Wang YT, Li BX, Wang SJ, Li CD, Sun HL. Radiological and clinical outcomes of midline lumbar fusion on sagittal lumbar-pelvic parameters for degenerative lumbar diseases. World J Clin Cases 2022; 10(35): 12880-12889 [PMID: 36569025 DOI: 10.12998/wjcc.v10.i35.12880]
Corresponding Author of This Article
Hao-Lin Sun, MD, Associate Professor, Department of Orthopedics, Peking University First Hospital, No. 8 Xishiku Street, Xicheng District, Beijing 100034, China. sunhaolin@vip.163.com
Research Domain of This Article
Surgery
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Dec 16, 2022; 10(35): 12880-12889 Published online Dec 16, 2022. doi: 10.12998/wjcc.v10.i35.12880
Radiological and clinical outcomes of midline lumbar fusion on sagittal lumbar-pelvic parameters for degenerative lumbar diseases
Yue-Tian Wang, Bing-Xu Li, Shi-Jun Wang, Chun-De Li, Hao-Lin Sun
Yue-Tian Wang, Bing-Xu Li, Shi-Jun Wang, Chun-De Li, Hao-Lin Sun, Department of Orthopedics, Peking University First Hospital, Beijing 100034, China
Author contributions: Wang YT and Li BX contributed equally to this work; Wang YT and Li BX collected the radiographic and clinical data and contributed to the manuscript drafting; Wang YT analyzed and interpreted the imaging findings; Wang YT and Li BX carried out the statistical analysis; Wang SJ, Li CD and Sun HL performed the spine surgery; Sun HL was responsible for the revision of the manuscript; all authors have read and approved the final manuscript.
Institutional review board statement: This study was reviewed and approved by the Human Subjects Institutional Review Board of Peking University First Hospital, No. 2022 Yan 359-001.
Informed consent statement: Patient were not required to give informed consent to the study because the analysis used anonymous clinical data.
Conflict-of-interest statement: The authors declare no conflicts of interest for this article.
Data sharing statement: Original data is available from the corresponding author at sunhaolin@vip.163.com.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hao-Lin Sun, MD, Associate Professor, Department of Orthopedics, Peking University First Hospital, No. 8 Xishiku Street, Xicheng District, Beijing 100034, China. sunhaolin@vip.163.com
Received: August 11, 2022 Peer-review started: August 11, 2022 First decision: September 25, 2022 Revised: October 7, 2022 Accepted: November 17, 2022 Article in press: November 17, 2022 Published online: December 16, 2022
ARTICLE HIGHLIGHTS
Research background
The impact of single-segment midline lumbar fusion (MIDLF) on sagittal lumbar-pelvic alignment for management of degenerative lumbar diseases is still unknown.
Research motivation
Comparing the impact of MIDLF and minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) on sagittal lumbar-pelvic parameters can help to better understand minimally invasive lumbar surgery.
Research objectives
To compare the effects of single-segment MIDLF and MIS-TLIF on sagittal lumbar-pelvic parameters.
Research methods
We retrospectively analyzed 63 patients with degenerative lumbar diseases who underwent single-segment MIDLF or MIS-TLIF. The sagittal lumbar-pelvic parameters and clinical outcomes of the two groups were compared.
Research results
Both MIDLF and MIS-TLIF can improve lumbar lordosis (LL), lower LL, L5 incidence (L5I), and L1 axis and S1 distance (LASD). Nevertheless, MIDLF showed a better ability to improve pelvic parameters than MIS-TLIF. However, there was no significant difference between the two groups in terms of clinical outcomes at the final follow-up.
Research conclusions
Short-segment MIDLF and MIS-TLIF can equally improve sagittal lumbar parameters such as LL, Lower LL, L5I, and LASD in the treatment of lumbar degenerative diseases. However, MIDLF had a larger impact on pelvic parameters than MIS-TLIF.
Research perspectives
MIDLF is a good choice for the treatment of short-segment degenerative lumbar diseases.
