ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2026
Anterior lumbar spine reconstruction and fusion to restore lordosis and disc height for the treatment of recurrent lumbar disc prolapse. Functional and radiological outcomes.
Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeThis study evaluated the radiological and functional outcomes of anterior lumbar reconstruction for collapsed discs following recurrent disc prolapse (RDP) using stand-alone anterior lumbar interbody fusion (ALIF). We assessed functional outcomes, fusion success, and changes in disc height and lumbar lordosis.
methodsA retrospective review was conducted on prospectively collected data from 71 patients. Patient-reported outcome measures (PROMs), including VAS for back and leg pain, ODI, and EQ-5D-5 L, were recorded preoperatively and postoperatively. Fusion was assessed using thin-slice CT scans and dynamic flexion-extension radiographs. Disc height, segmental lordosis, and total lumbar lordosis were measured before and after surgery.
resultsThe mean follow-up period was 36.8 months. The average surgical time was 72 min per level (range: 55-110). Preoperative disc height averaged 5.8 mm (range: 3-10) and increased to 13.1 mm (range: 9-17) postoperatively (p < 0.001). Significant improvements were observed in segmental and total lordosis. The CT-confirmed fusion rate was 98.6%. PROMs showed statistically significant improvements at all postoperative follow-ups. The number of prior discectomies did not impact outcomes. However, the presence of epineural fibrosis had a statistically significant negative effect on VAS leg pain improvement.
conclusionALIF is an effective surgical option for managing RDP, particularly in cases with significant disc height and lordosis loss. This study, which represents the largest single-surgeon series to date, demonstrates excellent functional and radiological outcomes with a low complication rate.
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