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Effect of spinal-pelvic sagittal balance on the clinical outcomes after lumbar fusion surgery – Lumbar Fusion

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The article titled “Effect of spinal-pelvic sagittal balance on clinical outcomes after lumbar interbody fusion in patients with lumbar degenerative diseases” investigates the impact of spinal-pelvic sagittal balance on the clinical outcomes of patients who undergo lumbar interbody fusion surgery for lumbar degenerative diseases (LDD). A total of 303 patients were included in the retrospective study, and their spinal-pelvic sagittal parameters were evaluated and compared both before and after the surgery. The results showed that patients with spinal-pelvic match had better outcomes in terms of Oswestry Disability Index (ODI) and Visual Analog Scale (VAS) for back pain at the final follow-up compared to those with spinal-pelvic mismatch. The study concluded that lumbar interbody fusion can significantly improve the prognosis for patients with LDD, and the spinal-pelvic match has a positive effect on patients’ quality of life and the reduction of low back pain

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : innovative spine clinic in UK

Published article

S: lumbar interbody fusion can significantly improve the prognosis of patients with LDD. In terms of outcomes with an average follow-up time of more than 2 years, the spinal-pelvic match has a positive effect on patients’ quality of life and the release of low back pain.

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BMC Surg. 2023 Nov 1;23(1):334. doi: 10.1186/s12893-023-02240-y.ABSTRACTBACKGROUND: Spinal-pelvic sagittal balance is important for maintaining energy-efficient posture in normal and diseased states.Few reports to date have evaluated the effect of spinal-pelvic sagittal balance on clinical outcomes after lumbar interbody fusion in patients with lumbar degenerative diseases (LDD).METHODS: A total of 303 patients treated with posterior lumbar,

BMC Surg. 2023 Nov 1;23(1):334. doi: 10.1186/s12893-023-02240-y.

ABSTRACT

BACKGROUND: Spinal-pelvic sagittal balance is important for maintaining energy-efficient posture in normal and diseased states.Few reports to date have evaluated the effect of spinal-pelvic sagittal balance on clinical outcomes after lumbar interbody fusion in patients with lumbar degenerative diseases (LDD).

METHODS: A total of 303 patients treated with posterior lumbar interbody fusion surgery for lumbar degenerative disease from January 2012 to December 2019 were enrolled in this retrospective study according to the inclusion criteria. Preoperative and postoperative spinal-pelvic sagittal parameters including pelvic incidence (PI), pelvic tilt (PT), sacral slope (SS) and lumbar lordosis (LL) of the patients were evaluated and compared. 163 patients whose postoperative PI-LL ≤ 10° were divided into the spinal-pelvic match group (Group M), while 140 patients were divided into the spinal-pelvic mismatch group (Group MM). Preoperative and postoperative Oswestry Disability Index (ODI) and Visual Analog Scale (VAS) for back pain of both groups were compared.

RESULTS: There was no significant difference between the two groups in demographic and surgical data, except for blood loss in surgery. LL, PI, PT and SS of the patients at final follow-up were all statistically different from the preoperative values in the two groups(P < 0.05). There was no significant difference in LL, PI, PT and SS between the two groups before surgery. At the final follow-up, LL, PI and PT differed significantly between the two groups(P < 0.05). Compared with the preoperative results, ODI and VAS of low back in both groups decreased significantly at the final follow-up (P < 0.05). Significant differences in VAS and ODI were found between the two groups at the final follow-up (P < 0.05). The improvement rates of VAS and ODI of Group M are both significantly higher than Group MM. Regression analysis showed that age and spinal-pelvic match had significant effects on the improvement of patients' low back pain at the final follow-up.

S: lumbar interbody fusion can significantly improve the prognosis of patients with LDD. In terms of outcomes with an average follow-up time of more than 2 years, the spinal-pelvic match has a positive effect on patients’ quality of life and the release of low back pain.

PMID:37914985 | DOI:10.1186/s12893-023-02240-y

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Effect of spinal-pelvic sagittal balance on the clinical outcomes after lumbar fusion surgery

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BMC Surg. 2023 Nov 1;23(1):334. doi: 10.1186/s12893-023-02240-y.ABSTRACTBACKGROUND: Spinal-pelvic sagittal balance is important for maintaining energy-efficient posture in normal and diseased states.Few reports to date have evaluated the effect of spinal-pelvic sagittal balance on clinical outcomes after lumbar interbody fusion in patients with lumbar degenerative diseases (LDD).METHODS: A total of 303 patients treated with posterior lumbar

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