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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2022; 57(05): 828-835
DOI: 10.1055/s-0042-1750797
Artigo Original
Coluna

Impact of the Preoperative Spinopelvic Parameters on the Segmental Lordosis Correction after One-level Lateral Lumbar Interbody Fusion

Article in several languages: português | English
Daniel Arnoni 
1   Instituto de Patologia da Coluna, São Paulo, SP, Brasil
,
Rodrigo Amaral 
1   Instituto de Patologia da Coluna, São Paulo, SP, Brasil
,
Gabriel H. Pokorny 
1   Instituto de Patologia da Coluna, São Paulo, SP, Brasil
,
Rafael Moriguchi 
1   Instituto de Patologia da Coluna, São Paulo, SP, Brasil
,
Luiz Pimenta 
1   Instituto de Patologia da Coluna, São Paulo, SP, Brasil
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Abstract

Objectives The present study aimed to assess whether preoperative spinopelvic parameters can influence the gain of segmental lordosis after one level of lateral lumbar interbody fusion.

Methods The following radiological parameters were measured in the X-rays: pelvic incidence, lumbar lordosis, pelvic tilt, L4S1 lordosis, index level segmental lordosis, intraoperative index segmental lordosis, pelvic mismatch (IP-LL), distal lordosis proportion, delta segmental lordosis, Pelvic Titlt (PT) > 20, actual sacral slope, and ideal sacral slope, and the correlation of these variables with the gain of segmental lordosis was investigated. Afterwards, an exploratory cluster analysis was performed to identify common characteristics between patients and segmental lordosis gain.

Results The sample of the present study comprised 104 patients, of which 76% presented segmental lordosis gain. The most correlated parameters with the segmental lordosis gain were preoperative segmental lordosis (−0.50) and delta intraoperative lordosis (0.51). Moreover, patients in the high PI groups had a trend to gain more segmental lordosis (p < 0.05) and a reduced risk of losing segmental lordosis (Odds 6.08).

Conclusion Patients with low-medium PI profiles presented higher odds of loss of segmental lordosis. However, the preoperative spinopelvic parameters alone do not seem to play a significant role in the fate of segmental lordosis gain.

Keywords

lumbar vertebrae - spinal fusion - lordosis - pelvis

Financial Support

The present study received no financial support from public, commercial, or not-for-profit sources.


Study developed at the Instituto de Patologia da Coluna (IPC), São Paulo, SP, Brazil.




Publication History

Received: 16 November 2021

Accepted: 28 March 2022

Article published online:
11 July 2022

© 2022. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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