Higher Risk of Adjacent Segment Degeneration After Floating Fusions: Long-Term Outcome After Low Lumbar Spine Fusions
| Autor: | Christian Knop, Georg Matziolis, Alexander C. Disch, Sascha V. Schneider, Michael Putzier, Werner Schmoelz |
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| Rok vydání: | 2008 |
| Předmět: |
Male
Sacrum medicine.medical_specialty Visual analogue scale Radiography Degeneration (medical) Lower risk Postoperative Complications Patient satisfaction Lumbar Risk Factors medicine Humans Orthopedics and Sports Medicine Aged Retrospective Studies Lumbar Vertebrae business.industry Retrospective cohort study Middle Aged Sagittal plane Surgery Spinal Fusion Treatment Outcome medicine.anatomical_structure Female Neurology (clinical) Spondylolisthesis business Intervertebral Disc Displacement Follow-Up Studies |
| Zdroj: | Journal of Spinal Disorders & Techniques. 21:79-85 |
| ISSN: | 1536-0652 |
| DOI: | 10.1097/bsd.0b013e3180577259 |
| Popis: | STUDY DESIGN We report the long-term outcome after mono-segmental and bisegmental fusions at the lumbar L4-S1 region of the spine. OBJECTIVE Long-term clinical and radiologic outcome measures were used to determine a lumbar fusion's contribution to degenerative changes in adjacent motion segments (ASD). SUMMARY OF BACKGROUND DATA The role of low lumbar spinal fusions and their long-term contribution to accelerated degenerative changes in the adjacent motion segments continues to be a subject of controversy. PATIENTS AND METHODS We followed-up 102 patients with an average age of 54 (22 to 78) years and a follow-up time of 14 (3 to 22) years. RESULTS Overall results in patients were good, the Oswestry-Disability Index (ODI) showed an average of 26% (0% to 70%) at follow-up, the Visual Analog Scale rose from 2.7 (postoperative) and 2.9 (12 wk follow-up) to 3.6 (latest follow-up) points, respectively. Patient satisfaction with their health-related situation at follow-up was 69% (15% to 100%). Patients who underwent fusions of the segment L5/S1 showed a significant (P |
| Databáze: | OpenAIRE |
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