Comparison of Incidence of Adjacent Segment Pathology between Anterior Lumbar Interbody Fusion and Transforaminal Lumbar Interbody Fusion Treatments for Lumbosacral Junction

Po-Kuan Wu; Meng-Huang Wu; Cheng-Min Shih; Yen-Kuang Lin; Kun-Hui Chen; Chien-Chou Pan; Tsung-Jen Huang; Ching-Yu Lee; Cheng-Hung Lee

doi:10.3390/tomography7040072

Comparison of Incidence of Adjacent Segment Pathology between Anterior Lumbar Interbody Fusion and Transforaminal Lumbar Interbody Fusion Treatments for Lumbosacral Junction

Tomography. 2021 Dec 2;7(4):855-865. doi: 10.3390/tomography7040072.

Authors

Po-Kuan Wu^{1

2}, Meng-Huang Wu^{3

4}, Cheng-Min Shih^{5

6

7}, Yen-Kuang Lin⁸, Kun-Hui Chen^{5

6

9

10

11}, Chien-Chou Pan^{5

12}, Tsung-Jen Huang^{3

4}, Ching-Yu Lee^{3

4}, Cheng-Hung Lee^{5

6

13}

Affiliations

¹ Department of Education, Taichung Veterans General Hospital, Taichung 40705, Taiwan.
² Department of Orthopedics, Chi Mei Medical Center, Tainan 71004, Taiwan.
³ Department of Orthopedics, Taipei Medical University Hospital, Taipei 11031, Taiwan.
⁴ Department of Orthopaedics, School of Medicine, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan.
⁵ Department of Orthopedic Surgery, Taichung Veterans General Hospital, Taichung 40705, Taiwan.
⁶ College of Medicine, National Chung Hsing University, Taichung 40227, Taiwan.
⁷ Department of Physical Therapy, Hungkuang University, Taichung 433304, Taiwan.
⁸ Graduate Institute of Athletics and Coaching Science, National Taiwan Sport University, Taoyuan 333325, Taiwan.
⁹ Department of Nursing, Jenteh Junior College of Medicine, Nursing and Management, Miaoli 45664, Taiwan.
¹⁰ Department of Computer Science & Information Engineering, College of Computing and Informatics, Providence University, Taichung 43301, Taiwan.
¹¹ Department of Biomedical Engineering, College of Intelligent Technology, HungKuang University, Taichung 433304, Taiwan.
¹² Department of Rehabilitation Science, Jenteh Junior College of Medicine, Nursing and Management, Miaoli 45664, Taiwan.
¹³ Department of Food Science and Technology, Hungkuang University, Taichung 433304, Taiwan.

Abstract

This research compared the incidence of adjacent segment pathology (ASP) between anterior interbody lumbar fusion (ALIF) treatment and transforaminal lumbar interbody fusion (TLIF) treatment. Seventy patients were included in this retrospective study: 30 patients received ALIF treatment, and 40 patients received TLIF treatment at a single medical center between 2011 and 2020 with a follow-up of at least 12 months. The outcomes were radiographic adjacent segment pathology (RASP) and clinical adjacent segment pathology (CASP). The mean follow-up period was 42.10 ± 22.61 months in the ALIF group and 56.20 ± 29.91 months in the TLIF group. Following single-level lumbosacral fusion, ALIF is superior to TLIF in maintaining lumbar lordosis, whereas the risk of adjacent instability in the ALIF group is significantly higher. Regarding ASP, the incidence of overall RASP and CASP did not differ significantly between ALIF and TLIF groups.

Keywords: adjacent segment pathology; anterior lumbar interbody fusion; lumbosacral fusion; transforaminal lumbar interbody fusion.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Humans
Incidence
Lumbar Vertebrae / diagnostic imaging
Lumbar Vertebrae / surgery
Lumbosacral Region / diagnostic imaging
Retrospective Studies
Spinal Fusion* / adverse effects