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European Spine Journal
Published in: European Spine Journal 6/2014

01-10-2014 | Original Article

The role of minimally invasive lateral lumbar interbody fusion in sagittal balance correction and spinal deformity

Authors: Giuseppe Costanzo, Carmine Zoccali, Philip Maykowski, Christina M. Walter, Jesse Skoch, Ali A. Baaj

Published in: European Spine Journal | Special Issue 6/2014

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Abstract

Purpose

The recent proliferation of minimally invasive lateral lumbar interbody fusion (LLIF) techniques has drawn attention to potential for these techniques to control or correct sagittal misalignment in adult spinal deformity. We systemically reviewed published studies related to LLIF use in adult spinal deformity treatment with emphasis on radiographic assessment of sagittal balance.

Methods

A literature review was conducted to examine studies focusing on sagittal balance restoration in adult degenerative scoliosis with the LLIF approach.

Results

Fourteen publications, 12 retrospective and 2 prospective, reported data regarding lumbar lordosis correction (1,266 levels in 476 patients) but only two measured global sagittal alignment.

Conclusion

LLIF appears to be especially effective when the lumbar lordosis and sagittal balance correction goals are less than 10° and 5 cm, respectively. However, the review demonstrated a lack of consistent reporting on sagittal balance restoration with the MIS LLIF techniques.
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Metadata
Title
The role of minimally invasive lateral lumbar interbody fusion in sagittal balance correction and spinal deformity
Authors
Giuseppe Costanzo
Carmine Zoccali
Philip Maykowski
Christina M. Walter
Jesse Skoch
Ali A. Baaj
Publication date
01-10-2014
Publisher
Springer Berlin Heidelberg
Published in
European Spine Journal / Issue Special Issue 6/2014
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-014-3561-y

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