Osteotomies of the spine: “Technique of the Decade”?

Lamartina, Claudio; Berjano, Pedro

doi:10.1007/s00586-014-3661-8

Cited by 9 publications

(4 citation statements)

References 7 publications

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“…Conventional posterior strategies involving osteotomies of the fusion mass are technically demanding due to scar tissue and involve high rates of complications [15]. In case of high amount of sagittal correction needed three-column osteotomies (3-CO) such as standard pedicle subtraction osteotomies (PSO), hypercomplex PSO or corner osteotomies are widely described strategies in the literature [16,17]. Three-column osteotomies are technically demanding procedures that provide powerful deformity correction (ranging from 25° to 55°), but are associated with significant complications rate [5,9].…”

Section: Discussionmentioning

confidence: 99%

Anterior Lumbar Interbody Fusion (ALIF) L5-S1 with overpowering of posterior lumbosacral instrumentation and fusion mass: a reliable solution in revision spine surgery

et al. 2021

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Background and purposeIn cases of spine surgical revisions of patients affected by sagittal malalignment, the restoration of the ideal lumbar lordosis (LL) is mandatory. ALIF procedures represent a powerful and effective approach to improve the LL in case of hypolordosis. This study evaluates the feasibility of ALIF to overpower posterior lumbar instrumentation and fusion mass in revision spine surgery and secondarily to estimate complications, clinical and radiological outcomes. Methods This is a single-center retrospective analysis of prospectively collected data on the use of ALIF overpowering in cases of lumbosacral instrumentation and/or fusion. Demographic, comorbidity, corrective strategy adopted, surgical data, clinical and radiological results, and intraoperative and postoperative complications were recorded. Results Twelve patients (3 male; 9 female) underwent overpowering ALIF L5-S1 were included in the study with a mean FU of 34.0 ± 13.4 months. In 10 cases, a posterior titanium instrumentation and fusion mass were present; in 2 patients, only a fusion mass was present. Indicators of pain and disability improved in all patients (p < 0.01). Sagittal realignment with the restoration of ideal spinopelvic parameters was obtained in all cases. One peritoneal lesion requiring intraoperative suture without sequelae, two cases of postoperative radiculopathy, and one posterior wound infection requiring surgical debridement and antibiotic therapy were reported. Conclusions Anterior implant of lordotic and hyperlordotic cages with increasing segmental lordosis is possible in the presence of posterior instrumentation and/or solid fusion mass. The biomechanical strength of this corrective technique can overcome posterior instrumentation and bone fusion resistance, therefore allowing a single-staged surgery for sagittal realignment.

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Section: Discussionmentioning

confidence: 99%

Anterior Lumbar Interbody Fusion (ALIF) L5-S1 with overpowering of posterior lumbosacral instrumentation and fusion mass: a reliable solution in revision spine surgery

et al. 2021

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“…Surgery for ASD has become extremely popular following the "French revolution" concerning the concept of sagittal balance. 6 According to this concept, the pelvic parameters (e.g., pelvic tilt, pelvic incidence, and sacral slope) should be taken into account in the treatment planning and subsequent care of the patients including the restoration of sagittal balance. Several studies have shown that restoring sagittal balance is related to a better postoperative health-related quality of life (HRQOL).…”

Section: Adult Spinal Deformity Surgery: Is It Always Worthwhile?mentioning

confidence: 99%

Letter to the Editor: Pedicle screw–based dynamic stabilization and adjacent-segment disease

Cheng

Chang

et al. 2017

SPI

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“…6 According to this concept, the pelvic parameters (e.g., pelvic tilt, pelvic incidence, and sacral slope) should be taken into account in the treatment planning and subsequent care of the patients including the restoration of sagittal balance. Several studies have shown that restoring sagittal balance is related to a better postoperative health-related quality of life (HRQOL).…”

Section: Adult Spinal Deformity Surgery: Is It Always Worthwhile?mentioning

confidence: 99%

“…5 In the literature, the main concerns related to PDS were screw loosening and facet arthrodesis. 1,5,6,10 Although most reports demonstrated satisfactory clinical outcomes with PDS, whether it protects against ASD remains debatable. 1,3,10 Further investigations-particularly investigations involving larger numbers of patients-are required to clarify the risk factors of ASD, as well as the best candidates for PDS systems.…”

mentioning

confidence: 99%