Evidence map›Paper›PMID 39187299›Full record

ArticleInternational journal of spine surgery2024

Mismatch Between Pelvic Incidence and Lumbar Lordosis After Personalized Interbody Fusion: The Importance of Preoperative Planning and Alignment in Degenerative Spine Diseases.

Jahangir Asghar, Ashvin I Patel, Joseph A Osorio, Justin S Smith, John Small, Jeffrey P Mullin, Atman Desai, Michele Temple-Wong, Rodrigo J Nicolau

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Article in International journal of spine surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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0cells of the map it votes in
4citing papers in PubMed
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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

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Jahangir AsgharElite Spine Health and Wellness, Plantation, FL, USA jasghar01@gmail.com.
Ashvin I PatelKennedy-White Orthopedic Center, Sarasota, FL, USA.
Joseph A OsorioDepartment of Neurological Surgery, University of California, San Diego, CA, USA.
Justin S SmithDepartment of Neurosurgery, University of Virginia, Charlottesville, VA, USA.
John SmallCenter for Spinal Disorders at Florida Orthopaedic Institute, Temple Terrace, FL, USA.
Jeffrey P MullinDepartment of Neurosurgery, University at Buffalo, Buffalo, NY, USA.
Atman DesaiDepartment of Neurosurgery, Stanford University Hospital and Clinics, Stanford, CA, USA.
Michele Temple-WongCarlsmed, Carlsbad, CA, USA.
Rodrigo J NicolauCarlsmed, Carlsbad, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEmerging data have highlighted the significance of planning and aligning total and segmental lumbar lordosis with pelvic morphology when performing short-segment fusion with the goal of reducing the risk of adjacent segment disease while also decreasing spine-related disability. This study evaluates the impact of personalized interbody implants in restoring pelvic incidence-lumbar lordosis (PI-LL) mismatch compared with a similar study using stock interbody implants.

methodsThis multicenter retrospective analysis assessed radiographic pre- and postoperative spinopelvic alignment (PI-LL) in patients who underwent 1- or 2-level lumbar fusions with personalized interbody implants for degenerative (nondeformity) indications. The aim was to assess the incidence of malalignment (PI-LL ≥ 10°) both before and after fusion surgery and to determine the rate of alignment preservation and/or correction in this population.

resultsThere were 135 patients included in this study. Of 83 patients who were aligned preoperatively, alignment was preserved in 76 (91.6%) and worsened in 7 (8.4%). Among the 52 preoperatively malaligned patients, alignment was restored in 23 (44.2%), and 29 (55.8%) were not fully corrected. Among patients who were preoperatively aligned, there was no statistically significant difference in either the "preserved" or "worsened" groups between stock devices and personalized interbody devices. In contrast, among patients who were preoperatively malaligned, there was a statistically significant increase in the "restored" group (

conclusionsCompared with a historical cohort with stock implants, personalized interbody implants in short-segment fusions have shown a statistically significant improvement in restoring patients to normative PI-LL. Using 3-dimensional preoperative planning combined with personalized implants provides an important tool for planning and achieving improvement in spinopelvic parameters. LEVEL OF EVIDENCE: 3:

Indexed as

fusioninterbodylumbarpersonalizedPI-LLshort-segmentspinopelvic parameters

Identifiers

PMID39187299
PMCPMC11483418

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