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- W4313556048 abstract "Abstract Background To retrospectively compare the clinical and radiological results of staged lateral lumbar interbody fusion (LLIF) combined with posterior instrumented fusion（PIF）and PIF alone for adult degenerative lumbar scoliosis (ADLS) with sagittal imbalance. Methods ADLS patients with sagittal imbalance underwent corrective surgery were divided into staged group (multilevel LLIF at the first stage and PIF at the second stage) and control group (PIF alone). The clinical and radiological outcomes were evaluated and compared between the two groups. Results Forty-five patients with average age of 69.7±6.3 years were enrolled, including 25 in staged group and 20 in control group. Compared with preoperative values, both groups achieved significant improvement in terms of ODI, VAS back, VAS leg and spinopelvic parameters after surgery, which were well maintained during the follow-up period. Compared with control group, staged group showed more operative time, however, less blood loss and blood transfusion. The average posterior fixation segments were 6.2±1.78 in staged group and 8.25±1.16 (P<0.01), respectively. Posterior column osteotomy (PCO) was performed in 9 patients (36%) in staged group. PCO and/or pedicle subtraction osteotomy were performed in 15 patients (75%) in control group (P<0.01). No difference was observed between the two groups regarding complication. Conclusion Both surgical strategies were effective treatments for ADLS with sagittal imbalance. However, staged treatment was more minimal invasive. The first stage LLIF could simplified second stage posterior procedure, reducing the number of posterior fixation segments and osteotomy requirement." @default.
- W4313556048 created "2023-01-06" @default.
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- W4313556048 date "2023-01-05" @default.
- W4313556048 modified "2023-10-18" @default.
- W4313556048 title "Comparison of staged LLIF combined with posterior instrumented fusion and posterior instrumented fusion alone for adult degenerative lumbar scoliosis with sagittal imbalance" @default.
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- W4313556048 doi "https://doi.org/10.21203/rs.3.rs-2422537/v1" @default.
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