Danger Components of Postoperative Low Again Ache for Low-Grade Degenerative Spondylolisthesis: An At Least 2-Yr Observe-Up Retrospective Research.
World Neurosurg. 2017 Nov;107:789-794
Authors: Guan F, Bao R, Zhu L, Guan G, Chi Z, Gu J, Yu Z
OBJECTIVE: A retrospective research was performed to make clear the chance elements of postoperative low again ache (LBP) for low-grade degenerative spondylolisthesis.
PATIENTS AND METHODS: A complete of 239 sufferers who underwent posterior lumbar fusion between January 2011 and January 2015 have been included on this evaluation. We investigated affected person traits, surgical traits, and radiographic traits.
RESULTS: The imply visible analog scale (VAS) rating of LBP decreased dramatically after the operation. The imply preoperative VAS rating was larger in sufferers with extreme lumbar multifidus (LM) intramuscular adipose tissue (IMAT). The postoperative VAS rating was dramatically decrease in sufferers with shorter symptom period. Postoperative LBP disappeared extra typically in sufferers with shorter symptom period. LBP VAS altering confirmed vital variations in numerous symptom period teams and LM IMAT teams.
CONCLUSIONS: LM IMAT and symptom period have been threat elements for postoperative LBP. Sufferers with extreme LM IMAT reported extra extreme LBP earlier than the operation. Postoperative LBP disappeared extra typically in sufferers with shorter symptom period.
PMID: 28844918 [PubMed – indexed for MEDLINE]