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Research ArticleLumbar Spine

Evaluation of Anterior Lumbar Interbody Fusion Performed Using a Stand-Alone, Integrated Fusion Cage

Richard D. Guyer, Jack E. Zigler, Scott L. Blumenthal, Jessica L. Shellock and Donna D. Ohnmeiss
International Journal of Spine Surgery February 2023, 17 (1) 1-5; DOI: https://doi.org/10.14444/8354
Richard D. Guyer
1 Center for Disc Replacement at Texas Back Institute, Plano, TX, USA
MD
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  • For correspondence: rguyer@texasback.com
Jack E. Zigler
1 Center for Disc Replacement at Texas Back Institute, Plano, TX, USA
MD
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Scott L. Blumenthal
1 Center for Disc Replacement at Texas Back Institute, Plano, TX, USA
MD
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Jessica L. Shellock
1 Center for Disc Replacement at Texas Back Institute, Plano, TX, USA
MD
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Donna D. Ohnmeiss
1 Center for Disc Replacement at Texas Back Institute, Plano, TX, USA
2 Texas Back Institute Research Foundation, Plano, TX, USA
DRMED
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  • Figure 1
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    Figure 1

    The current design of the STALIF M-Ti device made of polyetheretherketone with texturized titanium surfaces interfacing with the vertebral bodies (courtesy Centinel Spine, LLC, with permission).

  • Figure 2
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    Figure 2

    The mean visual analog scales back and leg pain scores improved significantly after stand-alone anterior lumbar interbody fusion (P < 0.01).

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    Table 1

    Description of the study population.

    CharacteristicMeasure
    Age, y, mean (range)47.8 (20–77)
    Body mass index, kg/m2, mean (range)28.0 (20.4–40.6)
    Gender, n (%) 
     Women30 (51.7%)
     Men28 (48.3%)
    Prior lumbar spine surgery, n (%)25 (43.1%)
    Level(s) implanted, n (%) 
     L4-L511 (19.0%)
     L5-S144 (75.9%)
     L4-L5 and L5-S12 (3.4%)
     L3-L4 and L5-S11 (1.7%)
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    Table 2

    Overview of re-operations in the series.

    Reason for Re-operation n (%)Time from Index Surgery (mo)
    Clear pseudarthrosis3 (5.2%)11, 19, and 27
    Progressive cage subsidence1 (1.7%)2
    Foraminal stenosis at index level1 (1.7%)3
    Metal allergy reaction2 (3.4%)7 and 9
    Adjacent segment degeneration1 (1.7%)17
    Ongoing paina 1 (1.7%)4
    Total9 (15.5%)Not applicable
    • ↵a No subsidence or pseudarthrosis.

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International Journal of Spine Surgery
Vol. 17, Issue 1
1 Feb 2023
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Evaluation of Anterior Lumbar Interbody Fusion Performed Using a Stand-Alone, Integrated Fusion Cage
Richard D. Guyer, Jack E. Zigler, Scott L. Blumenthal, Jessica L. Shellock, Donna D. Ohnmeiss
International Journal of Spine Surgery Feb 2023, 17 (1) 1-5; DOI: 10.14444/8354

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Evaluation of Anterior Lumbar Interbody Fusion Performed Using a Stand-Alone, Integrated Fusion Cage
Richard D. Guyer, Jack E. Zigler, Scott L. Blumenthal, Jessica L. Shellock, Donna D. Ohnmeiss
International Journal of Spine Surgery Feb 2023, 17 (1) 1-5; DOI: 10.14444/8354
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Keywords

  • ALIF
  • stand-alone
  • clinical outcome
  • interbody cage
  • lumbar spine

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