PDF(Pubmed)
Abstract：
UNASSIGNED: Anterior lumbar interbody fusion (ALIF) or transforaminal lumbar interbody fusion (TLIF) may be used to correct the lumbosacral fractional curve (LsFC) in de novo adult (thoraco) lumbar scoliosis. Yet, the relative benefits of ALIF and TLIF for LsFC correction remain largely undetermined.
UNASSIGNED: To compare the currently available data comparing radiographic correction of the LsFC provided by ALIF and TLIF of LsFC in adult (thoraco)lumbar scoliosis.
UNASSIGNED: A systematic review was performed on original articles discussing fractional curve correction of lumbosacral spinal deformity (using search criteria: \"lumbar\" and \"fractional curve\"). Articles which discussed TLIF or ALIF for LsFC correction were presented and radiographic results for TLIF and ALIF were compared.
UNASSIGNED: Thirty-one articles were returned in the original search criteria, with 7 articles included in the systematic review criteria. All 7 articles presented radiographic results using TLIF for LsFC correction. Three of these articles also discussed results for patients whose LsFC were treated with ALIFs; 2 articles directly compared TLIF and ALIF for LsFC correction. Level III and level IV evidence indicated ALIF as advantageous for reducing the coronal Cobb angle of the LsFC. There were mixed results on relative efficacy of ALIF and TLIF in the LsFC for restoration of adequate global coronal alignment.
UNASSIGNED: Limited level III and IV evidence suggests ALIF as advantageous for reducing the coronal Cobb angle of the LsFC in de novo adult (thoraco) lumbar scoliosis. Relative efficacy of ALIF and TLIF in the LsFC for restoration of global coronal alignment may be dictated by several factors, including directionality and magnitude of preoperative coronal deformity. Given the limited and low-quality evidence, additional research is warranted to determine the ideal interbody support strategies to address the LsFC in adult (thoraco) lumbar scoliosis.
UNASSIGNED: To compare the currently available data comparing radiographic correction of the LsFC provided by ALIF and TLIF of LsFC in adult (thoraco)lumbar scoliosis.
UNASSIGNED: A systematic review was performed on original articles discussing fractional curve correction of lumbosacral spinal deformity (using search criteria: \"lumbar\" and \"fractional curve\"). Articles which discussed TLIF or ALIF for LsFC correction were presented and radiographic results for TLIF and ALIF were compared.
UNASSIGNED: Thirty-one articles were returned in the original search criteria, with 7 articles included in the systematic review criteria. All 7 articles presented radiographic results using TLIF for LsFC correction. Three of these articles also discussed results for patients whose LsFC were treated with ALIFs; 2 articles directly compared TLIF and ALIF for LsFC correction. Level III and level IV evidence indicated ALIF as advantageous for reducing the coronal Cobb angle of the LsFC. There were mixed results on relative efficacy of ALIF and TLIF in the LsFC for restoration of adequate global coronal alignment.
UNASSIGNED: Limited level III and IV evidence suggests ALIF as advantageous for reducing the coronal Cobb angle of the LsFC in de novo adult (thoraco) lumbar scoliosis. Relative efficacy of ALIF and TLIF in the LsFC for restoration of global coronal alignment may be dictated by several factors, including directionality and magnitude of preoperative coronal deformity. Given the limited and low-quality evidence, additional research is warranted to determine the ideal interbody support strategies to address the LsFC in adult (thoraco) lumbar scoliosis.
摘要：
■前路腰椎椎间融合术（ALIF）或经椎间孔腰椎椎间融合术（TLIF）可用于矫正成人（胸）腰椎脊柱侧凸的腰骶部曲度（LsFC）。然而，ALIF和TLIF对LsFC校正的相对益处仍未确定.
■比较成人（胸）腰椎侧凸中ALIF和LsFC的TLIF提供的LsFC的射线照相校正的当前可用数据。
■对讨论腰骶部脊柱畸形的分数曲线矫正的原始文章进行了系统评价（使用搜索标准：“腰椎”和“分数曲线”）。提出了讨论TLIF或ALIF用于LsFC校正的文章，并比较了TLIF和ALIF的射线照相结果。
■在原始搜索条件中返回了31篇文章，系统审查标准中包含7篇文章。所有7篇文章都提供了使用TLIF进行LsFC校正的射线照相结果。其中三篇文章还讨论了使用ALIF治疗LsFC的患者的结果；2篇文章直接比较了TLIF和ALIF的LsFC矫正。III级和IV级证据表明ALIF有利于减小LsFC的冠状Cobb角。LsFC中ALIF和TLIF在恢复适当的整体冠状排列方面的相对功效存在混合结果。
■有限的III和IV级证据表明，ALIF有利于降低成人（胸）腰椎侧凸的LsFC冠状Cobb角。LsFC中ALIF和TLIF对恢复整体冠状排列的相对功效可能由几个因素决定，包括术前冠状畸形的方向性和大小。鉴于证据有限且质量低下，需要更多的研究来确定理想的椎间支持策略,以解决成人(胸)腰椎侧凸的LsFC.
■比较成人（胸）腰椎侧凸中ALIF和LsFC的TLIF提供的LsFC的射线照相校正的当前可用数据。
■对讨论腰骶部脊柱畸形的分数曲线矫正的原始文章进行了系统评价（使用搜索标准：“腰椎”和“分数曲线”）。提出了讨论TLIF或ALIF用于LsFC校正的文章，并比较了TLIF和ALIF的射线照相结果。
■在原始搜索条件中返回了31篇文章，系统审查标准中包含7篇文章。所有7篇文章都提供了使用TLIF进行LsFC校正的射线照相结果。其中三篇文章还讨论了使用ALIF治疗LsFC的患者的结果；2篇文章直接比较了TLIF和ALIF的LsFC矫正。III级和IV级证据表明ALIF有利于减小LsFC的冠状Cobb角。LsFC中ALIF和TLIF在恢复适当的整体冠状排列方面的相对功效存在混合结果。
■有限的III和IV级证据表明，ALIF有利于降低成人（胸）腰椎侧凸的LsFC冠状Cobb角。LsFC中ALIF和TLIF对恢复整体冠状排列的相对功效可能由几个因素决定，包括术前冠状畸形的方向性和大小。鉴于证据有限且质量低下，需要更多的研究来确定理想的椎间支持策略,以解决成人(胸)腰椎侧凸的LsFC.
