Predictive Factors Affecting Surgical Outcomes in Patients with Degenerative Lumbar Spondylolisthesis

医学 脊椎滑脱 腰椎 退行性疾病 物理疗法 外科 物理医学与康复
作者
Hiroyuki Inose,Tsuyoshi Kato,Hiroaki Onuma,Shingo Morishita,Yu Matsukura,Masato Yuasa,Takashi Hirai,Toshitaka Yoshii,Atsushi Okawa
出处
期刊:Spine [Lippincott Williams & Wilkins]
卷期号:46 (9): 610-616 被引量:3
标识
DOI:10.1097/brs.0000000000003944
摘要

Study design Post-hoc analysis of 5-year follow-up data from a prospective randomized multicenter trial. Objective The purpose of this study was to identify preoperative factors that predict poor postoperative outcomes and define clinically important abnormal instabilities in degenerative lumbar spondylolisthesis. Summary of background data Current evidence regarding prognostic factors affecting clinical outcomes after surgery for degenerative lumbar spondylolisthesis is still limited. Moreover, there is no consensus regarding parameters that define clinically important abnormal instability in patients with degenerative lumbar spondylolisthesis. Methods This post-hoc analysis from a prospective randomized trial that compared the effectiveness of decompression, decompression with fusion, and decompression with stabilization for degenerative lumbar spondylolisthesis at the L4/5 level included 70 patients with a 5-year follow-up period. We investigated the correlation between the postoperative recovery rate and preoperative radiographic parameters. We then investigated differences between the good recovery and poor recovery groups. Results Japanese Orthopaedic Association and visual analogue scale scores improved postoperatively. Of the 70 patients analyzed, 13 were judged to be in the poor recovery group based on their recovery rate. The recovery rate significantly correlated with the intervertebral angle at L4/5. Univariate analysis showed that while the degree of vertebral slippage and the presence of angulation were not associated with poor recovery, the intervertebral angle at L4/5 and the presence of translation were associated with poor recovery. Lastly, multiple stepwise logistic regression analysis revealed the intervertebral angle at L4/5 and the presence of translation as independent predictors of poor recovery after surgery for lumbar degenerative spondylolisthesis. Conclusion While the degree of vertebral slippage and the presence of angulation were not associated with poor recovery after surgery for lumbar degenerative spondylolisthesis, postoperative outcomes were associated with the intervertebral angle and the presence of translation. Careful preoperative measurement of these factors may help to predict poor postoperative outcomes.Level of Evidence: 3.
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
fuws完成签到 ,获得积分10
刚刚
玺青一生完成签到 ,获得积分10
1秒前
小新完成签到 ,获得积分10
2秒前
蛋妮完成签到 ,获得积分10
2秒前
lilili发布了新的文献求助10
5秒前
gmc完成签到 ,获得积分10
6秒前
科研小白完成签到,获得积分10
10秒前
安子完成签到 ,获得积分10
16秒前
笑点低的铁身完成签到 ,获得积分10
17秒前
JayChou完成签到,获得积分10
22秒前
小静完成签到 ,获得积分10
24秒前
沈万熙完成签到,获得积分10
27秒前
奈思完成签到 ,获得积分10
33秒前
lilili完成签到,获得积分10
34秒前
婉莹完成签到 ,获得积分0
37秒前
科研通AI2S应助科研通管家采纳,获得10
37秒前
麦田麦兜完成签到,获得积分10
38秒前
ZTLlele完成签到 ,获得积分10
40秒前
吃小孩的妖怪完成签到 ,获得积分10
42秒前
白啦啦完成签到 ,获得积分10
44秒前
50秒前
清脆愫完成签到 ,获得积分10
54秒前
Beyond095完成签到 ,获得积分10
55秒前
个性松完成签到 ,获得积分10
57秒前
cx完成签到,获得积分10
1分钟前
起个名不麻烦完成签到 ,获得积分10
1分钟前
ZHANG完成签到 ,获得积分10
1分钟前
抹茶泡泡完成签到 ,获得积分10
1分钟前
研究水合物的小白完成签到 ,获得积分10
1分钟前
1分钟前
zhao完成签到,获得积分10
1分钟前
嗯嗯嗯哦哦哦完成签到 ,获得积分10
1分钟前
李大宝完成签到 ,获得积分10
1分钟前
lilylwy完成签到 ,获得积分0
1分钟前
fy发布了新的文献求助10
1分钟前
Horizon完成签到 ,获得积分10
1分钟前
Kevin发布了新的文献求助30
1分钟前
tengyi完成签到 ,获得积分10
2分钟前
无敌幸运儿完成签到 ,获得积分10
2分钟前
xiaobin完成签到 ,获得积分10
2分钟前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
Cognitive Neuroscience: The Biology of the Mind 1000
Technical Brochure TB 814: LPIT applications in HV gas insulated switchgear 1000
Immigrant Incorporation in East Asian Democracies 600
Nucleophilic substitution in azasydnone-modified dinitroanisoles 500
不知道标题是什么 500
A Preliminary Study on Correlation Between Independent Components of Facial Thermal Images and Subjective Assessment of Chronic Stress 500
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 3968559
求助须知:如何正确求助?哪些是违规求助? 3513358
关于积分的说明 11167340
捐赠科研通 3248714
什么是DOI,文献DOI怎么找? 1794453
邀请新用户注册赠送积分活动 875030
科研通“疑难数据库(出版商)”最低求助积分说明 804664