Clinical outcome after lumbar spinal fusion surgery in degenerative spondylolisthesis: a 3-year follow-up
| Autor: | Max J. Scheyerer, R Hartwig, R Gramse, Jan Bredow, Christoph P. Hofstetter, Peer Eysel, Carolin Meyer, Stavros Oikonomidis, Maximilian Lenz |
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| Rok vydání: | 2020 |
| Předmět: |
Pelvic tilt
medicine.medical_specialty Radiography medicine.medical_treatment 03 medical and health sciences 0302 clinical medicine Lumbar medicine Animals Humans Orthopedics and Sports Medicine Reduction (orthopedic surgery) Retrospective Studies 030222 orthopedics Lumbar Vertebrae business.industry Lumbosacral Region General Medicine medicine.disease Sagittal plane Spondylolisthesis Surgery Spinal Fusion Treatment Outcome medicine.anatomical_structure Orthopedic surgery business 030217 neurology & neurosurgery Lumbar spinal fusion Follow-Up Studies |
| Zdroj: | Archives of Orthopaedic and Trauma Surgery. 142:721-727 |
| ISSN: | 1434-3916 |
| DOI: | 10.1007/s00402-020-03697-9 |
| Popis: | Introduction Lumbar spinal fusion surgery is a widely accepted surgical treatment in degenerative causes of lumbar spondylolisthesis. The benefit of reduction of anterior displacement and restoration of sagittal parameters is still controversially debated. Purpose of the underlying publication was to analyze the influence of radiographic sagittal parameters of the spine in aspects of changes in postoperative clinical outcome. Materials and methods By prospective analysis, we included patients with low-grade degenerative lumbar spondylolisthesis (Meyerding grades I and II) with mono- or bisegmental fusion surgery with a minimum follow-up data of 3 years. For clinical outcome measures, COMI, ODI and EQ-5D were used. Spinopelvic parameters (sacral inclination, pelvic tilt, sacral slope and pelvic incidence, lumbar lordosis and lumbar index as well as anterior displacement and sagittal rotation) were measured on plain radiographs. Results We could observe a significant benefit in clinical outcome after lumbar fusion surgery in low-grade spondylolisthesis in our mid-term follow-up data including 32 patients. By surgical reduction, we could see significant restoration of anterior displacement and sagittal rotation. Interestingly, a significant correlation between restoration of both sagittal rotation and sacral inclination and clinical outcome score was observed in the 3-year follow-up. Conclusion In low-grade spondylolisthesis, spinal fusion surgery is a well-established surgical procedure; however, the impact of sagittal parameters and reduction of anterior displacement remains controversial. Within our findings, restoration of sagittal parameters showed significant correlation to improvement in clinical outcome in our mid-term follow-up data. |
| Databáze: | OpenAIRE |
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