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International Orthopaedics

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01-04-2021 | Spondylolisthesis | Original Paper

Reduction of spondylolisthesis and sagittal balance correction by anterior lumbar interbody fusion (ALIF)

Authors: Radu Caprariu, Iulian Popa, Manuel Oprea, Marius Niculescu, Dan Poenaru, Florin Birsasteanu

Published in: International Orthopaedics | Issue 4/2021

Abstract

Purpose

Long time recognized as a cause of lumbar stenosis, degenerative spondylolisthesis has an evolution in interrelation with sagittal balance. This study aimed to assess the role of ALIF in correcting the sagittal balance in patients with degenerative spondylolisthesis.

Material and methods

Twenty patients aged between 47 and 70 years were operated between July 2011 and September 2014 for degenerative spondylolisthesis by ALIF. The pre-operative and post-operative valid standing full spine radiographs were reviewed retrospectively. Clinical and radiological evaluations were conducted pre-operatively and postoperatively at one year and five years.

Results

Lumbar lordosis (LL) was measured to 41.16 ± 14.25° pre-operatively and 47.27 ± 11.25° post-operatively (p > 0.05). At one year was 49.76 ± 13.31° and at five years 46.93 ± 9.26° (p > 0.05). Mean gain of lordosis after ALIF at index level was calculated to 8 ± 1.6° [4–12°].

Conclusions

ALIF offers a good reduction of the slipped vertebra providing good conditions for fusion and is an efficient surgical technique to recreate the sagittal spine balance.

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Title: Reduction of spondylolisthesis and sagittal balance correction by anterior lumbar interbody fusion (ALIF)
Authors: Radu Caprariu
Iulian Popa
Manuel Oprea
Marius Niculescu
Dan Poenaru
Florin Birsasteanu
Publication date: 01-04-2021
Publisher: Springer Berlin Heidelberg
Keywords: Spondylolisthesis
Spinal Stenosis
Published in: International Orthopaedics / Issue 4/2021
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-020-04900-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Reduction of spondylolisthesis and sagittal balance correction by anterior lumbar interbody fusion (ALIF)

Abstract

Purpose

Material and methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Material and methods

Results

Conclusions

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