Comparison of incidence of adjacent segment pathology between anterior lumbar interbody fusion and transforaminal lumbar interbody fusion treatments for lumbosacral junction

Po Kuan Wu, Meng Huang Wu, Cheng Min Shih, Yen Kuang Lin, Kun Hui Chen, Chien Chou Pan, Tsung Jen Huang, Ching Yu Lee, Cheng Hung Lee

Research output: Contribution to journalArticlepeer-review

Abstract

This research compared the incidence of adjacent segment pathology (ASP) between anterior interbody lumbar fusion (ALIF) treatment and transforaminal lumbar interbody fusion (TLIF) treatment. Seventy patients were included in this retrospective study: 30 patients received ALIF treatment, and 40 patients received TLIF treatment at a single medical center between 2011 and 2020 with a follow-up of at least 12 months. The outcomes were radiographic adjacent segment pathology (RASP) and clinical adjacent segment pathology (CASP). The mean follow-up period was 42.10 ± 22.61 months in the ALIF group and 56.20 ± 29.91 months in the TLIF group. Following single-level lumbosacral fusion, ALIF is superior to TLIF in maintaining lumbar lordosis, whereas the risk of adjacent instability in the ALIF group is significantly higher. Regarding ASP, the incidence of overall RASP and CASP did not differ significantly between ALIF and TLIF groups.

Original languageEnglish
Pages (from-to)855-865
Number of pages11
JournalTomography
Volume7
Issue number4
DOIs
Publication statusPublished - Dec 2021

Keywords

  • Adjacent segment pathology
  • Anterior lumbar interbody fusion
  • Lumbosacral fusion
  • Transforaminal lumbar interbody fusion

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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