AI Article Synopsis
- The study analyzed the learning curves, technical differences, and early complications of using hyperlordotic anterior and lateral interbody cages compared to regular lordotic cages for lumbar lordosis correction.
- Initial treatments involved 21 patients using either hyperlordotic ALIF or XLIF cages, with an average age of 64 and lumbar hypolordosis of 23°.
- Results showed no significant technical differences for ALIF cages, while slight differences were noted for XLIF cages, but the complication rates were comparable; overall, using hyperlordotic cages was deemed safe and had a short learning curve for experienced surgeons.
Article Abstract
Background: Analysis of the initial experience on learning curve, technical differences and perioperative or early postoperative complications using lumbar hyperlordotic anterior and lateral interbody cages for the correction of lumbar lordosis as compared with the usage of regular lordotic cages.
Methods: Initial 21 consecutive patients were treated with 13 hyperlordotic anterior lumbar interbody fusion (ALIF) cages and 8 hyperlordotic extreme lateral interbody fusion (XLIF) cages. The mean patient age was 64 years, and the mean lumbar hypolordosis was 23°.
Results: No significant procedure-related technical differences were found between the hyperlordotic and nonhyperlordotic ALIF cages. Slightly significant procedure-related technical differences were found between hyperlordotic and nonhyperlordotic XLIF cages. The complication type and occurrence were comparable.
Conclusions: Sagittal balance correction of lumbar lordosis using hyperlordotic ALIF and XLIF cages is a relatively safe surgical procedure with a short learning curve for those surgeons already familiar with anterior and lateral retroperitoneal procedures.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6159664 | PMC |
| http://dx.doi.org/10.14444/5026 | DOI Listing |
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