Psoas weakness following oblique lateral interbody fusion surgery: a prospective observational study with an isokinetic dynamometer

医学 Oswestry残疾指数 腰大肌 肌肉无力 前瞻性队列研究 外科 解剖 腰痛 病理 替代医学
作者
Subum Lee,Ae Ryoung Kim,Woo-Seok Bang,Jin Hoon Park,Sang‐Woo Lee,Kyoung‐Tae Kim,Dae-Chul Cho
出处
期刊:The Spine Journal [Elsevier BV]
卷期号:22 (12): 1990-1999 被引量:7
标识
DOI:10.1016/j.spinee.2022.07.091
摘要

Although the surgical corridor used for oblique lateral interbody fusion (OLIF) protects the intrapsoas nerves by causing minimal compression, transient weakness remains the most commonly reported postoperative complication.Using a dynamometer to evaluate how the hip flexor strength changes following OLIF.A prospective observational study.Forty-six patients who underwent single or multi-level OLIF for lumbar spondylolisthesis.Isokinetic dynamometer values (peak torque, total work, average power), visual analogue scale (VAS) scores for leg pain, hypoesthesia, subjective weakness of the left hip flexor muscle, Oswestry disability index, body mass index, bone mineral density, radiologic findings of the psoas muscle (cross-sectional area, Hounsfield unit (HU), fat portion grade), and psoas retraction time.The isokinetic muscle strength of the hip flexor was measured five times (preoperatively and postoperatively at 2 days, 1 week, 1 month, and 3 months) for both legs. The peak torque was defined as the postoperative strength of the left hip flexor muscles, and was compared to the preoperative baseline value. The strength of the left and right hip flexor muscles were also compared at each time point. For logistic regression analysis, when the peak torque was below the median value, it was defined as lower peak torque.Up to 1 week after surgery, the strength of the left hip flexor muscle decreased significantly (paired difference in peak torque was 22.6%, p<.001). In the results of multivariate logistic regression analysis, diabetes (odds ratio [OR]=8.43, p=.020) and the HU of the psoas muscle (OR=0.916, p=.034) were associated with lower peak torque 1 week after surgery. From 1 month after surgery, postoperative weakness of the psoas muscle was not significant. In the questionnaire survey, subjective left hip flexion weakness was reported in 8.5% (4/47) of patients 1 week after surgery, and it remained in only 2.1% (1/47) of patients after 3 months of operation. The frequency of left anterior thigh pain and hypoesthesia decreased from 85.1% (40/47) at 1 week to 2.1% (1/47) at 3 months after surgery. The mean VAS score for left anterior thigh or groin pain decreased significantly at 1 month after surgery (PO2D: 4.04±1.84, PO1M: 1.67±1.10, p<.001).Dynamometer measurement showed that psoas strength declined significantly up to 1 week after OLIF surgery. Patients with diabetes or lower HU of the psoas muscle showed delayed recovery from postoperative weakness of the psoas muscle. However, the weakness was insignificant from 1 month after surgery. At 3 months after surgery, the other psoas-related problems (left anterior thigh pain and hypoesthesia) also disappeared.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
Tina酱完成签到 ,获得积分10
刚刚
琪琪完成签到,获得积分10
刚刚
双碳小王子完成签到,获得积分10
2秒前
smottom应助科研通管家采纳,获得10
4秒前
4秒前
明时完成签到,获得积分10
5秒前
杨瑞东完成签到 ,获得积分10
8秒前
yyyy完成签到,获得积分10
16秒前
缥缈的平卉完成签到 ,获得积分10
17秒前
量子星尘发布了新的文献求助10
28秒前
李爱国应助大橙子采纳,获得10
29秒前
magictoo发布了新的文献求助30
35秒前
37秒前
yang完成签到,获得积分10
37秒前
Minicoper发布了新的文献求助10
38秒前
快乐丸子完成签到,获得积分10
39秒前
简单而复杂完成签到,获得积分10
39秒前
大橙子发布了新的文献求助10
43秒前
张牧之完成签到 ,获得积分10
45秒前
冷冷暴力完成签到,获得积分10
47秒前
YYY完成签到,获得积分10
47秒前
47秒前
gujian完成签到 ,获得积分10
50秒前
帅气的秘密完成签到 ,获得积分10
51秒前
自然函发布了新的文献求助10
55秒前
冰冰双双完成签到,获得积分10
55秒前
开心夏旋完成签到 ,获得积分0
57秒前
我要读博士完成签到 ,获得积分10
1分钟前
活泼的大船完成签到,获得积分10
1分钟前
AFF完成签到,获得积分10
1分钟前
1分钟前
无私小小完成签到,获得积分10
1分钟前
随心所欲完成签到 ,获得积分10
1分钟前
润润轩轩完成签到 ,获得积分10
1分钟前
CodeCraft应助大橙子采纳,获得10
1分钟前
ZR完成签到,获得积分10
1分钟前
magictoo完成签到,获得积分10
1分钟前
陈昊发布了新的文献求助10
1分钟前
zhangliangfu完成签到 ,获得积分10
1分钟前
金石为开完成签到,获得积分10
1分钟前
高分求助中
【提示信息,请勿应助】关于scihub 10000
Les Mantodea de Guyane: Insecta, Polyneoptera [The Mantids of French Guiana] 3000
徐淮辽南地区新元古代叠层石及生物地层 3000
The Mother of All Tableaux: Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 3000
Handbook of Industrial Diamonds.Vol2 1100
Global Eyelash Assessment scale (GEA) 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 550
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 4038128
求助须知:如何正确求助?哪些是违规求助? 3575831
关于积分的说明 11373827
捐赠科研通 3305610
什么是DOI,文献DOI怎么找? 1819255
邀请新用户注册赠送积分活动 892655
科研通“疑难数据库(出版商)”最低求助积分说明 815022