دورية أكاديمية
أعرض في EDS

Sagittally Balanced Degenerative Spondylolisthesis Patients With Increased Sacral Slope and Greater Lumbar Lordosis Experience Less Back Pain After Short-Segment Lumbar Fusion Surgery.

التفاصيل البيبلوغرافية
العنوان: Sagittally Balanced Degenerative Spondylolisthesis Patients With Increased Sacral Slope and Greater Lumbar Lordosis Experience Less Back Pain After Short-Segment Lumbar Fusion Surgery.
المؤلفون: Liow MHL; Department of Orthopedic Surgery, Singapore General Hospital, Singapore., Goh GS; Department of Orthopedic Surgery, Singapore General Hospital, Singapore., Chua JL; Department of Orthopedic Surgery, Singapore General Hospital, Singapore., Ling ZM; Department of Orthopedic Surgery, Singapore General Hospital, Singapore., Soh RCC; Department of Orthopedic Surgery, Singapore General Hospital, Singapore., Guo CM; Department of Orthopedic Surgery, Singapore General Hospital, Singapore., Tan SB; Orthopaedic and Spine Clinic, Mount Elizabeth Medical Centre, Singapore, Singapore., Chen JL; Department of Orthopedic Surgery, Singapore General Hospital, Singapore.
المصدر: Clinical spine surgery [Clin Spine Surg] 2020 Jun; Vol. 33 (5), pp. E231-E235.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wolters Kluwer Country of Publication: United States NLM ID: 101675083 Publication Model: Print Cited Medium: Internet ISSN: 2380-0194 (Electronic) Linking ISSN: 23800186 NLM ISO Abbreviation: Clin Spine Surg Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Hagerstown, MD : Wolters Kluwer, [2016-]
مواضيع طبية MeSH: Lordosis/*surgery , Low Back Pain/*surgery , Spinal Fusion/*methods , Spondylolisthesis/*surgery, Aged ; Female ; Humans ; Lumbar Vertebrae/surgery ; Lumbosacral Region/physiopathology ; Male ; Middle Aged ; Postoperative Complications/etiology ; Postoperative Period ; Preoperative Period ; Prospective Studies ; ROC Curve ; Registries ; Retrospective Studies ; Sacrum/surgery ; Spinal Fusion/adverse effects ; Treatment Outcome
مستخلص: Study Design: A retrospective review of prospectively collected registry data.
Objectives: (1) Examine functional outcomes of patients with postoperative sacral slope (SS)<30 degrees versus SS≥30 degrees after single-level transforaminal lumbar interbody fusion (TLIF) for degenerative spondylolisthesis (DS); (2) determine the factors associated with SS at the last follow-up.
Summary of Background Data: Few studies have examined the relationship between spinopelvic parameters and functional outcomes in patients with DS undergoing short-segment TLIF. Although SS of 30 degrees has been proposed as the ideal spinopelvic parameter for eliminating residual pain and disability in adult spinal deformity, the ideal value for DS remains unknown.
Methods: Prospectively collected registry data of 63 patients who underwent single-level L4-L5 open TLIF with sagittal realignment for DS were reviewed. Pelvic incidence, lumbar lordosis (LL), pelvic tilt, SS, listhesis excursion, and Bridwell fusion grading were recorded. Patients were stratified into SS<30 degrees (n=26) or SS≥30 degrees (n=37) at the last follow-up. All patients were assessed preoperatively and postoperatively at 2 years. Receiver operating characteristics curve analysis was used to assess the relationship between expectation fulfillment and change in SS.
Results: Patients with SS≥30 degrees had significantly lower back pain at 2 years (P<0.04). There were no differences in leg pain or outcome scores (Oswestry Disability Index, Short-Form 36 Physical, and Mental Component Summaries), although there was a trend towards better outcomes and higher satisfaction/expectation fulfillment in patients with SS≥30 degrees. The SS≥30 degrees group had a higher preoperative LL (P=0.04) and SS (P<0.01). Preoperative SS was correlated with SS (R=0.71, P<0.01) and LL (R=0.51, P<0.01) at the last follow-up. The area under the curve for change in SS was 0.680 (95% confidence interval, 0.453-0.907) for predicting expectation fulfillment at 2 years.
Conclusions: Patients with increased SS (≥30 degrees) experienced less back pain after short-segment lumbar fusion surgery. This was associated with increased LL postoperatively, indicating better sagittal balance.
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تواريخ الأحداث: Date Created: 20200109 Date Completed: 20210927 Latest Revision: 20210927
رمز التحديث: 20240829
DOI: 10.1097/BSD.0000000000000923
PMID: 31913174
قاعدة البيانات: MEDLINE
الوصف
تدمد:2380-0194
DOI:10.1097/BSD.0000000000000923