Different Concepts in Short Segment Reconstruction of Moderate to Severe PI-LL Mismatch Deformity with ALIF, Mini-PSO, and TLIF: A Video Case Series.

IF 1.6 4区医学 Q3 CLINICAL NEUROLOGY

Clinical Spine Surgery Pub Date : 2025-03-31 DOI:10.1097/BSD.0000000000001796

William Sheppard, Landon Reading, Arpan A Patel, Jacob Greenberg, Alexander Spiessberger

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Abstract

Sagittal plane deformities of the thoracolumbar spine, in which there is a significant mismatch between pelvic incidence (PI) and lumbar lordosis (LL) can negatively impact quality of life. Reconstructive surgery frequently involves long-segment spinal fusion. This video case series presents 3 patients with moderate to severe PI-LL mismatch spinal deformities, who underwent short construct corrections using varying strategies. Case 1 utilizes a combination of posterior column osteotomy (PCO) and anterior lumbar interbody fusion (ALIF) to achieve correction. Case 2 describes a combined transforaminal lumbar interbody fusion (TLIF) with a partial pedicle subtraction osteotomy (PSO). Lastly, case 3 details deformity correction with a multilevel TLIF, using extra-large footprint static banana cages, combined with posterior column osteotomy. The aim of this video case series is to outline these 3 techniques and illustrate that in select cases, a short-segment fusion limited to the lumbar spine can achieve significant deformity correction.

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来源期刊

Clinical Spine Surgery Medicine-Surgery

CiteScore

3.00

自引率

5.30%

发文量

236

期刊介绍： Clinical Spine Surgery is the ideal journal for the busy practicing spine surgeon or trainee, as it is the only journal necessary to keep up to date with new clinical research and surgical techniques. Readers get to watch leaders in the field debate controversial topics in a new controversies section, and gain access to evidence-based reviews of important pathologies in the systematic reviews section. The journal features a surgical technique complete with a video, and a tips and tricks section that allows surgeons to review the important steps prior to a complex procedure. Clinical Spine Surgery provides readers with primary research studies, specifically level 1, 2 and 3 studies, ensuring that articles that may actually change a surgeon’s practice will be read and published. Each issue includes a brief article that will help a surgeon better understand the business of healthcare, as well as an article that will help a surgeon understand how to interpret increasingly complex research methodology. Clinical Spine Surgery is your single source for up-to-date, evidence-based recommendations for spine care.