Risk Factors of Postoperative Sacroiliac Joint Pain for Posterior Lumbar Surgery: ≥2-Year Follow-up Retrospective Study
| Autor: | Yang Sun, Zhange Yu, Lin Zhu, Guofa Guan, Zhiyong Chi, Fulin Guan, Jiaao Gu, Di Tian, Ming Chen |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male musculoskeletal diseases medicine.medical_specialty Adolescent Sacroiliac joint pain Young Adult 03 medical and health sciences 0302 clinical medicine Lumbar Risk Factors Lumbar surgery medicine Humans In patient 030212 general & internal medicine Risk factor Diskectomy Aged Retrospective Studies Pain Postoperative Lumbar Vertebrae business.industry Incidence Incidence (epidemiology) Sacroiliac Joint Retrospective cohort study Middle Aged Arthralgia Surgery Spinal Fusion Treatment Outcome Female Spinal Diseases Neurology (clinical) business 030217 neurology & neurosurgery Follow-Up Studies |
| Zdroj: | World Neurosurgery. 110:e546-e551 |
| ISSN: | 1878-8750 |
| DOI: | 10.1016/j.wneu.2017.11.053 |
| Popis: | Purpose A retrospective study was conducted to clarify the risk factors of postoperative sacroiliac joint pain (SIJP) for posterior open lumbar surgery. Patients and Methods A total of 472 patients who underwent posterior lumbar surgery between January 2011 and December 2014 were included in this analysis. We recorded basic characteristics, surgical characteristics, and SIJP information for each patient. Results The incidence of postoperative SIJP is 13.8% in our study. Comparison of the incidence of SIJP between diskectomy and posterior lumbar interbody fusion indicated that SIJP incidence tended to be higher in posterior lumbar interbody fusion patients (P = 0.029). Compared with the single-segment group, SIJP occurred more frequently in the multiple operative segments group (P = 0.025). Comparing the incidence of SIJP among different types of lumbar diseases, SIJP incidence is significantly higher in the lumbar stenosis group (P = 0035). Conclusion Lumbar fusion surgery and multiple operative segments are interdependent risk factors for the postoperative SIJP. The incidence of postoperative SIJP also increases in patients with lumbar stenosis compared with lumbar disk herniation and lumbar spondylolisthesis. |
| Databáze: | OpenAIRE |
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