{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T18:08:24Z","timestamp":1777658904470,"version":"3.51.4"},"reference-count":14,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2018,11,21]],"date-time":"2018-11-21T00:00:00Z","timestamp":1542758400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Global Spine Journal"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To assess both implant performance and the amount of correction that can be achieved using multilevel anterior lumbar interbody fusion (ALIF).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Retrospective cohort study (n = 178) performed over a 4-year period. Surgical variables examined included blood loss, operative time, perioperative complications, and secondary\/revision procedures. Follow-up radiographic assessment was performed to record implant-related problems. Radiographic parameters were examined pre- and postoperatively. Health-related quality of life (HRQOL) outcome measures were collected preoperatively and at 6 weeks, 6 months, 1 year, and 2 years postoperatively. Descriptive and comparative statistical analysis, using paired-sample t test and repeated-measures analysis of variance (rANOVA), was performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Lumbar lordosis increased from 42\u00b0 \u00b1 17\u00b0 preoperatively to 55\u00b0 \u00b1 11\u00b0 postoperatively ( P &lt; .001). The visual analog scale back pain mean score improved from 8.3 \u00b1 1.5 preoperatively to 2.6 \u00b1 2.4 at 2 years ( P &lt; .001). The mean Oswestry Disability Index improved from 69.5 \u00b1 21.5 preoperatively to 19.9 \u00b1 15.2 at 2 years ( P &lt; .001). The EQ-5D mean score improved from 0.2 \u00b1 0.2 preoperatively to 0.8 \u00b1 0.1 at 2 years ( P = .02). There were no neurological, vascular, or visceral approach\u2013related injuries reported. No rod breakages and no symptomatic nonunions occurred. There was one revision procedure performed for fracture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The use of porous tantalum cages as part of a 360-degree fusion to treat adult degenerative spinal deformity has been demonstrated to be a safe and effective strategy, leading to good clinical, functional, and radiographic outcomes in the short term.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2192568218814531","type":"journal-article","created":{"date-parts":[[2018,11,22]],"date-time":"2018-11-22T00:08:36Z","timestamp":1542845316000},"page":"613-618","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["360-Degree Complex Primary Reconstruction Using Porous Tantalum Cages for Adult Degenerative Spinal Deformity"],"prefix":"10.1177","volume":"9","author":[{"given":"Joseph S.","family":"Butler","sequence":"first","affiliation":[{"name":"Mater Misericordiae University Hospital, Dublin, Ireland"},{"name":"Tallaght University Hospital, Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Darren F.","family":"Lui","sequence":"additional","affiliation":[{"name":"St George\u2019s Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karan","family":"Malhotra","sequence":"additional","affiliation":[{"name":"Royal National Orthopaedic Hospital, Stanmore, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria L.","family":"Suarez-Huerta","sequence":"additional","affiliation":[{"name":"Royal National Orthopaedic Hospital, Stanmore, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haiming","family":"Yu","sequence":"additional","affiliation":[{"name":"Royal National Orthopaedic Hospital, Stanmore, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susanne","family":"Selvadurai","sequence":"additional","affiliation":[{"name":"Royal National Orthopaedic Hospital, Stanmore, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Obiekezie","family":"Agu","sequence":"additional","affiliation":[{"name":"Royal National Orthopaedic Hospital, Stanmore, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean","family":"Molloy","sequence":"additional","affiliation":[{"name":"Royal National Orthopaedic Hospital, Stanmore, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,11,21]]},"reference":[{"key":"bibr1-2192568218814531","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200902000-00006"},{"key":"bibr2-2192568218814531","first-page":"2","volume":"1","author":"Mobbs RJ","year":"2015","journal-title":"J Spine 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