Risk Factors of Postoperative Low Back Pain for Low-Grade Degenerative Spondylolisthesis: An At Least 2-Year Follow-Up Retrospective Study
| Autor: | Lin Zhu, Guofa Guan, Fulin Guan, Zhange Yu, Zhiyong Chi, Jiaao Gu, Rui Bao |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Visual analogue scale Radiography 03 medical and health sciences Young Adult 0302 clinical medicine Lumbar Risk Factors medicine Humans In patient 030212 general & internal medicine Risk factor Retrospective Studies Pain Postoperative Lumbar Vertebrae business.industry Retrospective cohort study Middle Aged Degenerative spondylolisthesis Low back pain nervous system diseases Surgery Anesthesia Female Neurology (clinical) medicine.symptom Spondylolisthesis business Low Back Pain 030217 neurology & neurosurgery Follow-Up Studies |
| Zdroj: | World neurosurgery. 107 |
| ISSN: | 1878-8769 |
| Popis: | Objective A retrospective study was conducted to clarify the risk factors of postoperative low back pain (LBP) for low-grade degenerative spondylolisthesis. Patients and Methods A total of 239 patients who underwent posterior lumbar fusion between January 2011 and January 2015 were included in this analysis. We investigated patient characteristics, surgical characteristics, and radiographic characteristics. Results The mean visual analog scale (VAS) score of LBP decreased dramatically after the operation. The mean preoperative VAS score was greater in patients with severe lumbar multifidus (LM) intramuscular adipose tissue (IMAT). The postoperative VAS score was dramatically lower in patients with shorter symptom duration. Postoperative LBP disappeared more often in patients with shorter symptom duration. LBP VAS changing showed significant differences in different symptom duration groups and LM IMAT groups. Conclusions LM IMAT and symptom duration were risk factors for postoperative LBP. Patients with severe LM IMAT reported more severe LBP before the operation. Postoperative LBP disappeared more often in patients with shorter symptom duration. |
| Databáze: | OpenAIRE |
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