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Benefits of lumbar spine fusion surgery reach 10 years with various surgical indications – Lumbar Fusion

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The article discusses a prospective study that evaluated the 10-year outcomes of lumbar spine fusion (LSF) surgery. The study included a population-based series of elective LSFs performed at two spine centers. The study found that patients experienced significant improvement in patient-reported outcome measures (PROMs) at 1 year post-surgery, followed by a partial loss of benefits by 10 years. The study also found that long-term benefits were milder in degenerative conditions, reflecting the ongoing spinal degeneration. However, the benefits were most evident in pain and physical function measures. Overall, the study demonstrates that LSF provides meaningful benefits at 10 years, but the long-term outcomes may vary depending on the underlying spinal condition

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : top spinal facility in London

Published article

S: Benefits of LSF were partially lost but still meaningful at 10 years of surgery. Long-term benefits seemed milder with degenerative conditions, reflecting the progress of the ongoing spinal degeneration. Benefits were most overt in pain and physical function measures.

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N Am Spine Soc J. 2023 Sep 9;16:100276. doi: 10.1016/j.xnsj.2023.100276. eCollection 2023 Dec.ABSTRACTBACKGROUND CONTEXT: Lumbar spine fusion (LSF) surgery is a viable form of treatment for several spinal disorders. Treatment effects are preferably to be endorsed in real-life settings.METHODS: This prospective study evaluated the 10-year outcomes of LSF. A population-based series of elective LSFs performed,

N Am Spine Soc J. 2023 Sep 9;16:100276. doi: 10.1016/j.xnsj.2023.100276. eCollection 2023 Dec.

ABSTRACT

BACKGROUND CONTEXT: Lumbar spine fusion (LSF) surgery is a viable form of treatment for several spinal disorders. Treatment effects are preferably to be endorsed in real-life settings.

METHODS: This prospective study evaluated the 10-year outcomes of LSF. A population-based series of elective LSFs performed at 2 spine centers between January 2008 and June 2012 were enrolled. Surgeries for tumor, acute fracture, or infection, neuromuscular scoliosis, or postoperative conditions were excluded. The following patient-reported outcome measures (PROMs) were collected at baseline, and 1, 2, 5, and 10 years postsurgery: VAS for back and leg pain, ODI, SF-36. Longitudinal measures of PROMs were analyzed using mixed-effects models.

RESULTS: A total of 683 patients met the inclusion criteria, and 630 (92%) of them completed baseline and at least 1 follow-up PROMs, and they constituted the study population. Mean age was 61 (SD 12) years, 69% women. According to surgical indication, patients were stratified into degenerative spondylolisthesis (DS, n=332, 53%), spinal stenosis (SS, n=102, 16%), isthmic spondylolisthesis (IS, n=97, 15%), degenerative disc disease (DDD, n=52, 8%), and deformity (DF, n=47, 7%).All diagnostic cohorts demonstrated significant improvement at 1 year, followed by a partial loss of benefits by 10 years. ODI baselines and changes at 1 and 10 years were: (DS) 45, -21, and -14; (SS) 51, -24, and -13; (IS) 41, -24, and -20; (DDD) 50, -20, and -20; and (DF) 50, -21, and -16, respectively. Comparable patterns were seen in pain scores. Significant HRQoL achievements were recorded in all cohorts, greatest in physical domains, but also substantial in mental aspects of HRQoL.

S: Benefits of LSF were partially lost but still meaningful at 10 years of surgery. Long-term benefits seemed milder with degenerative conditions, reflecting the progress of the ongoing spinal degeneration. Benefits were most overt in pain and physical function measures.

PMID:37840551 | PMC:PMC10570578 | DOI:10.1016/j.xnsj.2023.100276

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Benefits of lumbar spine fusion surgery reach 10 years with various surgical indications

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N Am Spine Soc J. 2023 Sep 9;16:100276. doi: 10.1016/j.xnsj.2023.100276. eCollection 2023 Dec.ABSTRACTBACKGROUND CONTEXT: Lumbar spine fusion (LSF) surgery is a viable form of treatment for several spinal disorders. Treatment effects are preferably to be endorsed in real-life settings.METHODS: This prospective study evaluated the 10-year outcomes of LSF. A population-based series of elective LSFs performed

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