Functional outcome analysis: instrumented posterior lumbar interbody fusion for degenerative lumbar scoliosis
Purpose Although instrumented posterior lumbar interbody fusion (PLIF) has been becoming a popular and effective method for treating degenerative lumbar scoliosis, the clinical outcome is rarely reported. We retrospectively evaluated the clinical and radiographic outcomes in patients with degenerati...
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| Veröffentlicht in: | Acta neurochirurgica 2011-03, Vol.153 (3), p.547-555 |
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| creator | Tsai, Tai-Hsin Huang, Tzuu-Yuan Lieu, Ann-Shung Lee, Kung-Shing Kung, Sui-Sum Chu, Cheng-Wei Hwang, Shiuh-Lin |
| description | Purpose
Although instrumented posterior lumbar interbody fusion (PLIF) has been becoming a popular and effective method for treating degenerative lumbar scoliosis, the clinical outcome is rarely reported. We retrospectively evaluated the clinical and radiographic outcomes in patients with degenerative lumbar scoliosis after instrumented PLIF.
Materials and methods
A total of 58 patient’s clinical characteristics had been reviewed retrospectively including clinical presentations, preoperative medical comorbidities, intraoperative status, and postoperative status. Oswestry disability index (ODI), visual analog scale (VAS), and patient satisfaction were evaluated before surgery and last follow-up period. The relationship between the difference of radiographic parameter and functional outcome was evaluated.
Results
Functional outcomes including ODI scores and VAS were significantly improved at the last visit. The ODI was 28.1 ± 8.0 before surgery and 12.2 ± 8.8 at the last visit. VAS was 7.4 ± 2.0 before surgery and 2.4 ± 2.0 at the last visit. Patient satisfaction was 72% at the last visit. ODI was significantly related to postoperative radiographic parameters including Cobb’s angle (
p
|
| doi_str_mv | 10.1007/s00701-010-0909-x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_954629690</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2269256751</sourcerecordid><originalsourceid>FETCH-LOGICAL-c402t-12cc7f750feb548dde96e1b0cf906f7cecf57f96c8f39da44018800f95fb56523</originalsourceid><addsrcrecordid>eNqFkUFL5TAUhYMo6qg_wI0UN66qN3lJ2rgbHjojCG50Hdr0Ript8yZpxPfvvc7TEYTBTZLD-e65kMPYMYdzDlBdJDqAl8ChBAOmfNli-2CkICVhm95Arha63mM_UnoiJSq52GV7gnPNta722XidJzf3YWqGIuTZhRGLhsQ69emy6Kc0xzziNGNXrEKaMfYhFkMe2yaSS7oN3brwOVFE4cnr8BEnjM3cP-MHmFwY-kCJh2zHN0PCo_f7gD1cX90vf5e3d79ulj9vSydBzCUXzlW-UuCxVbLuOjQaeQvOG9C-cui8qrzRrvYL0zVSAq9rAG-Ub5VWYnHAzja5qxj-ZEyzHfvkcBiaCUNO1iiphdEGviVrJQwHIziRp1_Ip5AjfdVfSMkFcEkQ30AuhpQieruK_djEteVg3zqzm84sdWbfOrMvNHPyHpzbEbt_Ex8lESA2QCJresT4ufn_qa_53aRy</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>852543014</pqid></control><display><type>article</type><title>Functional outcome analysis: instrumented posterior lumbar interbody fusion for degenerative lumbar scoliosis</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Tsai, Tai-Hsin ; Huang, Tzuu-Yuan ; Lieu, Ann-Shung ; Lee, Kung-Shing ; Kung, Sui-Sum ; Chu, Cheng-Wei ; Hwang, Shiuh-Lin</creator><creatorcontrib>Tsai, Tai-Hsin ; Huang, Tzuu-Yuan ; Lieu, Ann-Shung ; Lee, Kung-Shing ; Kung, Sui-Sum ; Chu, Cheng-Wei ; Hwang, Shiuh-Lin</creatorcontrib><description>Purpose
Although instrumented posterior lumbar interbody fusion (PLIF) has been becoming a popular and effective method for treating degenerative lumbar scoliosis, the clinical outcome is rarely reported. We retrospectively evaluated the clinical and radiographic outcomes in patients with degenerative lumbar scoliosis after instrumented PLIF.
Materials and methods
A total of 58 patient’s clinical characteristics had been reviewed retrospectively including clinical presentations, preoperative medical comorbidities, intraoperative status, and postoperative status. Oswestry disability index (ODI), visual analog scale (VAS), and patient satisfaction were evaluated before surgery and last follow-up period. The relationship between the difference of radiographic parameter and functional outcome was evaluated.
Results
Functional outcomes including ODI scores and VAS were significantly improved at the last visit. The ODI was 28.1 ± 8.0 before surgery and 12.2 ± 8.8 at the last visit. VAS was 7.4 ± 2.0 before surgery and 2.4 ± 2.0 at the last visit. Patient satisfaction was 72% at the last visit. ODI was significantly related to postoperative radiographic parameters including Cobb’s angle (
p
< 0.001), L4 inclination (
p
= 0.011), coronal balance (
p
= 0.007), lateral vertebral translation (
p
< 0.001), Nash–Moe grade (
p
= 0.033), Nash–Moe degree (
p
= 0.025), and sagittal balance (
p
= 0.041) Using multiple regression analysis, ODI was significantly related to female gender, number of levels fixed, coronal balance, lateral vertebral translation, and Nash–Moe degree. The was no significant correlation between postoperative radiographic parameters and pain (VAS). Only lateral vertebral translation demonstrated a significant correlation in multiple regression analysis.
Conclusions
Based on the VAS and ODI instrument, our studies demonstrated that instrumented PLIF for adult degenerative lumbar scoliosis can achieve a high rate of patient satisfaction and improvement in radiographic and clinical outcomes at a minimum of 2 years of follow-up.</description><identifier>ISSN: 0001-6268</identifier><identifier>EISSN: 0942-0940</identifier><identifier>DOI: 10.1007/s00701-010-0909-x</identifier><identifier>PMID: 21161667</identifier><language>eng</language><publisher>Vienna: Springer Vienna</publisher><subject>Aged ; Aged, 80 and over ; Clinical Article ; Disability Evaluation ; Female ; Follow-Up Studies ; Humans ; Interventional Radiology ; Lumbar Vertebrae - surgery ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Minimally Invasive Surgery ; Neurology ; Neuroradiology ; Neurosurgery ; Postoperative Complications - etiology ; Scoliosis - surgery ; Spinal Fusion - methods ; Spondylosis - surgery ; Surgical Orthopedics</subject><ispartof>Acta neurochirurgica, 2011-03, Vol.153 (3), p.547-555</ispartof><rights>Springer-Verlag 2010</rights><rights>Springer-Verlag 2011</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c402t-12cc7f750feb548dde96e1b0cf906f7cecf57f96c8f39da44018800f95fb56523</citedby><cites>FETCH-LOGICAL-c402t-12cc7f750feb548dde96e1b0cf906f7cecf57f96c8f39da44018800f95fb56523</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00701-010-0909-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00701-010-0909-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21161667$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tsai, Tai-Hsin</creatorcontrib><creatorcontrib>Huang, Tzuu-Yuan</creatorcontrib><creatorcontrib>Lieu, Ann-Shung</creatorcontrib><creatorcontrib>Lee, Kung-Shing</creatorcontrib><creatorcontrib>Kung, Sui-Sum</creatorcontrib><creatorcontrib>Chu, Cheng-Wei</creatorcontrib><creatorcontrib>Hwang, Shiuh-Lin</creatorcontrib><title>Functional outcome analysis: instrumented posterior lumbar interbody fusion for degenerative lumbar scoliosis</title><title>Acta neurochirurgica</title><addtitle>Acta Neurochir</addtitle><addtitle>Acta Neurochir (Wien)</addtitle><description>Purpose
Although instrumented posterior lumbar interbody fusion (PLIF) has been becoming a popular and effective method for treating degenerative lumbar scoliosis, the clinical outcome is rarely reported. We retrospectively evaluated the clinical and radiographic outcomes in patients with degenerative lumbar scoliosis after instrumented PLIF.
Materials and methods
A total of 58 patient’s clinical characteristics had been reviewed retrospectively including clinical presentations, preoperative medical comorbidities, intraoperative status, and postoperative status. Oswestry disability index (ODI), visual analog scale (VAS), and patient satisfaction were evaluated before surgery and last follow-up period. The relationship between the difference of radiographic parameter and functional outcome was evaluated.
Results
Functional outcomes including ODI scores and VAS were significantly improved at the last visit. The ODI was 28.1 ± 8.0 before surgery and 12.2 ± 8.8 at the last visit. VAS was 7.4 ± 2.0 before surgery and 2.4 ± 2.0 at the last visit. Patient satisfaction was 72% at the last visit. ODI was significantly related to postoperative radiographic parameters including Cobb’s angle (
p
< 0.001), L4 inclination (
p
= 0.011), coronal balance (
p
= 0.007), lateral vertebral translation (
p
< 0.001), Nash–Moe grade (
p
= 0.033), Nash–Moe degree (
p
= 0.025), and sagittal balance (
p
= 0.041) Using multiple regression analysis, ODI was significantly related to female gender, number of levels fixed, coronal balance, lateral vertebral translation, and Nash–Moe degree. The was no significant correlation between postoperative radiographic parameters and pain (VAS). Only lateral vertebral translation demonstrated a significant correlation in multiple regression analysis.
Conclusions
Based on the VAS and ODI instrument, our studies demonstrated that instrumented PLIF for adult degenerative lumbar scoliosis can achieve a high rate of patient satisfaction and improvement in radiographic and clinical outcomes at a minimum of 2 years of follow-up.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Clinical Article</subject><subject>Disability Evaluation</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Interventional Radiology</subject><subject>Lumbar Vertebrae - surgery</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Minimally Invasive Surgery</subject><subject>Neurology</subject><subject>Neuroradiology</subject><subject>Neurosurgery</subject><subject>Postoperative Complications - etiology</subject><subject>Scoliosis - surgery</subject><subject>Spinal Fusion - methods</subject><subject>Spondylosis - surgery</subject><subject>Surgical Orthopedics</subject><issn>0001-6268</issn><issn>0942-0940</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkUFL5TAUhYMo6qg_wI0UN66qN3lJ2rgbHjojCG50Hdr0Ript8yZpxPfvvc7TEYTBTZLD-e65kMPYMYdzDlBdJDqAl8ChBAOmfNli-2CkICVhm95Arha63mM_UnoiJSq52GV7gnPNta722XidJzf3YWqGIuTZhRGLhsQ69emy6Kc0xzziNGNXrEKaMfYhFkMe2yaSS7oN3brwOVFE4cnr8BEnjM3cP-MHmFwY-kCJh2zHN0PCo_f7gD1cX90vf5e3d79ulj9vSydBzCUXzlW-UuCxVbLuOjQaeQvOG9C-cui8qrzRrvYL0zVSAq9rAG-Ub5VWYnHAzja5qxj-ZEyzHfvkcBiaCUNO1iiphdEGviVrJQwHIziRp1_Ip5AjfdVfSMkFcEkQ30AuhpQieruK_djEteVg3zqzm84sdWbfOrMvNHPyHpzbEbt_Ex8lESA2QCJresT4ufn_qa_53aRy</recordid><startdate>20110301</startdate><enddate>20110301</enddate><creator>Tsai, Tai-Hsin</creator><creator>Huang, Tzuu-Yuan</creator><creator>Lieu, Ann-Shung</creator><creator>Lee, Kung-Shing</creator><creator>Kung, Sui-Sum</creator><creator>Chu, Cheng-Wei</creator><creator>Hwang, Shiuh-Lin</creator><general>Springer Vienna</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20110301</creationdate><title>Functional outcome analysis: instrumented posterior lumbar interbody fusion for degenerative lumbar scoliosis</title><author>Tsai, Tai-Hsin ; Huang, Tzuu-Yuan ; Lieu, Ann-Shung ; Lee, Kung-Shing ; Kung, Sui-Sum ; Chu, Cheng-Wei ; Hwang, Shiuh-Lin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c402t-12cc7f750feb548dde96e1b0cf906f7cecf57f96c8f39da44018800f95fb56523</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Clinical Article</topic><topic>Disability Evaluation</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Interventional Radiology</topic><topic>Lumbar Vertebrae - surgery</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Minimally Invasive Surgery</topic><topic>Neurology</topic><topic>Neuroradiology</topic><topic>Neurosurgery</topic><topic>Postoperative Complications - etiology</topic><topic>Scoliosis - surgery</topic><topic>Spinal Fusion - methods</topic><topic>Spondylosis - surgery</topic><topic>Surgical Orthopedics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tsai, Tai-Hsin</creatorcontrib><creatorcontrib>Huang, Tzuu-Yuan</creatorcontrib><creatorcontrib>Lieu, Ann-Shung</creatorcontrib><creatorcontrib>Lee, Kung-Shing</creatorcontrib><creatorcontrib>Kung, Sui-Sum</creatorcontrib><creatorcontrib>Chu, Cheng-Wei</creatorcontrib><creatorcontrib>Hwang, Shiuh-Lin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Acta neurochirurgica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tsai, Tai-Hsin</au><au>Huang, Tzuu-Yuan</au><au>Lieu, Ann-Shung</au><au>Lee, Kung-Shing</au><au>Kung, Sui-Sum</au><au>Chu, Cheng-Wei</au><au>Hwang, Shiuh-Lin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Functional outcome analysis: instrumented posterior lumbar interbody fusion for degenerative lumbar scoliosis</atitle><jtitle>Acta neurochirurgica</jtitle><stitle>Acta Neurochir</stitle><addtitle>Acta Neurochir (Wien)</addtitle><date>2011-03-01</date><risdate>2011</risdate><volume>153</volume><issue>3</issue><spage>547</spage><epage>555</epage><pages>547-555</pages><issn>0001-6268</issn><eissn>0942-0940</eissn><abstract>Purpose
Although instrumented posterior lumbar interbody fusion (PLIF) has been becoming a popular and effective method for treating degenerative lumbar scoliosis, the clinical outcome is rarely reported. We retrospectively evaluated the clinical and radiographic outcomes in patients with degenerative lumbar scoliosis after instrumented PLIF.
Materials and methods
A total of 58 patient’s clinical characteristics had been reviewed retrospectively including clinical presentations, preoperative medical comorbidities, intraoperative status, and postoperative status. Oswestry disability index (ODI), visual analog scale (VAS), and patient satisfaction were evaluated before surgery and last follow-up period. The relationship between the difference of radiographic parameter and functional outcome was evaluated.
Results
Functional outcomes including ODI scores and VAS were significantly improved at the last visit. The ODI was 28.1 ± 8.0 before surgery and 12.2 ± 8.8 at the last visit. VAS was 7.4 ± 2.0 before surgery and 2.4 ± 2.0 at the last visit. Patient satisfaction was 72% at the last visit. ODI was significantly related to postoperative radiographic parameters including Cobb’s angle (
p
< 0.001), L4 inclination (
p
= 0.011), coronal balance (
p
= 0.007), lateral vertebral translation (
p
< 0.001), Nash–Moe grade (
p
= 0.033), Nash–Moe degree (
p
= 0.025), and sagittal balance (
p
= 0.041) Using multiple regression analysis, ODI was significantly related to female gender, number of levels fixed, coronal balance, lateral vertebral translation, and Nash–Moe degree. The was no significant correlation between postoperative radiographic parameters and pain (VAS). Only lateral vertebral translation demonstrated a significant correlation in multiple regression analysis.
Conclusions
Based on the VAS and ODI instrument, our studies demonstrated that instrumented PLIF for adult degenerative lumbar scoliosis can achieve a high rate of patient satisfaction and improvement in radiographic and clinical outcomes at a minimum of 2 years of follow-up.</abstract><cop>Vienna</cop><pub>Springer Vienna</pub><pmid>21161667</pmid><doi>10.1007/s00701-010-0909-x</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | Acta neurochirurgica, 2011-03, Vol.153 (3), p.547-555 |
| issn | 0001-6268 0942-0940 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals |
| subjects | Aged Aged, 80 and over Clinical Article Disability Evaluation Female Follow-Up Studies Humans Interventional Radiology Lumbar Vertebrae - surgery Male Medicine Medicine & Public Health Middle Aged Minimally Invasive Surgery Neurology Neuroradiology Neurosurgery Postoperative Complications - etiology Scoliosis - surgery Spinal Fusion - methods Spondylosis - surgery Surgical Orthopedics |
| title | Functional outcome analysis: instrumented posterior lumbar interbody fusion for degenerative lumbar scoliosis |
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