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Sagittal Imbalance Syndrome, A New Concept, Helps Determining A Long Fusion For Patients With Degenerative Lumbar Spinal Stenosis And Severe Global Sagittal Imbalance London Spine Lumbar Stenosis

The article retrospectively investigated the postoperative outcomes of elderly patients with degenerative lumbar spinal stenosis (DLSS) and severe global sagittal imbalance who underwent different fusion levels. A total of 214 patients were included in the study, with 54 patients diagnosed with sagittal imbalance syndrome and undergoing a long thoracolumbar fusion or short lumbar fusion. The results showed that patients with sagittal imbalance syndrome had more paraspinal muscle degeneration and less compensatory potential for sagittal imbalance. Postoperatively, there was significant restoration of global sagittal alignment and improvement in living quality in the fusion groups. However, there were complications observed in a few patients from Group A and Group B. The study concluded that DLSS patients with sagittal imbalance syndrome had inferior surgical outcomes in terms of living quality and complications after lumbar decompression with a short fusion

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

Published article

Our results indicated that DLSS patients with sagittal imbalance syndrome had inferior surgical outcomes in terms of living quality and proximal junctional complication after lumbar decompression with a short fusion.

Spine Lumbar Spinal Stenosis Expert. Best Spinal Surgeon UK
Abstract Objective: To retrospectively investigate the postoperative clinical and radiographic outcomes in elderly patients with degenerative lumbar spinal stenosis (DLSS) and severe global sagittal imbalance who underwent different fusion levels. Methods: A total of 214 patients with DLSS and severe global sagittal imbalance were included. Sagittal imbalance syndrome was defined as the severe decompensated radiographic,

Abstract

Objective: To retrospectively investigate the postoperative clinical and radiographic outcomes in elderly patients with degenerative lumbar spinal stenosis (DLSS) and severe global sagittal imbalance who underwent different fusion levels.

Methods: A total of 214 patients with DLSS and severe global sagittal imbalance were included. Sagittal imbalance syndrome was defined as the severe decompensated radiographic global sagittal imbalance accompanied with the following symptoms: severe back pain in naturel posture that disappears or significantly relieves in support position, living disability with ODI score > 40% and dynamic sagittal imbalance. Thereinto, 54 patients were found with sagittal imbalance syndrome and were performed the lumbar decompression with a long thoracolumbar fusion (Group A) or a short lumbar fusion (Group B). Thirty patients without sagittal imbalance syndrome who underwent short lumbar decompression and fusion were selected as the control (Group C).

Results: Patients with sagittal imbalance syndrome were detected to have more paraspinal muscle degeneration and less compensatory potentials for sagittal imbalance (smaller thoracic kyphosis and larger pelvic tilt) than those without this diagnosis. Postoperative comparisons revealed significant restoration of global sagittal alignment and balance and improvement of living quality in Groups A and C at the final follow-up. Six patients in Group B and one in Group A were found to have proximal junctional complication during follow-up.

Our results indicated that DLSS patients with sagittal imbalance syndrome had inferior surgical outcomes in terms of living quality and proximal junctional complication after lumbar decompression with a short fusion.

Keywords: Degenerative lumbar spinal stenosis; Sagittal imbalance syndrome; Severe spinal sagittal imbalance; Spinal deformity; Surgical decision making.

The London Spine Unit : innovative spinal clinic on Harley Street UK

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Sagittal imbalance syndrome, a new concept, helps determining a long fusion for patients with degenerative lumbar spinal stenosis and severe global sagittal imbalance

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Abstract Objective: To retrospectively investigate the postoperative clinical and radiographic outcomes in elderly patients with degenerative lumbar spinal stenosis (DLSS) and severe global sagittal imbalance who underwent different fusion levels. Methods: A total of 214 patients with DLSS and severe global sagittal imbalance were included. Sagittal imbalance syndrome was defined as the severe decompensated radiographic

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