📇 Rhumatologue · BOURGOIN JALLIEU CEDEX · (38) · Salarié

M Joseph AKENDEGUE

Pourquoi vous devez consulter ce praticien

2 raisons identifiées

Auteur de référence en rhumatologie
29 articles scientifiques publiés — un praticien à la pointe de la recherche
Délais de RDV courts dans la région
120.1 rhumatos / 100 000 hab. — département bien doté

Rhumatologue

📍 BOURGOIN JALLIEU CEDEX (38)SalariéRPPS 10100500072

✨ Génération du profil synthétique IA en cours…

Lieu de consultation

CH PIERRE OUDOT BOURGOIN JALLIEU
30 AV DU MEDIPOLE BP 40348, 38302 BOURGOIN JALLIEU CEDEX
☎ 0474273099Activité de soin et de pharmacie🏥 Centre CH ↗

Tarifs & secteur de conventionnement

Secteur de conventionnement non disponible (médecin hospitalier ou non présent dans l'Annuaire santé CNAM des libéraux conventionnés).

Données ANS publiques (Licence Ouverte 2.0) · Enrichissements MonRhumato 100 % opt-in · Toute personne référencée peut demander la suppression ou la rectification.

Top publications · les plus citées

Mechanical Failures as Predicted by Achieving Local Versus Global T4-L1 Hip Axis Goals : A Single-center Experience

Spine · 2026

📚 3 citations

Lire l'abstract Crossref ↓

Study Design. Retrospective cohort study. Objective. To evaluate the predictive value of T4-L1 Hip Axis Error (HAE) and L1PA Error (L1PAE) on mechanical failure following adult spinal deformity (ASD) surgery, and to assess how error directionality and fusion length influence outcomes. Summary of Background Data. The T4-L1 Hip Axis is a novel framework for defining normative sagittal alignment by aligning thoracic and lumbar curvatures relative to the pelvis. Prior studies suggest that deviation from this axis may contribute to mechanical complications following ASD surgery. However, the impact of directionality, construct length, and specific risk factors remains underexplored. Methods. A retrospective review was conducted of 271 ASD patients who underwent fusion from L2 or above to the pelvis between 2016 and 2024. T4PA and L1PA were measured from six-week postoperative standing radiographs. Alignment errors (HAE, L1PAE) were calculated based on the target threshold derived from prior normative studies. Multivariate logistic regression identified predictors of mechanical failures. Subgroup analyses were stratified by fusion length and error direction. Results. HAE was a significant predictor of mechanical failure (OR=1.20 per degree, P <0.001), whereas L1PAE was not. HAE remained predictive regardless of whether patients achieved L1PA targets. In short fusions, both the signed and absolute value of HAE were associated with mechanical failure. Positive HAE (anterior T4 alignment) conferred the highest risk. Higher BMI and short constructs were independent predictors of increased HAE. Conclusions. HAE is a robust, direction-sensitive predictor of mechanical failure in ASD surgery. Its predictive power surpasses L1PAE and remains significant in both long and short segment fusions. HAE should be routinely measured and minimized intraoperatively to reduce postoperative mechanical complications.

Economic burden borne by patients due to diagnostic delays in inflammatory bowel disease: Insights from a survey of newly diagnosed patients

Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026

📚 1 citations

Cookies & analyse de trafic

M Joseph AKENDEGUE

Pourquoi vous devez consulter ce praticien

Lieu de consultation

Tarifs & secteur de conventionnement

Prendre rendez-vous & contact

Top publications · les plus citées

Publications scientifiques (29) — classées par pathologie

Transversal10

Revue générale7

Pédiatrie2

Pharmacovigilance2

Recommandations2

Revue / méta-analyse2

Case report / série1

Économie santé1

Épidémiologie & registres1

Essai clinique1

IA en rhumatologie1

IRM ostéo-articulaire1

Lupus1

Santé mentale / fatigue1

SAPL1

Partager cette fiche