Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Comparative Impact of Supine versus Prone Positioning on Segmental Lumbar Lordosis in Patients Undergoing ALIF followed by PSF

Version 1 : Received: 28 March 2024 / Approved: 28 March 2024 / Online: 28 March 2024 (12:14:35 CET)

How to cite: Sadeghzadeh, S.; Yoo, K.; Lopez, I.; Johnstone, T.; Schonfeld, E.; Haider, G.; Marianayagam, N.J.; Stienen, M.N.; Veeravagu, A. Comparative Impact of Supine versus Prone Positioning on Segmental Lumbar Lordosis in Patients Undergoing ALIF followed by PSF. Preprints 2024, 2024031761. https://doi.org/10.20944/preprints202403.1761.v1 Sadeghzadeh, S.; Yoo, K.; Lopez, I.; Johnstone, T.; Schonfeld, E.; Haider, G.; Marianayagam, N.J.; Stienen, M.N.; Veeravagu, A. Comparative Impact of Supine versus Prone Positioning on Segmental Lumbar Lordosis in Patients Undergoing ALIF followed by PSF. Preprints 2024, 2024031761. https://doi.org/10.20944/preprints202403.1761.v1

Abstract

Introduction: Anterior Lumbar Interbody Fusion (ALIF) and Posterior Spinal Fusion (PSF) play pivotal roles in restoring lumbar lordosis in spinal surgery. Debates persist between combined single-position surgery and traditional prone-position PSF for optimizing segmental lumbar lordosis. Research Question: The study investigates the impact of performing ALIF in the supine position followed by PSF in the prone position on segmental lumbar lordosis. Material and Methods: A cohort of 59 patients underwent ALIF and PSF at a single institution. Preoperative, post-ALIF supine, and post-PSF prone Cobb angles were assessed using x-ray imaging. Statistical analyses, including one-way repeated measures ANOVA and Post-hoc analyses with Bonferroni adjustment, were employed for mean comparisons within subjects. Results: The mean Cobb angle for the entire cohort showed significant variations over different time points (p).

Keywords

spine surgery; spinal instrumentation; ALIF; PSF; segmental lumbar lordosis

Subject

Medicine and Pharmacology, Clinical Medicine

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