Live Video Consultation
19 Harley St, London, W1G 9QJ, UK

The Correlation between Restoration of Lumbar Lordosis and Surgical Outcome in the Treatment of Low-grade Lumbar Degenerative Spondylolisthesis with Spinal Fusion.

Related Articles

The Correlation between Restoration of Lumbar Lordosis and Surgical Outcome in the Treatment of Low-grade Lumbar Degenerative Spondylolisthesis with Spinal Fusion.

J Spinal Disord Tech. 2013 Dec 11;

Authors: Hsu HT, Yang SS, Chen TY

Abstract
STUDY DESIGN:: Retrospective clinical study.
OBJECTIVE:: To investigate the relationship between the restoration of the lumbar lordosis (LL) and the surgical outcome of patients undergoing spinal fusion for low-grade lumbar degenerative spondylolisthesis.
SUMMARY OF BACKGROUND DATA:: Correlation between low back pain and the loss of LL in the treatment of low-grade lumbar degenerative spondylolisthesis has seldom been reported.
METHODS:: Between May, 2005 and July, 2011, 59 patients with low back pain and neurogenic claudication because of low-grade lumbar degenerative spondylolisthesis underwent spinal decompression and fusion by a senior surgeon. Ten patients were lost to follow-up. The mean age of the remaining 49 patients (10 men and 39 women) was 64.0 years (range: 47-88?y). Patients were categorized based on the spino-pelvic posture: Type 1 (pelvic incidence<45°) (n=12), Type 2 (45°?pelvic incidence?60°) (n=24), and Type 3 (pelvic incidence> 60°) (n=13). The LL restoration ratio was calculated by the actual LL divided by the predicted LL. The clinical results were evaluated using a visual analogue scale (VAS) and the Oswestry Disability Index (ODI). Postoperative 36-inch spinal films were used to assess the sagittal balance.
RESULTS:: The mean follow-up period was 43.2 months (range: 28-62?mo). Forty-eight patients showed significant improvement with respect to VAS and ODI regardless of whether the LL was restored higher or lower. Postoperative 36-inch spinal films showed the C7 plumb line within an average of 4.4?cm (range: 0.6-5.6?cm) away from the posterior-superior corner of the S1 vertebrae.
CONCLUSION:: Patients with smaller pelvic incidence tended to be restored higher, and those patients with a larger pelvic incidence were more likely to be restored lower. For patients with normal sagittal balance, the surgical outcomes in the treatment of low-grade lumbar degenerative spondylolisthesis with spinal fusion are not correlated with restoration of the LL.

PMID: 24335721 [PubMed – as supplied by publisher]

The Correlation between Restoration of Lumbar Lordosis and Surgical Outcome in the Treatment of Low-grade Lumbar Degenerative Spondylolisthesis with Spinal Fusion | Spinal Disc Replacement supporting pain free mobility through next generation Spinal Prosthesis | Joint-surgeoncom

What our patients say ...

Consultant Spine Surgeon
Consultant Spine Surgeon
Consultant Spine Surgeon

This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.
What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

treatment of all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810