{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T07:07:16Z","timestamp":1779433636253,"version":"3.53.1"},"reference-count":12,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Background:<\/jats:title>\n Anterior lumbar interbody fusion (ALIF) is a well-established option for selected patients with degenerative lumbar disease, but its complication profile remains a relevant concern in routine practice. This study aimed to evaluate complications and short-term pain improvement after ALIF in a consecutive institutional series.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n A retrospective consecutive case series of 39 adult patients who underwent ALIF between May 2021 and October 2025 was analyzed. Primary outcomes were postoperative complications and pain improvement assessed by visual analogue scale (VAS) scores. Secondary outcomes included intraoperative complications, operative time, blood loss, and length of stay.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Mean VAS score improved from 9.35 preoperatively to 3.71 postoperatively (\n P<\/jats:italic>\n < 0.0001). No vascular, dural, or nerve root injury occurred intraoperatively. Paresthesia was the most common complication (30.76%), followed by epidural hematoma (7.69%) and sympathetic changes (5.12%). No infection or reoperation was observed.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n ALIF provided significant short-term pain improvement with an overall favorable perioperative profile in this series.<\/jats:p>\n <\/jats:sec>","DOI":"10.25259\/sni_386_2026","type":"journal-article","created":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T06:29:53Z","timestamp":1779431393000},"page":"308","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Anterior lumbar interbody fusion for degenerative lumbar disease: Outcomes and complications"],"prefix":"10.25259","volume":"17","author":[{"given":"Reinaldo Rodrigues","family":"Pamplona","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Neurology and Neurosurgery Foundation \u2013 Brain Institute, Bahia, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinicius Santos","family":"Baptista","sequence":"additional","affiliation":[{"name":"Department of Neurology and Neurosurgery, Universidade Federal de S\u00e3o Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2026,5,22]]},"reference":[{"key":"10.25259\/SNI_386_2026\/ref-1","doi-asserted-by":"crossref","first-page":"1999","DOI":"10.1016\/j.spinee.2018.03.014","article-title":"Does approach matter? A comparative radiographic analysis of spinopelvic parameters in single-level lumbar fusion","volume":"18","author":"Ahlquist","year":"2018","journal-title":"Spine J"},{"key":"10.25259\/SNI_386_2026\/ref-2","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1016\/j.mehy.2014.06.003","article-title":"A conceptual model of compensation\/decompensation in lumbar segmental instability","volume":"83","author":"Barz","year":"2014","journal-title":"Med Hypotheses"},{"key":"10.25259\/SNI_386_2026\/ref-3","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1016\/j.wneu.2019.07.023","article-title":"Evolution of the anterior approach in lumbar spine fusion","volume":"131","author":"Bassani","year":"2019","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_386_2026\/ref-4","doi-asserted-by":"crossref","first-page":"42","DOI":"10.3171\/2014.4.SPINE14270","article-title":"Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 7: Lumbar fusion for intractable low-back pain without stenosis or spondylolisthesis","volume":"21","author":"Eck","year":"2014","journal-title":"J Neurosurg Spine"},{"key":"10.25259\/SNI_386_2026\/ref-5","doi-asserted-by":"crossref","first-page":"1688","DOI":"10.1001\/jama.2022.5921","article-title":"Diagnosis and management of lumbar spinal stenosis: A review","volume":"327","author":"Katz","year":"2022","journal-title":"JAMA"},{"key":"10.25259\/SNI_386_2026\/ref-6","doi-asserted-by":"crossref","first-page":"1127","DOI":"10.1080\/17434440.2016.1254039","article-title":"Stand-alone anterior lumbar interbody fusion: Indications, techniques, surgical outcomes and complications","volume":"13","author":"Kerolus","year":"2016","journal-title":"Expert Rev Med Devices"},{"key":"10.25259\/SNI_386_2026\/ref-7","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1016\/S0140-6736(21)00733-9","article-title":"Low back pain","volume":"398","author":"Knezevic","year":"2021","journal-title":"Lancet"},{"key":"10.25259\/SNI_386_2026\/ref-8","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1016\/j.spinee.2023.10.003","article-title":"Primary anterior lumbar interbody fusion, with and without posterior instrumentation: A 1,377-patient cohort from a multicenter spine registry","volume":"24","author":"Laiwalla","year":"2024","journal-title":"Spine J"},{"key":"10.25259\/SNI_386_2026\/ref-9","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1016\/j.spinee.2021.09.010","article-title":"Anterior lumbar interbody fusion: Single institutional review of complications and associated variables","volume":"22","author":"Mortazavi","year":"2022","journal-title":"Spine J"},{"key":"10.25259\/SNI_386_2026\/ref-10","doi-asserted-by":"crossref","first-page":"4010","DOI":"10.1007\/s00586-025-08914-w","article-title":"ALIF vs. Posterior fusion for lumbar degenerative disease: Comparable efficacy but elevated risk of severe complications-a systematic review and meta-analysis","volume":"34","author":"Onishi","year":"2025","journal-title":"Eur Spine J"},{"key":"10.25259\/SNI_386_2026\/ref-11","doi-asserted-by":"crossref","first-page":"E409","DOI":"10.1097\/BRS.0b013e3182877f11","article-title":"Lumbar spine fusion for chronic low back pain due to degenerative disc disease: A systematic review","volume":"38","author":"Phillips","year":"2013","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.25259\/SNI_386_2026\/ref-12","doi-asserted-by":"crossref","first-page":"1865","DOI":"10.1097\/BRS.0000000000002248","article-title":"A comparison of anterior and posterior lumbar interbody fusions: Complications, readmissions, discharge dispositions, and costs","volume":"42","author":"Qureshi","year":"2017","journal-title":"Spine (Phila Pa 1976)"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/anterior-lumbar-interbody-fusion-for-degenerative-lumbar-disease-outcomes-and-complications\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/anterior-lumbar-interbody-fusion-for-degenerative-lumbar-disease-outcomes-and-complications\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T06:29:55Z","timestamp":1779431395000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/anterior-lumbar-interbody-fusion-for-degenerative-lumbar-disease-outcomes-and-complications\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,22]]},"references-count":12,"alternative-id":["10.25259\/SNI_386_2026"],"URL":"https:\/\/doi.org\/10.25259\/sni_386_2026","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2026,5,22]]},"article-number":"308"}}