CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2020; 55(05): 653
DOI: 10.1055/s-0040-1701283
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Multilevel Anterior Lumbar Interbody Fusion Combined with Posterior Stabilization in Lumbar Disc Disease - Prospective Analysis of Clinical and Functional Outcomes

Article in several languages: português | English
1  Saneamento1 Centro Médico Acadêmico, Bangkok, Tailândia
,
Viroj Wiwanitkit
2  Dr DY Patil University, Pune, Maharashtra, Índia
› Author Affiliations
 

Dear Editor,

We read the publication on “Multilevel Anterior Lumbar Interbody Fusion Combined with Posterior Stabilization in Lumbar Disc Disease - Prospective Analysis of Clinical and Functional Outcomes” with a great interest.[1] Moura et al.[1] noted that “Instrumented ALIF combined with posterior stabilization is a successful option for uni- and multilevel degenerative disc disease.” We would like to share ideas on this report on spinal surgery. In fact, as noted by Grabala et al.[2] any spinal manipulation for the correction of vertebral problems might be associated with complications. The risk of complications might increase due to several factors, including the basic physiology of the patients, such as body mass index.[3] The nature of the instrument and the direction of approach are also related to the occurrence of postoperational stability and complications.[4] Also, a complex procedure might also be associated with increased risk.[2] Those factors have to be considered before a definitive conclusion is reached regarding the technique.


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Conflito de Interesses

Os autores declaram não haver conflito de interesses.


Endereço para Correspondência

Beuy Joob, PhD
Sanitation1 Medical Academic Center
Bangkok
Tailândia   

Publication History

Received: 24 June 2019

Accepted: 30 October 2019

Publication Date:
23 March 2020 (online)

© 2020. The Author(s). 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 commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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