Correlation of Functional Outcomes and Sagittal Alignment After Long Instrumented Fusion for Degenerative Thoracolumbar Spinal Disease

Spine
Kuang-Ting YehWen-Tien Wu

Abstract

A retrospective function and radiography study of the patients who have received long instrumented thoracolumbar fusion. To investigate the correlation between the sagittal spinopelvic alignment and the functional outcomes after long instrumented fusion for degenerative thoracolumbar spinal disease. Restoring better sagittal alignment is known as a key factor to spine fusion surgeries. The relationship between function and radiographic results in the elderly group is barely known. Between 2009 and 2013, data of 120 patients with multilevel degenerative thoracolumbar spinal disease who underwent long instrumented fusion were collected retrospectively. Perioperative radiographic and functional parameters were measured and analyzed for their correlations. Receiver operating characteristic (ROC) method was used to define ideal cutoff points of postoperative spinopelvic alignment to avoid poor outcome. Oswestry disability index (ODI) more than or equal to 20 or Visual analogue scale (VAS) more than or equal to 4 were defined as poor functional outcomes. The optimal cutoff points of the radiographic parameters were found as below: the mismatch between pelvic incidence and lumbar lordosis was 16.2°, sagittal vertical axis was 38.5 mm,...Continue Reading

References

Apr 15, 2000·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·J Y LazennecR Trabelsi
Feb 7, 2003·Journal of Spinal Disorders & Techniques·E Mark Hammerberg, Kirkham B Wood
Aug 5, 2004·The Journal of Bone and Joint Surgery. American Volume·Benjamin K PotterTimothy R Kuklo
Sep 24, 2005·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·C BoulayJ Pélissier
Aug 18, 2006·Spine·Frank SchwabWilliam Horton
Apr 9, 2009·Journal of Pediatric Orthopedics·Michael Timothy HreskoDavid Zurakowski
Aug 13, 2011·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Jean-Marc Mac-ThiongP Guigui
Sep 29, 2011·Journal of Neurosurgery. Spine·Virginie LafageShay Bess
Oct 26, 2014·The Journal of the American Academy of Orthopaedic Surgeons·William M MihalkoS Terry Canale
Mar 27, 2015·The Journal of the American Academy of Orthopaedic Surgeons·Ronald A LehmanScott Cameron Wagner

❮ Previous
Next ❯

Software Mentioned

SPSS

Related Concepts

Related Feeds

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.