Health-related quality-of-life improvement with lumbar fusion in patients with lower-extremity arthritis
| Autor: | Steven D. Glassman, Jeffrey L. Gum, Mladen Djurasovic, R. Kirk Owens, Leah Y. Carreon, Charles H. Crawford |
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| Rok vydání: | 2021 |
| Předmět: |
Knee arthritis
medicine.medical_specialty business.industry Arthritis General Medicine medicine.disease Oswestry Disability Index 03 medical and health sciences 0302 clinical medicine Lumbar Rating scale 030220 oncology & carcinogenesis Internal medicine Concomitant medicine Patient-reported outcome In patient business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Neurosurgery: Spine. 34:60-65 |
| ISSN: | 1547-5654 |
| Popis: | OBJECTIVELumbar fusion can lead to significant improvements in patient-reported outcomes (PROs) in patients with degenerative conditions. It is unknown whether the presence of hip or knee arthritis confounds the responses of patients to low-back–specific PROs. This study examined PROs with lumbar fusion in patients with concomitant lower-extremity arthritis. The purpose of the current study was to examine whether patients with significant lower-extremity arthritis who undergo lumbar fusion achieve similar improvements in low-back–specific PROs compared to patients without lower-extremity arthritis.METHODSPatients were identified from a prospectively enrolled multicenter registry of patients undergoing lumbar fusion surgery for degenerative conditions. Two hundred thirty patients identified with lumbar fusion and who also had concomitant lower-extremity arthritis were propensity matched to 233 patients who did not have lower-extremity arthritis based on age, BMI, sex, smoking status, American Society of Anesthesiologists grade, number of levels fused, and surgical approach. One-year improvement in PROs, numeric rating scales (0–10) for back and leg pain, and the Oswestry Disability Index and EuroQol-5D scores were compared for patients with and without lower-extremity arthritis.RESULTSBaseline demographics and preoperative outcome measures did not differ between the two propensity-matched groups with 110 cases each. Patients with concomitant lower-extremity arthritis achieved similar improvement in health-related quality-of-life measures to patients without lower-extremity arthritis, with no significant differences between the groups (p > 0.10).CONCLUSIONSThe presence of lower-extremity arthritis does not adversely affect the results of lumbar fusion in properly selected patients. Patients with lower-extremity arthritis who undergo lumbar fusion can achieve meaningful improvement in PROs similar to patients without arthritis. |
| Databáze: | OpenAIRE |
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