. 2022 Jul 11;57(5):828-835.
doi: 10.1055/s-0042-1750797.
eCollection 2022 Oct.
Affiliations
Affiliation
- 1 Instituto de Patologia da Coluna, São Paulo, SP, Brasil.
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Daniel Arnoni et al.
Rev Bras Ortop (Sao Paulo).
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. 2022 Jul 11;57(5):828-835.
doi: 10.1055/s-0042-1750797.
eCollection 2022 Oct.
Affiliation
- 1 Instituto de Patologia da Coluna, São Paulo, SP, Brasil.
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Display options
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Abstract
Objectives The present study aimed to assess whether preoperative spinopelvic parameters can influence the gain of segmental lordosis after one level of lateral lumbar interbody fusion. Methods The following radiological parameters were measured in the X-rays: pelvic incidence, lumbar lordosis, pelvic tilt, L4S1 lordosis, index level segmental lordosis, intraoperative index segmental lordosis, pelvic mismatch (IP-LL), distal lordosis proportion, delta segmental lordosis, Pelvic Titlt (PT) > 20, actual sacral slope, and ideal sacral slope, and the correlation of these variables with the gain of segmental lordosis was investigated. Afterwards, an exploratory cluster analysis was performed to identify common characteristics between patients and segmental lordosis gain. Results The sample of the present study comprised 104 patients, of which 76% presented segmental lordosis gain. The most correlated parameters with the segmental lordosis gain were preoperative segmental lordosis (-0.50) and delta intraoperative lordosis (0.51). Moreover, patients in the high PI groups had a trend to gain more segmental lordosis ( p < 0.05) and a reduced risk of losing segmental lordosis (Odds 6.08). Conclusion Patients with low-medium PI profiles presented higher odds of loss of segmental lordosis. However, the preoperative spinopelvic parameters alone do not seem to play a significant role in the fate of segmental lordosis gain.
Keywords:
lordosis; lumbar vertebrae; pelvis; spinal fusion.
Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ).
Conflict of interest statement
Conflito de Interesses Os autores não têm conflito de interesses para declarar.