Evidence map›Paper›PMID 36348689›Full record

ArticleSpine surgery and related research2022

Reduction Capacity and Factors Affecting Slip Reduction Using Cortical Bone Trajectory Technique in Transforaminal Lumbar Interbody Fusion for Degenerative Spondylolisthesis.

Keitaro Matsukawa, Kanehiro Fujiyoshi, Yoshihide Yanai, Takashi Kato, Yoshiyuki Yato

Open access · diamondAbstract read
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Article in Spine surgery and related research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 41% of its field
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Keitaro MatsukawaDepartment of Orthopaedic Surgery, National Hospital Organization, Murayama Medical Center, Tokyo, Japan.
Kanehiro FujiyoshiDepartment of Orthopaedic Surgery, National Hospital Organization, Murayama Medical Center, Tokyo, Japan.
Yoshihide YanaiDepartment of Orthopaedic Surgery, National Hospital Organization, Murayama Medical Center, Tokyo, Japan.
Takashi KatoDepartment of Orthopaedic Surgery, National Hospital Organization, Murayama Medical Center, Tokyo, Japan.
Yoshiyuki YatoDepartment of Orthopaedic Surgery, National Hospital Organization, Murayama Medical Center, Tokyo, Japan.
National Hospital Organization · JPMurayama Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Vertebral slip reduction has been recommended in arthrodesis for lumbar degenerative spondylolisthesis (LDS) to achieve balanced spinal alignment and bone fusion. However, what determines the degree of slip reduction using cortical bone trajectory technique for lumbar pedicle screw insertion is yet to be determined. Thus, in this study, we aim to investigate the slip reduction capacity using cortical bone trajectory (CBT) technique and to identify factors affecting the slip reduction rate. Methods: This is a retrospective radiological evaluation of prospectively collected patients. In total, 49 consecutive patients who underwent single-level transforaminal lumbar interbody fusion for LDS using the CBT technique were included (mean follow-up: 28.9 months). Firstly, radiological parameters of fused segment including the percentage of anterior vertebral slip (%slip), lordotic angle, and disk height were measured. Then, patient and procedure-related parameters were examined to determine factors related to the slip reduction rate using multiple regression analysis. Results: The %slip was reduced from 15.0±4.8 to 1.6±2.3% immediately after surgery and 2.2±2.9% at the last follow-up (p<0.01), with a slip reduction rate of 87.5±15.7% and correction loss of 0.6±2.1%. As per multivariate regression analysis, it was found that preoperative %slip (standardized regression coefficient [β]=-0.55, p=0.003) and the depth of screw insertion in the caudal vertebra (β=0.38, p=0.03) were significant independent factors affecting slip reduction rate (adjusted R Conclusions: To the best of our knowledge, this study is the first to investigate the capacity for and factors affecting slip reduction using the CBT technique for LDS. The CBT technique may be a useful option for achieving slip reduction, and the depth of screw insertion in the caudal vertebra was identified as a significant technical factor to obtain a more significant reduction of slipped vertebra.

Indexed as

Cortical bone trajectorydepth of screw insertionlumbar degenerative spondylolisthesislumbar interbody fusionslip reduction

Identifiers

PMID36348689
PMCPMC9605744
OpenAlexW4211034403

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.