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Evaluating the Efficacy of IL-6 as Predictors of Lateral Lumbar Interbody Fusion Success: Insights From Pain Scores and JOABPEQ Assessments – Lumbar Spinal Stenosis

The article published in Global Spine Journal in March 2024 focused on a prospective study exploring the relationship between interleukin-6 (IL-6) levels in intervertebral disc tissue and clinical outcomes in patients undergoing lumbar surgery for lumbar degenerative disease (LDD). The study analyzed 32 patients who underwent lateral lumbar interbody fusion (LLIF) and found that higher IL-6 levels correlated with more severe postoperative low back pain and lower quality of life scores. The results suggest that IL-6 could serve as a potential biomarker for predicting surgical outcomes in LDD patients, and integrating molecular markers like IL-6 with patient-reported outcomes could improve postoperative care and overall quality of life for patients undergoing LLIF surgery

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

CONCLUSIONS: The study underscores IL-6 as a potential biomarker for predicting surgical outcomes in LDD. High IL-6 levels correlate with worse postoperative LBP and lower QOL scores. Integrating molecular markers like IL-6 with patient-reported outcomes could provide a more comprehensive approach to postoperative care in spinal disorders, aiming to improve the overall QOL for LDD patients undergoing LLIF surgery.

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Global Spine J. 2024 Mar 21:21925682241241518. doi: 10.1177/21925682241241518. Online ahead of print.ABSTRACTSTUDY DESIGN: A prospective study.OBJECTIVES: This study aims to explore the correlation between interleukin (IL)- 6 levels in intervertebral disc (IVD) tissue and clinical outcomes in patients undergoing lumbar surgery for lumbar degenerative disease (LDD).METHODS: This prospective study analyzed 32 patients (22 men and,

Global Spine J. 2024 Mar 21:21925682241241518. doi: 10.1177/21925682241241518. Online ahead of print.

ABSTRACT

STUDY DESIGN: A prospective study.

OBJECTIVES: This study aims to explore the correlation between interleukin (IL)- 6 levels in intervertebral disc (IVD) tissue and clinical outcomes in patients undergoing lumbar surgery for lumbar degenerative disease (LDD).

METHODS: This prospective study analyzed 32 patients (22 men and 10 women, average age 69.6 years) who underwent lateral lumbar interbody fusion (LLIF). IL-6 gene expression in IVD tissues collected during surgery was measured and correlated with pre- and postoperative clinical outcomes, including pain intensity assessed via Numeric Rating Scales (NRS) and quality of life (QOL) evaluated through the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ).

RESULTS: IL-6 levels showed statistical correlations with postoperative intensity of low back pain (LBP) and several JOABPEQ domains. Patients with higher expression of IL-6 levels experienced more severe postoperative LBP and lower scores in lumbar function, walking ability, social life function, and mental health. The effectiveness rate of JOABPEQ scores was exceptionally high for low back pain (.548), walking ability (.677), and social functioning (.563), demonstrating the effectiveness of LLIF. The average operation time was 105.6 minutes, and the estimated blood loss was 85.6 mL.

CONCLUSIONS: The study underscores IL-6 as a potential biomarker for predicting surgical outcomes in LDD. High IL-6 levels correlate with worse postoperative LBP and lower QOL scores. Integrating molecular markers like IL-6 with patient-reported outcomes could provide a more comprehensive approach to postoperative care in spinal disorders, aiming to improve the overall QOL for LDD patients undergoing LLIF surgery.

PMID:38511353 | DOI:10.1177/21925682241241518

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Evaluating the Efficacy of IL-6 as Predictors of Lateral Lumbar Interbody Fusion Success: Insights From Pain Scores and JOABPEQ Assessments

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Global Spine J. 2024 Mar 21:21925682241241518. doi: 10.1177/21925682241241518. Online ahead of print.ABSTRACTSTUDY DESIGN: A prospective study.OBJECTIVES: This study aims to explore the correlation between interleukin (IL)- 6 levels in intervertebral disc (IVD) tissue and clinical outcomes in patients undergoing lumbar surgery for lumbar degenerative disease (LDD).METHODS: This prospective study analyzed 32 patients (22 men and

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