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أعرض في EDS

A Comparison of Radiographic Alignment between Bilateral and Unilateral Interbody Cages in Patients Undergoing Transforaminal Lumbar Interbody Fusion

التفاصيل البيبلوغرافية
العنوان: A Comparison of Radiographic Alignment between Bilateral and Unilateral Interbody Cages in Patients Undergoing Transforaminal Lumbar Interbody Fusion
المؤلفون: Mark James Lambrechts, Jeremy Heard, Nicholas D’Antonio, John Bodnar, Gregory Schneider, Evan Bloom, Jose Canseco, Barrett Woods, Ian David Kaye, Mark Kurd, Jeffrey Rihn, Alan Hilibrand, Gregory Schroeder, Alexander Vaccaro, Christopher Kepler
المصدر: Asian Spine Journal, Vol 17, Iss 4, Pp 666-675 (2023)
بيانات النشر: Korean Spine Society, 2023.
سنة النشر: 2023
المجموعة: LCC:Medicine
مصطلحات موضوعية: spinal stenosis, lordosis, spondylolisthesis, spinal fusion, transforaminal lumbar interbody fusion, Medicine
الوصف: Study Design Retrospective cohort study. Purpose: To compare radiographic outcomes between unilateral and bilateral cage placement in transforaminal lumbar interbody fusions (TLIF) and to determine if the rate of fusion at the 1-year postoperative point was different in patients who received bilateral versus unilateral cages. Overview of Literature There is no clear evidence to dictate whether bilateral or unilateral cages promote superior radiographic or surgical outcomes in TLIF. Methods: Patients >18 years old who underwent primary one- or two-level TLIFs at our institution were identified and propensity-matched in a 3:1 fashion (unilateral:bilateral). Patient demographics, surgical characteristics, and radiographic outcomes, including vertebral endplate obliquity, segmental lordosis, subsidence, and fusion status, were compared between groups. Results: Of the 184 patients included, 46 received bilateral cages. Bilateral cage placement was associated with greater subsidence (1.06±1.25 mm vs. 0.59±1.16 mm, p=0.028) and enhanced restoration of segmental lordosis (5.74°±14.1° vs. −1.57°±10.9°, p=0.002) at the 1-year postoperative point, while unilateral cage placement was associated with an increased correction of endplate obliquity (−2.02°±4.42° vs. 0.24°±2.81°, p
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1976-1902
1976-7846
Relation: http://www.asianspinejournal.org/upload/pdf/asj-2022-0316.pdf; https://doaj.org/toc/1976-1902; https://doaj.org/toc/1976-7846
DOI: 10.31616/asj.2022.0316
URL الوصول: https://doaj.org/article/fee82371d3f94ab3a8af32dd5cc0563f
رقم الأكسشن: edsdoj.fee82371d3f94ab3a8af32dd5cc0563f
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:19761902
19767846
DOI:10.31616/asj.2022.0316