医学
仰卧位
Oswestry残疾指数
腰椎
可视模拟标度
背痛
坐
腰痛
物理疗法
外科
前凸
射线照相术
替代医学
病理
作者
Shuhei Ohyama,Yasuchika Aoki,Masahiro Inoue,Go Kubota,Atsuya Watanabe,Takayuki Nakajima,Yusuke Sato,Hiroshi Takahashi,Arata Nakajima,Junya Saito,Yawara Eguchi,Sumihisa Orita,Kazuhide Inage,Yasuhiro Shiga,Kōichi Nakagawa,Seiji Ohtori
出处
期刊:Spine
[Ovid Technologies (Wolters Kluwer)]
日期:2021-01-22
卷期号:46 (16): 1070-1080
被引量:5
标识
DOI:10.1097/brs.0000000000003955
摘要
Retrospective cohort study.The aim of this study was to investigate whether a preoperative difference in lumbar lordosis (D-LL) between the standing and supine positions is associated with clinical outcomes after transforaminal lumbar interbody fusion (TLIF).Several factors have been reported to be associated with surgical outcomes after TLIF. However, the association between preoperative D-LL and clinical outcomes after TLIF is unknown.We enrolled 45 lumbar degenerative disease patients (mean age: 65.7 ± 11.3 years old; 24 males) treated with single-level TLIF. Surgical outcomes were assessed using Oswestry disability index, visual analog scale (VAS; low back pain [LBP], lower-extremity pain, numbness, LBP in motion, in standing, and in sitting), Japanese Orthopaedic Association Back Pain Evaluation Questionnaire, Japanese Orthopaedic Association score for intermittent claudication (JOA score), and Nakai's scoring system. The preoperative D-LL between the standing radiograph and computed tomography (CT) in the supine position was defined as LL in supine CT-standing radiograph. Patients were divided into two groups according to D-LL value (D-LL >-4°, and D-LL ≤-4°). Clinical outcomes were compared between the groups, and correlations between preoperative D-LL and clinical outcomes were analyzed.There were no significant differences in preoperative clinical parameters between the two groups. Postoperative VASs for lower extremity pain, numbness, LBP in standing, and JOA score in D-LL >-4° group were significantly worse than in the D-LL ≤-4° group (P < 0.05). Preoperative D-LL showed a weak correlation with postoperative lower extremity pain and numbness (P < 0.05).This study revealed that lumbar degenerative disease patients, who have greater preoperative kyphotic lumbar alignment in the standing versus supine position, tend to have postoperative residual symptoms after TLIF. A preoperative comparison of lateral radiographs between the standing and supine positions is useful to predict patients' postoperative residual symptoms.Level of Evidence: 3.
科研通智能强力驱动
Strongly Powered by AbleSci AI