NONOPERATIVE VERSUS OPERATIVE TREATMENT OF PATIENTS WITH DEGENERATIVE SPONDYLOLISTHESIS
| Autor: | Noel Oizerovici Foni, Fernando Flores de Araújo, Nelson Astur, Robert Meves, Maria Fernanda Silber Caffaro, Rodrigo Góes Medéa de Mendonça, Osmar Avanzi, Jose Alfredo Corredor, Ricardo Shigueaki Galhego Umeta, Alberto Ofenheim Gotfryd |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
lcsh:Diseases of the musculoskeletal system
Escala visual análoga Intervertebral disc degeneration Espondilolistesis degenerativa Nonoperative treatment Tratamiento conservador Spinal canal stenosis 03 medical and health sciences Fusión vertebral 0302 clinical medicine lcsh:Orthopedic surgery Cirugía SF-36 Orthopedics and Sports Medicine Spine fusion Visual analog scale 030203 arthritis & rheumatology lumbar spine lcsh:RD701-811 Degenerative spondylolisthesis Columna lumbar Estenosis del canal vertebral Surgery Neurology (clinical) lcsh:RC925-935 Degeneración del disco intervertebral 030217 neurology & neurosurgery |
| Zdroj: | Coluna/Columna v.15 n.1 2016 Coluna/Columna Sociedade Brasileira de Coluna (SBCO) instacron:SBCO Coluna/Columna, Vol 15, Iss 1, Pp 33-35 (2016) |
| Popis: | Objective: To evaluate clinical and functional results of patients with lumbar degenerative spondylolisthesis treated with operatively or nonoperatively. Methods: Patients with degenerative spondylolisthesis treated either nonoperatively or operatively from 2004 to 2014 were selected from databases and a cross-sectional evaluation was performed. Outcome measures included back and leg visual analogue scales (VAS), Fischgrund criteria, Short Form-36 (SF-36) function score, and the modified Oswestry Disability Index (ODI). Results: 43 patients were evaluated: 20 with nonoperative treatment and 23 with operative treatment. Baseline characteristics were similar without significant differences between groups. Mean follow-up time was 43 months (range 10 - 72) for the nonoperative group and 36 months (range 6-80) for the operative group. Significant statistical difference in favor of operative group were found in back VAS (mean 4 versus 8, p = 0.000), leg VAS (mean 3 versus 6, p = 0.0015), SF-36 function score (mean 77 versus 35, p = 0.000), and ODI (mean 17 versus 46, p = 0.000). On the basis of the Fischgrund criteria, only 10 % of patients reported excellent or good health post nonoperative treatment versus 83% for those treated operatively (p = 0.000). Conclusion: In this cross-sectional study, we observed that symptomatic patients with degenerative spondylolisthesis who underwent operative treatment have superior clinical and functional scores compared to those that underwent nonoperative treatment. |
| Databáze: | OpenAIRE |
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