Failures of lumbosacral instrumented fusions addressing degenerative lumbar disease.
Degenerative spine
Fixation
Lumbar lordosis
Outcome
Sagittal balance
Journal
Surgical neurology international
ISSN: 2229-5097
Titre abrégé: Surg Neurol Int
Pays: United States
ID NLM: 101535836
Informations de publication
Date de publication:
2020
2020
Historique:
received:
06
11
2020
accepted:
21
11
2020
entrez:
7
1
2021
pubmed:
8
1
2021
medline:
8
1
2021
Statut:
epublish
Résumé
Here, we evaluated the failure to preserve or restore adequate spinopelvic alignment following lumbosacral instrumented fusions for degenerative disease. Patients undergoing lumbosacral instrumented fusions for degenerative spine disease underwent; standing lumbopelvic X-rays and lumbar MRI scans obtained both preoperatively and 1 year postoperatively. Parameters measured included lumbar lordosis (LL), L4-S1 angle, pelvic incidence (PI), and LL-PI mismatch. Fifty patients were followed for 1 year following lumbopelvic fusion. There was a statistically significant difference in the L4-S1 angle between patients with good versus poor clinical outcomes at 1 year postoperative; the LL-PI mismatch showed a strong positive correlation with better outcome scores. Preservation of an adequate LL/other lumbosacral parameters favorably impacts patients' outcomes following lumbosacral fusion for degenerative disease.
Sections du résumé
BACKGROUND
BACKGROUND
Here, we evaluated the failure to preserve or restore adequate spinopelvic alignment following lumbosacral instrumented fusions for degenerative disease.
METHODS
METHODS
Patients undergoing lumbosacral instrumented fusions for degenerative spine disease underwent; standing lumbopelvic X-rays and lumbar MRI scans obtained both preoperatively and 1 year postoperatively. Parameters measured included lumbar lordosis (LL), L4-S1 angle, pelvic incidence (PI), and LL-PI mismatch.
RESULTS
RESULTS
Fifty patients were followed for 1 year following lumbopelvic fusion. There was a statistically significant difference in the L4-S1 angle between patients with good versus poor clinical outcomes at 1 year postoperative; the LL-PI mismatch showed a strong positive correlation with better outcome scores.
CONCLUSION
CONCLUSIONS
Preservation of an adequate LL/other lumbosacral parameters favorably impacts patients' outcomes following lumbosacral fusion for degenerative disease.
Identifiants
pubmed: 33408928
doi: 10.25259/SNI_704_2020
pii: SNI-11-443
pmc: PMC7771489
doi:
Types de publication
Journal Article
Langues
eng
Pagination
443Informations de copyright
Copyright: © 2020 Surgical Neurology International.
Déclaration de conflit d'intérêts
There are no conflicts of interest.
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