Long-term Radiological and Clinical Outcome after Lumbar Spinal Fusion Surgery in Patients with Degenerative Spondylolisthesis: A Prospective 6-Year Follow-up Study.
Clinical outcome
Degenerative spondylolisthesis
Posterior lumbar interbody fusion (PLIF)
Radiological outcome
Transforaminal lumbar interbody fusion (TLIF)
Journal
Orthopaedic surgery
ISSN: 1757-7861
Titre abrégé: Orthop Surg
Pays: Australia
ID NLM: 101501666
Informations de publication
Date de publication:
Aug 2022
Aug 2022
Historique:
revised:
16
05
2022
received:
31
07
2021
accepted:
18
05
2022
pubmed:
18
6
2022
medline:
12
8
2022
entrez:
17
6
2022
Statut:
ppublish
Résumé
To assess which radiological alignment parameters are associated with a satisfactory long-term clinical outcome after performing lumbar spinal fusion for treating degenerative spondylolisthesis. This single-center prospective study assessed the relation between radiological alignment parameters measured on standing lateral lumbar spine radiographs and the patient-reported outcome using four different questionnaires (COMI, EQ-5D, ODI and VAS) as primary outcome measures (level of evidence: II). The following spinopelvic alignment parameters were used: gliding angle, sacral inclination, anterior displacement, sagittal rotation, lumbar lordosis, sacral slope, pelvic tilt and pelvic incidence. Furthermore, the length of stay and perioperative complications were documented. Only cases from 2013 to 2015 of low-grade degenerative lumbar spondylolisthesis (Meyerding grades I and II) were considered. The patients underwent open posterior lumbar fusion surgery by pedicle screw instrumentation and cage insertion. The operative technique was either a posterior lumbar interbody fusion (PLIF) or a transforaminal lumbar interbody fusion (TLIF) performed by three different senior orthopedic surgeons. Exclusion criteria were spine fractures, minimally invasive techniques, underlying malignant diseases or acute infections, previous or multisegmental spine surgery as well as preoperative neurologic impairment. Of 89 initially contacted patients, 17 patients were included for data analysis (11 males, six females). The data of 17 patients after mono- or bisegmental lumbar fusion surgery to treat low-grade lumbar spondylolisthesis and with a follow-up time of least 72 months were analyzed. The mean age was 66.7 ± 11.3 years. In terms of complications two dural tears and one intraoperative bleeding occurred. The average body mass index (BMI) was 27.6 ± 4.4 kg/m The surgical modification of the pelvic tilt and the sagittal rotation are the two radiological alignment parameters that can most accurately predict the long-term clinical outcome after lumbar interbody fusion surgery.
Identifiants
pubmed: 35711118
doi: 10.1111/os.13350
pmc: PMC9363728
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1607-1614Informations de copyright
© 2022 The Authors. Orthopaedic Surgery published by Tianjin Hospital and John Wiley & Sons Australia, Ltd.
Références
J Rehabil Med. 2018 Nov 7;50(10):898-907
pubmed: 30307025
BMC Musculoskelet Disord. 2013 Aug 19;14:245
pubmed: 23957727
Eur Spine J. 2011 Sep;20 Suppl 5:641-6
pubmed: 21809015
BMC Musculoskelet Disord. 2011 Apr 05;12:69
pubmed: 21466688
J Clin Neurosci. 2013 Feb;20(2):191-6
pubmed: 23232102
Eur Spine J. 2001 Aug;10(4):314-9
pubmed: 11563617
Spine (Phila Pa 1976). 2002 Jan 1;27(1):59-64
pubmed: 11805637
Eur Spine J. 2019 Sep;28(9):1889-1905
pubmed: 31332569
Eur Spine J. 2012 Nov;21(11):2181-7
pubmed: 22639298
Spine J. 2013 Oct;13(10):1183-9
pubmed: 24119879
Arch Orthop Trauma Surg. 2022 May;142(5):721-727
pubmed: 33372234
Eur Spine J. 2021 Jan;30(1):22-33
pubmed: 32949311
Spine (Phila Pa 1976). 2009 Jan 15;34(2):199-205
pubmed: 19139672
N Engl J Med. 2016 Apr 14;374(15):1424-34
pubmed: 27074067
Int Orthop. 2015 Jan;39(1):87-95
pubmed: 25192690
Orthop Traumatol Surg Res. 2017 Feb;103(1S):S11-S20
pubmed: 28043848
Spine (Phila Pa 1976). 2007 Jan 1;32(1):120-5
pubmed: 17202902
Eur Spine J. 2016 Aug;25(8):2359-67
pubmed: 26363561
Scoliosis. 2011 Jul 28;6(1):14
pubmed: 21797995
World Neurosurg. 2018 Dec;120:e1017-e1023
pubmed: 30201580
J Orthop. 2020 Aug 25;22:383-389
pubmed: 32952331
J Bone Joint Surg Am. 1987 Sep;69(7):960-9
pubmed: 3654708
Spine J. 2015 Feb 1;15(2):265-71
pubmed: 25281920
Neurosurg Clin N Am. 2018 Jul;29(3):331-339
pubmed: 29933801
Int Orthop. 2009 Oct;33(5):1335-40
pubmed: 18679680
Medicine (Baltimore). 2019 Sep;98(39):e17316
pubmed: 31574861
J Bone Joint Surg Am. 1979 Jun;61(4):479-95
pubmed: 438234
Eur Spine J. 2000 Feb;9(1):47-55
pubmed: 10766077
Spine J. 2009 Aug;9(8):639-47
pubmed: 19482517
Acta Orthop Traumatol Turc. 2018 Jul;52(4):272-276
pubmed: 29705297
Spine (Phila Pa 1976). 2006 Feb 1;31(3):269-74
pubmed: 16449898
J Orthop Sci. 2015 Nov;20(6):978-84
pubmed: 26293800
Psychol Methods. 2016 Sep;21(3):273-90
pubmed: 27213982
Clin Trials. 2004;1(6):553-66
pubmed: 16279296
J Clin Neurosci. 2017 Oct;44:95-100
pubmed: 28774491
J Bone Joint Surg Am. 1991 Jul;73(6):802-8
pubmed: 2071615
Clin Orthop Relat Res. 1976 Jun;(117):23-9
pubmed: 1277669
Arch Orthop Trauma Surg. 2020 Sep;140(9):1155-1162
pubmed: 31734732
Spine (Phila Pa 1976). 1993 Jan;18(1):80-91
pubmed: 8434330
J Strength Cond Res. 2004 Nov;18(4):918-20
pubmed: 15574101
Spine J. 2016 Feb;16(2):182-90
pubmed: 26515392
Neurosurgery. 2015 Oct;77 Suppl 4:S136-41
pubmed: 26378351
J Orthop. 2018 Feb 24;15(2):359-362
pubmed: 29881153
Neurosurg Clin N Am. 2019 Jul;30(3):353-364
pubmed: 31078236
Spine (Phila Pa 1976). 2005 Sep 15;30(18):2024-9
pubmed: 16166889
J Orthop Surg Res. 2019 Nov 28;14(1):399
pubmed: 31779653