PROSPECTIVE CONTROLLED STUDY OF SPINAL SURGERY VERSUS PHYSICAL CAPACITY.
| Autor: | Almeida VCPA; Hospital Santa Marcelina, Orthopedics and Traumatology Service, São Paulo, SP, Brazil., Felix HF; Hospital Santa Marcelina, Spinal Pathologies Group, São Paulo, SP, Brazil., Navarro FAM; Hospital Santa Marcelina, Spinal Pathologies Group, São Paulo, SP, Brazil., Salles AF; Universidade Federal de São Paulo, São Paulo, SP, Brazil., de Oliveira CN; Faculdade de Medicina Santa Marcelina, São Paulo, SP, Brazil., Rodrigues LCL; Faculdade de Medicina Santa Marcelina, Santa Marcelina Hospital, Spinal Pathologies Group, São Paulo, SP, Brazil. |
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| Jazyk: | angličtina |
| Zdroj: | Acta ortopedica brasileira [Acta Ortop Bras] 2023 Apr 17; Vol. 31 (spe1), pp. e259011. Date of Electronic Publication: 2023 Apr 17 (Print Publication: 2023). |
| DOI: | 10.1590/1413-785220233101e259011 |
| Abstrakt: | Objectives: Assess whether the spine surgical approach for degenerative diseases can influence the physical capacity of patients and its correlation with cardiorespiratory function. Methods: A prospective study was conducted on 9 patients of both genders, aged between eighteen and sixty, scheduled for spinal surgery for degenerative disease in the lumbar segment. Patients underwent treadmill stress test two times, fifteen days before and sixty days after the surgery. A cardiologist performed the test according to the Bruce protocol with a progressive increase in incline and speed. Results: There were no statistically significant differences between pre- and postoperative assessments for the parameters evaluated in the treadmill stress test. Forty-four percent of patients needed to interrupt the test postoperatively due to dyspnea (p=0.023). Conclusion: The improvement obtained with spinal surgery does not have statistically significant relevance in tiredness, pain, and fatigue in the lower limbs and low back pain. Some patients could not complete the examination after surgery due to poor physical conditioning, and it was necessary to interrupt the examination due to dyspnea. Level of Evidence II; Lesser quality RCT (eg, < 80% followup, no blinding, or improper randomization). Competing Interests: All authors declare no potential conflict of interest related to this article. |
| Databáze: | MEDLINE |
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