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High triglyceride-glucose index is associated with low postoperative satisfaction in patients with posterior instrumented lumbar fusion – Lumbar Fusion

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The study published in the European Review of Medical and Pharmacological Sciences in 2024 aimed to investigate the impact of the preoperative triglyceride-glucose (TyG) index on the postoperative quality of life, patient satisfaction, and surgical outcomes in patients who underwent posterior lumbar instrumentation and fusion surgery. The retrospective single-center cohort study included 136 patients who were divided into three groups based on their TyG index levels. The findings revealed that a high preoperative TyG index was associated with poor postoperative Oswestry disability index (ODI) and physical function (PF) scores, indicating lower patient satisfaction. The results suggest that the TyG index could be a useful predictor for assessing the postoperative outcomes in patients undergoing this type of surgery

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

S: In patients who underwent posterior lumbar instrumentation and fusion surgery, a high preoperative TyG index may predict poor postoperative ODI and PF scores, indicating lower patient satisfaction.

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Eur Rev Med Pharmacol Sci. 2024 Mar;28(6):2419-2429. doi: 10.26355/eurrev_202403_35750. ABSTRACT OBJECTIVE: This study aimed to determine the effect of the preoperative triglyceride-glucose (TyG) index on the postoperative quality of life, patient satisfaction, and surgical outcomes in patients who underwent posterior lumbar instrumentation and fusion surgery. PATIENTS AND METHODS: This was a retrospective single-center cohort study,

Eur Rev Med Pharmacol Sci. 2024 Mar;28(6):2419-2429. doi: 10.26355/eurrev_202403_35750.

ABSTRACT

OBJECTIVE: This study aimed to determine the effect of the preoperative triglyceride-glucose (TyG) index on the postoperative quality of life, patient satisfaction, and surgical outcomes in patients who underwent posterior lumbar instrumentation and fusion surgery.

PATIENTS AND METHODS: This was a retrospective single-center cohort study (n = 136). Patients were divided into three groups according to the TyG index: < 25th percentile (L), 25-75 percentile (N), and > 75th percentile (H). Pearson correlation analysis was used to evaluate the relationship between the TyG index and the quantitative variables. Scatterplot and receiver operating characteristic (ROC) curve analysis were used to assess the relationship of the preoperative TyG index with postoperative Oswestry disability index (ODI) and physical function (PF) scores.

RESULTS: The TyG index showed a significant correlation with postoperative ODI score. TyG index showed a significant negative correlation with postoperative PF score. On ROC curve analysis, postoperative ODI score ≥ 38 (optimal cut-off) had 79% sensitivity and 92% specificity for predicting high TyG index (group H) (p = 0.016). Postoperative PF score ≤ 80 predicted group H patients with 97% sensitivity and 75% specificity (p = 0.001). The area under the ROC curve was 0.74 (p = 0.016) for the postoperative ODI and 0.79 (p = 0.001) for the postoperative PF.

S: In patients who underwent posterior lumbar instrumentation and fusion surgery, a high preoperative TyG index may predict poor postoperative ODI and PF scores, indicating lower patient satisfaction.

PMID:38567605 | DOI:10.26355/eurrev_202403_35750

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High triglyceride-glucose index is associated with low postoperative satisfaction in patients with posterior instrumented lumbar fusion

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Eur Rev Med Pharmacol Sci. 2024 Mar;28(6):2419-2429. doi: 10.26355/eurrev_202403_35750. ABSTRACT OBJECTIVE: This study aimed to determine the effect of the preoperative triglyceride-glucose (TyG) index on the postoperative quality of life, patient satisfaction, and surgical outcomes in patients who underwent posterior lumbar instrumentation and fusion surgery. PATIENTS AND METHODS: This was a retrospective single-center cohort study

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