POSTEROLATERAL ARTHRODESIS AND INTERBODY ARTHRODESIS FOR LUMBAR CANAL STENOSIS
ABSTRACT Objectives: To compare the clinical outcomes and quality of life of patients surgically treated for lumbar spinal stenosis with decompression and posterolateral fusion, and decompression with interbody fusion. Methods: The study included 88 patients with lumbar canal stenosis who underwen...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Sociedade Brasileira de Ortopedia e Traumatologia
2019-02-01
|
| Series: | Acta Ortopédica Brasileira |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522019000100038&tlng=en |
| _version_ | 1818975222129229824 |
|---|---|
| author | Oswaldo Roberto Nascimento Leonardo Yukio Jorge Asano André Nunes Machado André Evaristo Marcondes Cesar Luciano Miller Reis Rodrigues |
| author_facet | Oswaldo Roberto Nascimento Leonardo Yukio Jorge Asano André Nunes Machado André Evaristo Marcondes Cesar Luciano Miller Reis Rodrigues |
| author_sort | Oswaldo Roberto Nascimento |
| collection | DOAJ |
| description | ABSTRACT Objectives: To compare the clinical outcomes and quality of life of patients surgically treated for lumbar spinal stenosis with decompression and posterolateral fusion, and decompression with interbody fusion. Methods: The study included 88 patients with lumbar canal stenosis who underwent surgery treatment (decompression and interbody fusion in 36 patients and decompression and posterolateral fusion [PL] in 52 patients). The clinical outcomes were assessed using the Oswestry Disability Index (ODI), Roland-Morris (RM) functional disability scale, and visual analog scale (VAS) for pain. These questionnaires were administered preoperatively and 1 month, 6 months, 1 year, and 2 years postoperatively. Results: Eighty-eight patients had surgery 2 years prior. The ODI and RM scale scores showed significant differences in the posterolateral group. In the interbody group, the ODI score showed a significant change only from before to 1 and 2 years after surgery. The VAS score significantly changed only from before to after surgery in the posterolateral group, but in the interbody group, the change was also observed at 1 month and 1 year after surgery. Conclusions: The two techniques are effective surgical treatment options for lumbar canal stenosis as long as they are well indicated. Level of evidence III, Comparative prospective case-control study. |
| first_indexed | 2024-12-20T15:52:31Z |
| format | Article |
| id | doaj.art-345e68cc8183413bb39ae0ec4b3108e0 |
| institution | Directory Open Access Journal |
| issn | 1413-7852 |
| language | English |
| last_indexed | 2024-12-20T15:52:31Z |
| publishDate | 2019-02-01 |
| publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
| record_format | Article |
| series | Acta Ortopédica Brasileira |
| spelling | doaj.art-345e68cc8183413bb39ae0ec4b3108e02022-12-21T19:34:37ZengSociedade Brasileira de Ortopedia e TraumatologiaActa Ortopédica Brasileira1413-78522019-02-01271384110.1590/1413-785220192701191115POSTEROLATERAL ARTHRODESIS AND INTERBODY ARTHRODESIS FOR LUMBAR CANAL STENOSISOswaldo Roberto Nascimentohttps://orcid.org/0000-0002-9873-8876Leonardo Yukio Jorge Asanohttps://orcid.org/0000-0002-8489-5256André Nunes Machadohttps://orcid.org/0000-0001-8679-1859André Evaristo Marcondes Cesarhttps://orcid.org/0000-0002-0148-4372Luciano Miller Reis Rodrigueshttps://orcid.org/0000-0001-6891-5395ABSTRACT Objectives: To compare the clinical outcomes and quality of life of patients surgically treated for lumbar spinal stenosis with decompression and posterolateral fusion, and decompression with interbody fusion. Methods: The study included 88 patients with lumbar canal stenosis who underwent surgery treatment (decompression and interbody fusion in 36 patients and decompression and posterolateral fusion [PL] in 52 patients). The clinical outcomes were assessed using the Oswestry Disability Index (ODI), Roland-Morris (RM) functional disability scale, and visual analog scale (VAS) for pain. These questionnaires were administered preoperatively and 1 month, 6 months, 1 year, and 2 years postoperatively. Results: Eighty-eight patients had surgery 2 years prior. The ODI and RM scale scores showed significant differences in the posterolateral group. In the interbody group, the ODI score showed a significant change only from before to 1 and 2 years after surgery. The VAS score significantly changed only from before to after surgery in the posterolateral group, but in the interbody group, the change was also observed at 1 month and 1 year after surgery. Conclusions: The two techniques are effective surgical treatment options for lumbar canal stenosis as long as they are well indicated. Level of evidence III, Comparative prospective case-control study.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522019000100038&tlng=enSpinal stenosisSpinal fusionQuality of life |
| spellingShingle | Oswaldo Roberto Nascimento Leonardo Yukio Jorge Asano André Nunes Machado André Evaristo Marcondes Cesar Luciano Miller Reis Rodrigues POSTEROLATERAL ARTHRODESIS AND INTERBODY ARTHRODESIS FOR LUMBAR CANAL STENOSIS Acta Ortopédica Brasileira Spinal stenosis Spinal fusion Quality of life |
| title | POSTEROLATERAL ARTHRODESIS AND INTERBODY ARTHRODESIS FOR LUMBAR CANAL STENOSIS |
| title_full | POSTEROLATERAL ARTHRODESIS AND INTERBODY ARTHRODESIS FOR LUMBAR CANAL STENOSIS |
| title_fullStr | POSTEROLATERAL ARTHRODESIS AND INTERBODY ARTHRODESIS FOR LUMBAR CANAL STENOSIS |
| title_full_unstemmed | POSTEROLATERAL ARTHRODESIS AND INTERBODY ARTHRODESIS FOR LUMBAR CANAL STENOSIS |
| title_short | POSTEROLATERAL ARTHRODESIS AND INTERBODY ARTHRODESIS FOR LUMBAR CANAL STENOSIS |
| title_sort | posterolateral arthrodesis and interbody arthrodesis for lumbar canal stenosis |
| topic | Spinal stenosis Spinal fusion Quality of life |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522019000100038&tlng=en |
| work_keys_str_mv | AT oswaldorobertonascimento posterolateralarthrodesisandinterbodyarthrodesisforlumbarcanalstenosis AT leonardoyukiojorgeasano posterolateralarthrodesisandinterbodyarthrodesisforlumbarcanalstenosis AT andrenunesmachado posterolateralarthrodesisandinterbodyarthrodesisforlumbarcanalstenosis AT andreevaristomarcondescesar posterolateralarthrodesisandinterbodyarthrodesisforlumbarcanalstenosis AT lucianomillerreisrodrigues posterolateralarthrodesisandinterbodyarthrodesisforlumbarcanalstenosis |