2019
DOI: 10.1007/s00586-019-06187-8
|View full text |Cite
|
Sign up to set email alerts
|

Comparison of long fusion terminating at L5 versus the sacrum in treating adult spinal deformity: a meta-analysis

Abstract: Purpose Choosing an optimal distal fusion level for adult spinal deformity (ASD) is still controversial. To compare the radiographic and clinical outcomes of distal fusion to L5 versus the sacrum in ASD, we conducted a meta-analysis. Methods Relevant studies on long fusion terminating at L5 or the sacrum in ASD were retrieved from the PubMed, Embase, Cochrane, and Google Scholar databases. Then, studies were manually selected for inclusion based on predefined criteria. The meta-analysis was performed by RevMan… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
4
1

Citation Types

0
11
2
1

Year Published

2020
2020
2024
2024

Publication Types

Select...
6
1

Relationship

0
7

Authors

Journals

citations
Cited by 15 publications
(14 citation statements)
references
References 48 publications
0
11
2
1
Order By: Relevance
“…If the fusion extends to the sacrum, the procedure would be more complex, and there is a higher likelihood of pseudarthrosis at the lumbosacral junction. However, studies have found that long fusions terminating at L5 or the sacrum was similar in overall complication rate and improvement in pain and disability [21,22]. In our study, we found no association between the incidence of perioperative complications and the level at which the fusion stopped (p=0.640).…”
Section: Discussioncontrasting
confidence: 67%
“…If the fusion extends to the sacrum, the procedure would be more complex, and there is a higher likelihood of pseudarthrosis at the lumbosacral junction. However, studies have found that long fusions terminating at L5 or the sacrum was similar in overall complication rate and improvement in pain and disability [21,22]. In our study, we found no association between the incidence of perioperative complications and the level at which the fusion stopped (p=0.640).…”
Section: Discussioncontrasting
confidence: 67%
“…If the fusion extends to the sacrum, the procedure would be more complex, and there is a higher likelihood of pseudarthrosis at the lumbosacral junction. However, studies have found that long fusions terminating at L5 or the sacrum was similar in overall complication rate and improvement in pain and disability [ 16 , 17 ]. In our study, we found no association between the incidence of perioperative complications and the level at which the fusion stopped ( P = 0.952).…”
Section: Discussionmentioning
confidence: 99%
“…Selection of LIV has been extensively investigated in ASD [11,12,[14][15][16][17]. Several studies revealed that fusion to S1 without pelvic fixation was prone to develop implant failure and pseudarthrosis [12,14,15].…”
Section: Discussionmentioning
confidence: 99%
“…Selection of LIV has been extensively investigated in ASD [11,12,[14][15][16][17]. Several studies revealed that fusion to S1 without pelvic fixation was prone to develop implant failure and pseudarthrosis [12,14,15]. The high risk of developing these mechanical complications might attribute to the high stress at S1 resulting from the long constructs and cantilever forces [12].…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation