Facet Joint Replacement: Intermediate- and Long-Term Outcome in a Large Case Series
| Autor: | Robert Schönmayr, David Reinecke, Peter Horn, Ulrich J. Knappe, Michael Flörke |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Visual analogue scale Zygapophyseal Joint Facet joint Quality of life Back pain Humans Medicine Prospective Studies Arthroplasty Replacement Range of Motion Articular Aged Pain Measurement Series (stratigraphy) Lumbar Vertebrae business.industry Prostheses and Implants Middle Aged Oswestry Disability Index Surgery Radiography Treatment Outcome medicine.anatomical_structure Back Pain Quality of Life Female Lumbar spine Neurology (clinical) medicine.symptom business Range of motion |
| Zdroj: | Journal of Neurological Surgery Part A: Central European Neurosurgery. 82:034-042 |
| ISSN: | 2193-6323 2193-6315 |
| DOI: | 10.1055/s-0040-1716534 |
| Popis: | Background The long-term outcome of facet joint replacement (FJR) still is to be proven. Methods We present a prospective case series of 26 (male-to-female ratio of 1:1; mean age: 61 years) patients undergoing FJR with a follow-up of at least 1 year (range: 12–112; mean: 67 months). Visual analog scale (VAS) for back and leg pain, Oswestry Disability Index (ODI), and the 12-Item Short Form Health Survey (SF-12) were applied pre- and postoperatively (after 3, 6, and 12 months) as well as at the last follow-up (N = 24). Using X-rays of the lumbar spine (N = 20), the range of motion (ROM) and disk height in the indicator and adjacent levels were assessed. Results FJR was performed at L3/L4 (N = 7), L4/L5 (N = 17), and L5/S1 (N = 2). Mean VAS (mm) for back pain decreased from 71 to 18, mean VAS for right leg pain from 61 to 7, and from 51 to 3 for the left leg. Mean ODI dropped from 51 to 22% (for all p Conclusions In selected cases, long-term results of FJR show good outcome concerning pain, quality of life, preservation of lumbar spine motion, and protection of adjacent level. |
| Databáze: | OpenAIRE |
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