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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 1,177 - 1,185 (9page)
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Purpose: To demonstrate the impact of correcting sagittal balance (SB) on functional outcomes of surgical treatment for degenerativespinal disease and actual falls via utilization of new minimally invasive lumbar fusion techniques via a lateral approach.
Materials and Methods: From November 2011 to March 2015, we enrolled 56 patients who underwent minimally invasive lateral lumbar interbody fusion (LLIF) and matched 112 patients receiving decompression/postero-lateral fusion (PLF) surgery for lumbarspinal stenosis. According to SB status using C7-plumb line-distance (C7PL) and surgery type, patients were divided into three groups: SB PLF, sagittal imbalance (SI) PLF, and LLIF groups. We then compared their outcomes.
Results: The mean C7PL was 6.2±13.6 mm in the SB PLF group, 72.9±33.8 mm in the SI PLF group, and 74.8±38.2 mm in the LLIF group preoperatively. Postoperatively, C7PL in only the LLIF group improved significantly (p=0.000). Patients in the LLIF group showed greater improvement in fall-related functional test scores than the SI PLF group (p=0.007 for Alternate-Step test, p=0.032 for Sit-to-Stand test). The average number of postoperative falls was 0.4±0.7 in the SB PLF group, 1.1±1.4 in the SI PLF group, and 0.8±1.0 in the LLIF group (p=0.041). Oswestry Disability Index and the Euro-QoL 5 dimension visual analogue scale scores also showed greater improvements in the LLIF group than in the SI PLF group at postoperative 1 year (p=0.003, 0.016).
Conclusion: Surgical correction of SI in patients with lumbar spinal stenosis using a combination of minimal invasive LLIF and posterior surgery achieved better surgical outcomes and a lower incidence of actual falls than PLF surgery.
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참고문헌 (21)
참고문헌 신청
Bayerl SH / 2015 / The sagittal balance does not influence the 1 year clinical outcome of patients with lumbar spinal stenosis without obvious instability after microsurgical
Berven SH / 2003 / Management of fixed sagittal plane deformity: outcome of combined anterior and posterior surgery / Spine (Phila Pa 1976) 28 : 1710 ~ 1715
Costanzo G / 2014 / The role of minimally invasive lateral lumbar interbody fusion in sagittal balance correction and spinal deformity / Eur Spine J 23 (Suppl 6) : 699 ~ 704
Fairbank JC / 2000 / The Oswestry Disability Index / Spine (Phila Pa 1976) 25 : 2940 ~ 2952
Hikata T / 2015 / Impact of sagittal spinopelvic alignment on clinical outcomes after decompression surgery for lumbar spinal canal stenosis without coronal imbalance / J Neu
Berven SH / 2003 / Management of fixed sagittal plane deformity: outcome of combined anterior and posterior surgery / Spine (Phila Pa 1976) 28 : 1710 ~ 1715
Costanzo G / 2014 / The role of minimally invasive lateral lumbar interbody fusion in sagittal balance correction and spinal deformity / Eur Spine J 23 (Suppl 6) : 699 ~ 704
Fairbank JC / 2000 / The Oswestry Disability Index / Spine (Phila Pa 1976) 25 : 2940 ~ 2952
Hikata T / 2015 / Impact of sagittal spinopelvic alignment on clinical outcomes after decompression surgery for lumbar spinal canal stenosis without coronal imbalance / J Neu
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