Long-term Quality of Life after Fusion of the Ventral Thoracic and Lumbar Spine
| Autor: | S Oberthür, Wolfgang Lehmann, Paul Jonathan Roch, Dominik Saul, Stephan Sehmisch, Katharina Jäckle, Lukas Weiser |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty Visual analogue scale Kyphosis Iliac crest Surgical methods Ilium 03 medical and health sciences 0302 clinical medicine Quality of life Satisfaction level medicine Humans 030222 orthopedics Lumbar Vertebrae business.industry Lumbosacral Region Middle Aged medicine.disease Anterior fusion Surgery Spinal Fusion Treatment Outcome medicine.anatomical_structure Quality of Life Lumbar spine Neurology (clinical) business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Neurological Surgery Part A: Central European Neurosurgery. 83:153-160 |
| ISSN: | 2193-6323 2193-6315 |
| DOI: | 10.1055/s-0041-1736324 |
| Popis: | Background Cage implantations and autologous pelvic bone grafts are common surgical procedures to fuse the spine in cases of spinal disorders such as traumatic fractures or degenerative diseases. These surgical methods are designed to stably readjust the spine and to prevent late detrimental effects such as pain or increasing kyphosis. Benefits of these surgical interventions have been evaluated, but the long-term well-being of patients after the respective treatments has not yet been examined. This study was designed to evaluate the clinical outcome for patients who received iliac crest or cage implantations. Material and Methods Forty-six patients with traumatic fractures after they obtained an anterior fusion in the thoracic or lumbar spine (12 cages; mean age: 54.08 years; 34 pelvic bone grafts; mean age: 42.18 years) were asked to participate in the survey using a precast questionnaire according the Visual Analog Scale (VAS) Spine Score. Twenty-nine of them provided the data requested. Results Evaluation of the VAS scores of the patients, reporting at least 1 year after the surgery, revealed that cage implantations led to significantly better results with respect to all aspects of their daily life such as pain sensing, capability to undertake physical activities and exercise as compared with patients with autologous pelvic bone graft. Patients with autologous pelvic bone graft treatment reported a particularly poor overall satisfaction level concerning their long-term well-being. Conclusions Patients with cage implantation reported a higher degree of long-term well-being. The data provide evidence for a positive impact on the postsurgery quality of life after cage implantation. |
| Databáze: | OpenAIRE |
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