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SPINOPELVIC PARAMETERS AFTER POSTERIOR LUMBAR ARTHRODESIS IN DEGENERATIVE SPINAL DISEASES

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Summary:ABSTRACT Introduction: Spinopelvic parameters related to sagittal balance have become increasinglyimportantamong spine surgeons due to their correlation with patient satisfaction rates. Objective: The goal of this study was to evaluate changes in spinal sagittal balance after lumbar spine surgery using PLIF, the posterior lumbar interbody fusion technique. Methods: The sample consisted of adult patients with degenerative spinal disease submitted to posterior lumbar arthrodesis. Patients between 18 and 70 years of agewho underwent surgeryfrom 2015 to 2017 were included in the study and divided into short (1 level) and long arthrodesis (2 to 4 levels) groups. Radiographic analysis of the spinopelvic parameters, measured before and after lumbar arthrodesis, was conducted using the SURGIMAP software. Then we evaluated the variation between pre- and postoperative measurements and performed correlation and linear regression analyses between the parameters. Results: The sample was composed of 80 patients (48 men). The mean age was lower in the short arthrodesis group than in the long arthrodesis group (52.67 ± 9.66 years versus 59.37 ± 9.30 years, respectively; p<0.0025). Significant variations in lumbar lordosis, pelvic tilt, sagittal vertical axis, T1 pelvic angle, and pelvic incidence minus lumbar lordosis were found in both short and long arthrodesis groups. The variation was significantly larger in the long than in the short arthrodesis group. Conclusion: In adult degenerative spine disease, short and long arthrodesis of the lumbar spine by PLIF allows correction of the spinopelvic parameters. Level of evidence III; Retrospective, comparative study.
Main Authors:Ponte,Julio Alves
Other Authors:Barros,Alderico Girão Campos de; Almeida,Giancarlo Jorio; Silva,Luiz Eduardo Carelli Teixeira da; Sousa,Eduardo Branco de
Subject:Arthrodesis Lordosis Spine
Year:2022
Country:Brazil
Document type:article
Access type:open access
Associated institution:IBICT
Language:English
Origin:Oasisbr
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author Ponte,Julio Alves
author2 Barros,Alderico Girão Campos de
Almeida,Giancarlo Jorio
Silva,Luiz Eduardo Carelli Teixeira da
Sousa,Eduardo Branco de
author2_role author
author
author
author
author_facet Ponte,Julio Alves
Barros,Alderico Girão Campos de
Almeida,Giancarlo Jorio
Silva,Luiz Eduardo Carelli Teixeira da
Sousa,Eduardo Branco de
author_role author
country_str BR
creators_json_txt [{\"Person.name\":\"Ponte,Julio Alves\"},{\"Person.name\":\"Barros,Alderico Girão Campos de\"},{\"Person.name\":\"Almeida,Giancarlo Jorio\"},{\"Person.name\":\"Silva,Luiz Eduardo Carelli Teixeira da\"},{\"Person.name\":\"Sousa,Eduardo Branco de\"}]
datacite.creators.creator.creatorName.fl_str_mv Ponte,Julio Alves
Barros,Alderico Girão Campos de
Almeida,Giancarlo Jorio
Silva,Luiz Eduardo Carelli Teixeira da
Sousa,Eduardo Branco de
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_abf2
datacite.subjects.subject.fl_str_mv Arthrodesis
Lordosis
Spine
datacite.titles.title.fl_str_mv SPINOPELVIC PARAMETERS AFTER POSTERIOR LUMBAR ARTHRODESIS IN DEGENERATIVE SPINAL DISEASES
dc.creator.none.fl_str_mv Ponte,Julio Alves
Barros,Alderico Girão Campos de
Almeida,Giancarlo Jorio
Silva,Luiz Eduardo Carelli Teixeira da
Sousa,Eduardo Branco de
dc.format.none.fl_str_mv text/html
dc.identifier.none.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512022000200205
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv Sociedade Brasileira de Coluna
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.source.none.fl_str_mv Coluna/Columna v.21 n.2 2022
reponame:Coluna/Columna
instname:Sociedade Brasileira de Coluna (SBCO)
instacron:SBCO
dc.subject.none.fl_str_mv Arthrodesis
Lordosis
Spine
dc.title.fl_str_mv SPINOPELVIC PARAMETERS AFTER POSTERIOR LUMBAR ARTHRODESIS IN DEGENERATIVE SPINAL DISEASES
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
description ABSTRACT Introduction: Spinopelvic parameters related to sagittal balance have become increasinglyimportantamong spine surgeons due to their correlation with patient satisfaction rates. Objective: The goal of this study was to evaluate changes in spinal sagittal balance after lumbar spine surgery using PLIF, the posterior lumbar interbody fusion technique. Methods: The sample consisted of adult patients with degenerative spinal disease submitted to posterior lumbar arthrodesis. Patients between 18 and 70 years of agewho underwent surgeryfrom 2015 to 2017 were included in the study and divided into short (1 level) and long arthrodesis (2 to 4 levels) groups. Radiographic analysis of the spinopelvic parameters, measured before and after lumbar arthrodesis, was conducted using the SURGIMAP software. Then we evaluated the variation between pre- and postoperative measurements and performed correlation and linear regression analyses between the parameters. Results: The sample was composed of 80 patients (48 men). The mean age was lower in the short arthrodesis group than in the long arthrodesis group (52.67 ± 9.66 years versus 59.37 ± 9.30 years, respectively; p<0.0025). Significant variations in lumbar lordosis, pelvic tilt, sagittal vertical axis, T1 pelvic angle, and pelvic incidence minus lumbar lordosis were found in both short and long arthrodesis groups. The variation was significantly larger in the long than in the short arthrodesis group. Conclusion: In adult degenerative spine disease, short and long arthrodesis of the lumbar spine by PLIF allows correction of the spinopelvic parameters. Level of evidence III; Retrospective, comparative study.
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person_str_mv Ponte,Julio Alves
Barros,Alderico Girão Campos de
Almeida,Giancarlo Jorio
Silva,Luiz Eduardo Carelli Teixeira da
Sousa,Eduardo Branco de
publishDate 2022
publisher.none.fl_str_mv Sociedade Brasileira de Coluna
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spelling SPINOPELVIC PARAMETERS AFTER POSTERIOR LUMBAR ARTHRODESIS IN DEGENERATIVE SPINAL DISEASESPonte,Julio AlvesBarros,Alderico Girão Campos deAlmeida,Giancarlo JorioSilva,Luiz Eduardo Carelli Teixeira daSousa,Eduardo Branco deArthrodesisLordosisSpineopen accesshttp://purl.org/coar/access_right/c_abf2http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512022000200205URLhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512022000200205URLHasVersion2022-01-01ABSTRACT Introduction: Spinopelvic parameters related to sagittal balance have become increasinglyimportantamong spine surgeons due to their correlation with patient satisfaction rates. Objective: The goal of this study was to evaluate changes in spinal sagittal balance after lumbar spine surgery using PLIF, the posterior lumbar interbody fusion technique. Methods: The sample consisted of adult patients with degenerative spinal disease submitted to posterior lumbar arthrodesis. Patients between 18 and 70 years of agewho underwent surgeryfrom 2015 to 2017 were included in the study and divided into short (1 level) and long arthrodesis (2 to 4 levels) groups. Radiographic analysis of the spinopelvic parameters, measured before and after lumbar arthrodesis, was conducted using the SURGIMAP software. Then we evaluated the variation between pre- and postoperative measurements and performed correlation and linear regression analyses between the parameters. Results: The sample was composed of 80 patients (48 men). The mean age was lower in the short arthrodesis group than in the long arthrodesis group (52.67 ± 9.66 years versus 59.37 ± 9.30 years, respectively; p<0.0025). Significant variations in lumbar lordosis, pelvic tilt, sagittal vertical axis, T1 pelvic angle, and pelvic incidence minus lumbar lordosis were found in both short and long arthrodesis groups. The variation was significantly larger in the long than in the short arthrodesis group. Conclusion: In adult degenerative spine disease, short and long arthrodesis of the lumbar spine by PLIF allows correction of the spinopelvic parameters. Level of evidence III; Retrospective, comparative study.engtext/htmlSociedade Brasileira de ColunaColuna/Columna v.21 n.2 2022reponame:Coluna/Columnainstname:Sociedade Brasileira de Coluna (SBCO)instacron:SBCOjournal articlehttp://purl.org/coar/resource_type/c_6501literatureVoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85
spellingShingle SPINOPELVIC PARAMETERS AFTER POSTERIOR LUMBAR ARTHRODESIS IN DEGENERATIVE SPINAL DISEASES
Ponte,Julio Alves
Arthrodesis
Lordosis
Spine
status SINGLETON
status_str VoR
subject.fl_str_mv Arthrodesis
Lordosis
Spine
title SPINOPELVIC PARAMETERS AFTER POSTERIOR LUMBAR ARTHRODESIS IN DEGENERATIVE SPINAL DISEASES
title_full SPINOPELVIC PARAMETERS AFTER POSTERIOR LUMBAR ARTHRODESIS IN DEGENERATIVE SPINAL DISEASES
title_fullStr SPINOPELVIC PARAMETERS AFTER POSTERIOR LUMBAR ARTHRODESIS IN DEGENERATIVE SPINAL DISEASES
title_full_unstemmed SPINOPELVIC PARAMETERS AFTER POSTERIOR LUMBAR ARTHRODESIS IN DEGENERATIVE SPINAL DISEASES
title_short SPINOPELVIC PARAMETERS AFTER POSTERIOR LUMBAR ARTHRODESIS IN DEGENERATIVE SPINAL DISEASES
title_sort SPINOPELVIC PARAMETERS AFTER POSTERIOR LUMBAR ARTHRODESIS IN DEGENERATIVE SPINAL DISEASES
topic Arthrodesis
Lordosis
Spine
topic_facet Arthrodesis
Lordosis
Spine
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512022000200205
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