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Changes in lumbar lordosis and predicted minimum 5-year surgical outcomes after short-segment transforaminal lumbar interbody fusion.
Aoki, Yasuchika; Inoue, Masahiro; Takahashi, Hiroshi; Nakajima, Arata; Sonobe, Masato; Terajima, Fumiaki; Nakajima, Takayuki; Sato, Yusuke; Kubota, Go; Sato, Masashi; Yoh, Satoshi; Ohyama, Shuhei; Saito, Junya; Norimoto, Masaki; Eguchi, Yawara; Orita, Sumihisa; Inage, Kazuhide; Shiga, Yasuhiro; Ohtori, Seiji; Nakagawa, Koichi.
Afiliación
  • Aoki Y; Department of Orthopaedic Surgery, Eastern Chiba Medical Center, 3-6-2 Okayamadai, Togane, Chiba, 283-8686, Japan. yasuaoki35@fc4.so-net.ne.jp.
  • Inoue M; Department of General Medical Science, Graduate School of Medicine, Chiba University, Chiba, Chiba, Japan. yasuaoki35@fc4.so-net.ne.jp.
  • Takahashi H; Department of Orthopaedic Surgery, Eastern Chiba Medical Center, 3-6-2 Okayamadai, Togane, Chiba, 283-8686, Japan.
  • Nakajima A; Department of General Medical Science, Graduate School of Medicine, Chiba University, Chiba, Chiba, Japan.
  • Sonobe M; Department of Orthopaedic Surgery, University of Tsukuba, Tsukuba, Ibaraki, Japan.
  • Terajima F; Department of Orthopaedic Surgery, Toho University Sakura Medical Center, Sakura, Chiba, Japan.
  • Nakajima T; Department of Orthopaedic Surgery, Toho University Sakura Medical Center, Sakura, Chiba, Japan.
  • Sato Y; Department of Orthopaedic Surgery, Toho University Sakura Medical Center, Sakura, Chiba, Japan.
  • Kubota G; Department of Orthopaedic Surgery, Eastern Chiba Medical Center, 3-6-2 Okayamadai, Togane, Chiba, 283-8686, Japan.
  • Sato M; Department of General Medical Science, Graduate School of Medicine, Chiba University, Chiba, Chiba, Japan.
  • Yoh S; Department of Orthopaedic Surgery, Eastern Chiba Medical Center, 3-6-2 Okayamadai, Togane, Chiba, 283-8686, Japan.
  • Ohyama S; Department of General Medical Science, Graduate School of Medicine, Chiba University, Chiba, Chiba, Japan.
  • Saito J; Department of Orthopaedic Surgery, Kubota Orthopaedic Clinic, Katori, Chiba, Japan.
  • Norimoto M; Department of Orthopaedic Surgery, Eastern Chiba Medical Center, 3-6-2 Okayamadai, Togane, Chiba, 283-8686, Japan.
  • Eguchi Y; Department of General Medical Science, Graduate School of Medicine, Chiba University, Chiba, Chiba, Japan.
  • Orita S; Department of Orthopaedic Surgery, Eastern Chiba Medical Center, 3-6-2 Okayamadai, Togane, Chiba, 283-8686, Japan.
  • Inage K; Department of General Medical Science, Graduate School of Medicine, Chiba University, Chiba, Chiba, Japan.
  • Shiga Y; Department of Orthopaedic Surgery, Eastern Chiba Medical Center, 3-6-2 Okayamadai, Togane, Chiba, 283-8686, Japan.
  • Ohtori S; Department of Orthopaedic Surgery, Toho University Sakura Medical Center, Sakura, Chiba, Japan.
  • Nakagawa K; Department of Orthopaedic Surgery, Toho University Sakura Medical Center, Sakura, Chiba, Japan.
Sci Rep ; 12(1): 14353, 2022 08 23.
Article en En | MEDLINE | ID: mdl-35999248
Although most patients who undergo transforaminal lumbar interbody fusion (TLIF) show favorable surgical results, some still have unfavorable results for various reasons. This study aimed to investigate the influence of differences in lumbar lordosis (LL) between the standing and supine positions (DiLL: supine LL-standing LL) on minimum 5-year surgical outcomes after short-segment TLIF. Ninety-one patients with lumbar degenerative disease who underwent short-segment TLIF (1-2 levels) were categorized based on preoperative differences in LL as DiLL (+) and DiLL (-). Comparison and correlation analyses were performed. The incidence of adjacent segment disease (ASD) by radiology (R-ASD) and symptomatic ASD (S-ASD), bony fusion rates, and pre- and postoperative clinical scores (visual analog scale [VAS]; Japanese Orthopaedic Association [JOA] score; Oswestry disability index (ODI); and Nakai's score) were evaluated. Postoperatively, VAS for low back pain (LBP) in the sitting position, JOA scores for LBP, lower leg pain, intermittent claudication, ODI, and Nakai's score were significantly worse in the DiLL (+) group than in the DiLL (-) group. DiLL values were significantly correlated with VAS for LBP, ODI, and Nakai's score, postoperatively. Positive DiLL values were associated with poorer postoperative outcomes. DiLL is a simple and useful method for predicting mid-term outcomes after TLIF.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fusión Vertebral / Lordosis / Vértebras Lumbares Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Sci Rep Año: 2022 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fusión Vertebral / Lordosis / Vértebras Lumbares Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Sci Rep Año: 2022 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido