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Comprehensive Assessment of Indirect Decompression Through Lateral Lumbar Interbody Fusion for Degenerative Lumbar Spinal Stenosis: A Japanese Orthopedic Association Back Pain Evaluation Questionnaire-Based Analysis – Lumbar Fusion

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The article is a retrospective study aiming to evaluate the clinical outcomes of lateral lumbar interbody fusion (LLIF) as an indirect decompression technique for degenerative spondylolisthesis (DS) and concomitant degenerative lumbar spinal stenosis (DLSS) patients. The Japanese Orthopedic Association Back Pain Evaluation Questionnaire (JOABPEQ) was used to assess treatment success and its impact on patients’ quality of life (QOL). The study included 124 patients who underwent LLIF, and the results showed that 89% of patients reported satisfaction with the procedure. LLIF achieved successful indirect decompression, leading to significant improvements across various domains of JOABPEQ, such as low back pain, lumbar function, walking ability, social life function, and mental health. Patients who perceived the surgery as beneficial had fewer complications, better pain relief, and greater functional outcomes compared to non-beneficial patients. The findings support the effectiveness of LLIF as a minimally invasive technique for managing DLSS and DS and emphasize the importance of considering patient perspectives in evaluating treatment success

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : innovative spine centre on Harley Street UK

Published article

S: Our findings highlight the utility of JOABPEQ as a valuable and sensitive tool for assessing treatment effectiveness and patient-reported outcomes in DS and concomitant DLSS patients. Patients undergoing LLIF. The results affirm the favorable outcomes of LLIF as a surgical option for DLSS patients and emphasize the importance of considering patient perspectives when evaluating overall treatment success. The study provides valuable insights into the impact of indirect decompression…

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Global Spine J. 2023 Sep 26:21925682231204254. doi: 10.1177/21925682231204254. Online ahead of print.ABSTRACTSTUDY DESIGN: A retrospective study.OBJECTIVE: This study aimed to comprehensively evaluate the clinical outcomes of lateral lumbar interbody fusion (LLIF) as an indirect decompression technique for degenerative spondylolisthesis (DS) and concomitant degenerative lumbar spinal stenosis (DLSS) patients. We utilized the Japanese Orthopedic Association Back,

Global Spine J. 2023 Sep 26:21925682231204254. doi: 10.1177/21925682231204254. Online ahead of print.

ABSTRACT

STUDY DESIGN: A retrospective study.

OBJECTIVE: This study aimed to comprehensively evaluate the clinical outcomes of lateral lumbar interbody fusion (LLIF) as an indirect decompression technique for degenerative spondylolisthesis (DS) and concomitant degenerative lumbar spinal stenosis (DLSS) patients. We utilized the Japanese Orthopedic Association Back Pain Evaluation Questionnaire (JOABPEQ) to assess treatment success and its impact on patient’s quality of life (QOL).

METHODS: We included 124 patients who underwent LLIF. Pre- and postoperative JOABPEQ evaluations indicated treatment success. Subgroup analysis categorized patients’ perceptions of surgery as beneficial or non-beneficial.

RESULTS: 89% of patients (110/124) reported satisfaction with LLIF. Lateral lumbar interbody fusion achieved successful indirect decompression, increasing canal diameter and central canal area. Significant improvements occurred across all JOABPEQ domains, notably for low back pain, lumbar function, walking ability, social life function, and mental health. Patients who perceived the surgery as beneficial experienced fewer postoperative complications, lower numeric rating scale scores for pain relief, and greater functional outcome improvements compared to non-beneficial patients.

S: Our findings highlight the utility of JOABPEQ as a valuable and sensitive tool for assessing treatment effectiveness and patient-reported outcomes in DS and concomitant DLSS patients. Patients undergoing LLIF. The results affirm the favorable outcomes of LLIF as a surgical option for DLSS patients and emphasize the importance of considering patient perspectives when evaluating overall treatment success. The study provides valuable insights into the impact of indirect decompression on patients’ QOL, supporting the effectiveness of LLIF as a minimally invasive technique for DLSS and DS management.

PMID:37750358 | DOI:10.1177/21925682231204254

The London Spine Unit : innovative spine centre on Harley Street UK

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Comprehensive Assessment of Indirect Decompression Through Lateral Lumbar Interbody Fusion for Degenerative Lumbar Spinal Stenosis: A Japanese Orthopedic Association Back Pain Evaluation Questionnaire-Based Analysis

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Global Spine J. 2023 Sep 26:21925682231204254. doi: 10.1177/21925682231204254. Online ahead of print.ABSTRACTSTUDY DESIGN: A retrospective study.OBJECTIVE: This study aimed to comprehensively evaluate the clinical outcomes of lateral lumbar interbody fusion (LLIF) as an indirect decompression technique for degenerative spondylolisthesis (DS) and concomitant degenerative lumbar spinal stenosis (DLSS) patients. We utilized the Japanese Orthopedic Association Back
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