The radiological outcome in lumbar interbody fusion among rheumatoid arthritis patients: a 20-year retrospective study
Abstract Background Clinical outcomes amongst Rheumatoid Arthritis (RA) patients have shown satisfactory results being reported after lumbar surgery. The increased adoption of the interbody fusion technique has been due to a high fusion rate and less invasive procedures. However, the radiographic ou...
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| Format: | Article |
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BMC
2021-08-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | https://doi.org/10.1186/s12891-021-04531-y |
| _version_ | 1818904992013090816 |
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| author | Kuan-Kai Tung Yun-Che Wu Kun-Hui Chen Chien-Chou Pan Wen-Xian Lu Ning-Chien Chin Cheng-Min Shih Fang-Wei Hsu Cheng-Hung Lee |
| author_facet | Kuan-Kai Tung Yun-Che Wu Kun-Hui Chen Chien-Chou Pan Wen-Xian Lu Ning-Chien Chin Cheng-Min Shih Fang-Wei Hsu Cheng-Hung Lee |
| author_sort | Kuan-Kai Tung |
| collection | DOAJ |
| description | Abstract Background Clinical outcomes amongst Rheumatoid Arthritis (RA) patients have shown satisfactory results being reported after lumbar surgery. The increased adoption of the interbody fusion technique has been due to a high fusion rate and less invasive procedures. However, the radiographic outcome for RA patients after receiving interbody fusion has scarcely been addressed in the available literature. Methods Patients receiving interbody fusion including ALIF, OLIF, and TLIF were examined for implant cage motion and fusion status at two-year follow-up. Parameters for the index correction level including ADH, PDH, WI, SL, FW, and FH were measured and compared at pre-OP, post-OP, and two-year follow-up. Results We enrolled 64 RA patients at 104 levels (mean 64.0 years old, 85.9% female) received lumbar interbody fusion. There were substantial improvement in ADH, PDH, WI, SL, FW, and FH after surgery, with both ADH and PDH having significantly dropped at two-year follow up. The OLIF group suffered from a higher subsidence rate with no significant difference in fusion rate when compared to TLIF. The fusion rate and subsidence rate for all RA patients was 90.4 and 28.8%, respectively. Conclusions We revealed the radiographic outcomes of lumbar interbody fusions towards symptomatic lumbar disease in RA patients with good fusion outcome despite the relative high subsidence rate amongst the OLIF group. Those responsible for intra-operative endplate management should be more cautious to avoid post-OP cage subsidence. |
| first_indexed | 2024-12-19T21:16:14Z |
| format | Article |
| id | doaj.art-59a72599664745b984e33ecc18667204 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-19T21:16:14Z |
| publishDate | 2021-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-59a72599664745b984e33ecc186672042022-12-21T20:05:21ZengBMCBMC Musculoskeletal Disorders1471-24742021-08-012211810.1186/s12891-021-04531-yThe radiological outcome in lumbar interbody fusion among rheumatoid arthritis patients: a 20-year retrospective studyKuan-Kai Tung0Yun-Che Wu1Kun-Hui Chen2Chien-Chou Pan3Wen-Xian Lu4Ning-Chien Chin5Cheng-Min Shih6Fang-Wei Hsu7Cheng-Hung Lee8Department of Orthopedics, Taichung Veterans General HospitalDepartment of Orthopedics, Taichung Veterans General HospitalDepartment of Orthopedics, Taichung Veterans General HospitalDepartment of Orthopedics, Taichung Veterans General HospitalDepartment of Orthopedics, Feng Yuan Hospital Ministry of Health and WelfareDepartment of Orthopedics, Taichung Veterans General HospitalDepartment of Orthopedics, Taichung Veterans General HospitalDepartment of Orthopedics, Kuang Tien General HospitalDepartment of Orthopedics, Taichung Veterans General HospitalAbstract Background Clinical outcomes amongst Rheumatoid Arthritis (RA) patients have shown satisfactory results being reported after lumbar surgery. The increased adoption of the interbody fusion technique has been due to a high fusion rate and less invasive procedures. However, the radiographic outcome for RA patients after receiving interbody fusion has scarcely been addressed in the available literature. Methods Patients receiving interbody fusion including ALIF, OLIF, and TLIF were examined for implant cage motion and fusion status at two-year follow-up. Parameters for the index correction level including ADH, PDH, WI, SL, FW, and FH were measured and compared at pre-OP, post-OP, and two-year follow-up. Results We enrolled 64 RA patients at 104 levels (mean 64.0 years old, 85.9% female) received lumbar interbody fusion. There were substantial improvement in ADH, PDH, WI, SL, FW, and FH after surgery, with both ADH and PDH having significantly dropped at two-year follow up. The OLIF group suffered from a higher subsidence rate with no significant difference in fusion rate when compared to TLIF. The fusion rate and subsidence rate for all RA patients was 90.4 and 28.8%, respectively. Conclusions We revealed the radiographic outcomes of lumbar interbody fusions towards symptomatic lumbar disease in RA patients with good fusion outcome despite the relative high subsidence rate amongst the OLIF group. Those responsible for intra-operative endplate management should be more cautious to avoid post-OP cage subsidence.https://doi.org/10.1186/s12891-021-04531-yRAALIFOLIFTLIFShort lumbar spinal fusionRadiographic outcome |
| spellingShingle | Kuan-Kai Tung Yun-Che Wu Kun-Hui Chen Chien-Chou Pan Wen-Xian Lu Ning-Chien Chin Cheng-Min Shih Fang-Wei Hsu Cheng-Hung Lee The radiological outcome in lumbar interbody fusion among rheumatoid arthritis patients: a 20-year retrospective study BMC Musculoskeletal Disorders RA ALIF OLIF TLIF Short lumbar spinal fusion Radiographic outcome |
| title | The radiological outcome in lumbar interbody fusion among rheumatoid arthritis patients: a 20-year retrospective study |
| title_full | The radiological outcome in lumbar interbody fusion among rheumatoid arthritis patients: a 20-year retrospective study |
| title_fullStr | The radiological outcome in lumbar interbody fusion among rheumatoid arthritis patients: a 20-year retrospective study |
| title_full_unstemmed | The radiological outcome in lumbar interbody fusion among rheumatoid arthritis patients: a 20-year retrospective study |
| title_short | The radiological outcome in lumbar interbody fusion among rheumatoid arthritis patients: a 20-year retrospective study |
| title_sort | radiological outcome in lumbar interbody fusion among rheumatoid arthritis patients a 20 year retrospective study |
| topic | RA ALIF OLIF TLIF Short lumbar spinal fusion Radiographic outcome |
| url | https://doi.org/10.1186/s12891-021-04531-y |
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