridi2. 1. Department of Neurosurgery, Mount Sinai Icahn School of Medicine, New York, New York, USA. Electronic address: Robert.Rothrock@mountsinai.org. 2. Department of Neurosurgery, Mount Sinai Icahn School of Medicine, New York, New York, USA.
Abstract
OBJECTIVE: The goal of this study was to conduct an evidence-based quantitative assessment of the correction of lumbar lordosis achieved by each of the 3 principal lumbar interbody fusion techniques: anterior lumbar interbody fusion (ALIF), lateral lumbar interbody fusion (L-LIF), and transforaminal lumbar interbody fusion (TLIF). METHODS: A systematic review of the literature was conducted to identify studies containing degrees of correction of lumbar lordosis achieved by ALIF, L-LIF, and TLIF as shown on standing lumbar radiography at least 6 weeks after surgical intervention. Pooled and Forest plot analyses were performed for the studies that met inclusion criteria. RESULTS: For ALIF, 21 studies were identified with mean correction 4.67° (standard deviation [SD] ± 4.24) and median correction 5.20°. Fifteen studies were identified that met criteria for Forest plot analysis with mean correction 4.90° (standard error of the mean [SEM] ± 0.40). For L-LIF, 17 studies were identified with mean correction 4.47° (SD ± 4.80) and median correction 4.00°. Nine studies were identified that met criteria for Forest plot analysis with mean correction 2.91° (SEM ± 0.56). For TLIF, 31 studies were identified with mean correction 3.89° (SD ± 4.33) and median correction 3.50°. Twenty-five studies were identified that met criteria for Forest plot analysis with mean correction 5.33° (SEM ± 0.27). CONCLUSIONS: We present the current evidence-based mean correction for each of the 3 principal lumbar interbody fusion techniques based on standing radiographic data.
OBJECTIVE: The goal of this study was to conduct an evidence-based quantitative assessment of the correction of lumbar lordosis achieved by each of the 3 principal lumbar interbody fusion techniques: anterior lumbar interbody fusion (ALIF), lateral lumbar interbody fusion (L-LIF), and transforaminal lumbar interbody fusion (TLIF). METHODS: A systematic review of the literature was conducted to identify studies containing degrees of correction of lumbar lordosis achieved by ALIF, L-LIF, and TLIF as shown on standing lumbar radiography at least 6 weeks after surgical intervention. Pooled and Forest plot analyses were performed for the studies that met inclusion criteria. RESULTS: For ALIF, 21 studies were identified with mean correction 4.67° (standard deviation [SD] ± 4.24) and median correction 5.20°. Fifteen studies were identified that met criteria for Forest plot analysis with mean correction 4.90° (standard error of the mean [SEM] ± 0.40). For L-LIF, 17 studies were identified with mean correction 4.47° (SD ± 4.80) and median correction 4.00°. Nine studies were identified that met criteria for Forest plot analysis with mean correction 2.91° (SEM ± 0.56). For TLIF, 31 studies were identified with mean correction 3.89° (SD ± 4.33) and median correction 3.50°. Twenty-five studies were identified that met criteria for Forest plot analysis with mean correction 5.33° (SEM ± 0.27). CONCLUSIONS: We present the current evidence-based mean correction for each of the 3 principal lumbar interbody fusion techniques based on standing radiographic data.
Authors: Carlos Alberto Lindado; Diego Armando Devia; Santiago Gutiérrez; Sergio Iván Patiño; Maria Isabel Ocampo; Miguel Enrique Berbeo; Roberto Carlos Diaz Journal: Int J Spine Surg Date: 2022-07-14
Authors: Joseph S Butler; Darren F Lui; Karan Malhotra; Maria L Suarez-Huerta; Haiming Yu; Susanne Selvadurai; Obiekezie Agu; Sean Molloy Journal: Global Spine J Date: 2018-11-21
Authors: Charles H Crawford; Thomas N Epperson; Jeffrey L Gum; R Kirk Owens; Mladen Djurasovic; Steven D Glassman; Leah Y Carreon Journal: N Am Spine Soc J Date: 2022-07-30