Metal failure and nonunion at L5-S1 after long instrumented fusion distal to pelvis for adult spinal deformity: Anterior versus transforaminal interbody fusion.
Se-Jun ParkJin-Sung ParkChong-Suh LeeKeun-Ho LeePublished in: Journal of orthopaedic surgery (Hong Kong) (2022)
TLIF showed a better fusion rate than ALIF at L5-S1 after long instrumented fusion for ASD. However, the capacity to restore sagittal parameters was greater in the ALIF group. There were no differences between the groups regarding metal failure rate, revision surgery, or clinical outcomes.