NATURAL HISTORY OF LUMBAR CANAL STENOSIS: CLINICAL ASPECTS AND SAGITTAL BALANCE

Autor: VAGNER CLAYTON DE PAIVA, MARCELO ITALO RISSO NETO, GUILHERME REBECHI ZUIANI, IVAN GUIDOLIN VEIGA, WAGNER PASQUALINI, MARCOS ANTONIO TEBET, RODRIGO AMARAL, RUBENS GIRALD JENSEN, LUIS MARCHI, LUIZ HENRIQUE DE MATTOS PIMENTA, PAULO TADEU MAIA CAVALI, ALBERTO CLIQUET JÚNIOR
Jazyk: English<br />Spanish; Castilian<br />Portuguese
Předmět:
Zdroj: Coluna/Columna, Vol 18, Iss 3, Pp 209-213
Druh dokumentu: article
ISSN: 2177-014X
1808-1851
DOI: 10.1590/s1808-185120191803179255
Popis: ABSTRACT Objective To compare the sagittal alignment (SA) parameters in individuals with LCS and surgical indication with a control group and to study the correlations between SA parameters and ODI, VAS and EQ-5D in individuals with LCS and surgical indication. Methods In this multicenter cross-sectional case-control study, the individuals were allocated as follows. A stenosis group (SG) composed by patients with LCS confirmed by magnetic resonance imaging with surgical indication, treated between July 2010 and August 2016 and a control group (CG), without LCS. All subjects underwent anamnesis, completed the Health-related Quality of Life (HRQoL) and total spine radiographs were taken. Clinical data, HRQoL and radiographic parameters were correlated. Results Sixty-four individuals formed the SG and 14 the CG. The SG had higher values of mean age, coronal imbalance, sagittal vertical axis (SVA), pelvic tilt (PT), sacrofemoral distance (SFD), overhang (OH), PI-LL mismatch, Oswestry Disability Index (ODI) and Visual Analog Scale (VAS) for pain and smaller thoracic kyphosis (TK), total (TLPL) and regional lumbopelvic lordosis (RLPL) in all vertebrae, sagittal offset (SO) in all evaluated vertebrae and EuroQol-5D (EQ-5D) with p
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