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©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 16, 2024; 12(26): 5885-5892
Published online Sep 16, 2024. doi: 10.12998/wjcc.v12.i26.5885
Published online Sep 16, 2024. doi: 10.12998/wjcc.v12.i26.5885
Risk factors and clinical significance of posterior slip of the proximal vertebral body after lower lumbar fusion
Jia-Jun Zhu, Yi Wang, Jun Zheng, Sheng-Yang Du, Lei Cao, Yu-Ming Yang, Qing-Xi Zhang, Ding-Ding Xie, Department of Spinal Surgery, Xuzhou First People’s Hospital, Xuzhou 221112, Jiangsu Province, China
Jia-Jun Zhu, Yi Wang, Jun Zheng, Sheng-Yang Du, Lei Cao, Yu-Ming Yang, Qing-Xi Zhang, Ding-Ding Xie, Department of Spinal Surgery, The Affiliated Xuzhou Municipal Hospital of Xuzhou Medical University, Xuzhou 221112, Jiangsu Province, China
Jia-Jun Zhu, Yi Wang, Jun Zheng, Sheng-Yang Du, Lei Cao, Yu-Ming Yang, Qing-Xi Zhang, Ding-Ding Xie, Department of Spinal Surgery, The Affiliated Hospital of China University of Mining and Technology, Xuzhou 221112, Jiangsu Province, China
Co-first authors: Jia-Jun Zhu and Yi Wang.
Author contributions: Xie DD, Zhu JJ, Zheng J, Cao L and Du SY designed the research study; Xie DD, Zhu JJ, Wang Y, Yang YM and Zhang QX performed the research; Zhu JJ and Wang Y contributed analytic tools; Xie DD, Zhu JJ and Wang Y analyzed the data and wrote the manuscript. All authors have read and approve the final manuscript.
Supported by The Youth Medicine Technology Innovation Project of Xuzhou Health Commission , No. XWKYHT20200026 .
Institutional review board statement: The study was reviewed and approved by the Xuzhou First people’s Hospital Institutional Review Board.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All the authors declare no conflicts of interest.
Data sharing statement: Technical appendix, statistical code, and dataset available from the corresponding author at dd2225@126.com.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ding-Ding Xie, MM, Attending Doctor, Department of Spinal Surgery, Xuzhou First People’s Hospital, No. 269 Daxue Road, Xuzhou 221112, Jiangsu Province, China. dd2225@126.com
Received: March 18, 2024
Revised: June 7, 2024
Accepted: June 25, 2024
Published online: September 16, 2024
Processing time: 126 Days and 18.3 Hours
Revised: June 7, 2024
Accepted: June 25, 2024
Published online: September 16, 2024
Processing time: 126 Days and 18.3 Hours
Core Tip
Core Tip: Sagittal alignment of the spine and pelvis was assessed for patients with or without retrograde of the adjacent vertebra body on postoperative X-rays. We concluded that the risk factors of the posterior slip of the proximal vertebra body after lower lumbar fusion are related to a higher pelvic incidence (PI) and distribution of lumbar lordosis. When a patient has a high PI and insufficient reconstruction of the lower lumbar spine, adjacent segment compensation via posterior vertebra body slippage is one of the factors that significantly affects surgical outcomes.