Investigating the Spinopelvic Sagittal Parameters in Patients with Lumbar Canal Stenosis after Laminectomy
Background: Spinal canal stenosis is the most common degenerative disease of the lumbar spine. Sagittal imbalance in degenerative spinal diseases is associated with disability and reduced quality of life. In this study, we examined the effect of lumbar spine laminectomy on improvement in spinopelvic...
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Isfahan University of Medical Sciences
2021-02-01
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| Series: | مجله دانشکده پزشکی اصفهان |
| Subjects: | |
| Online Access: | http://jims.mui.ac.ir/index.php/jims/article/view/13430 |
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| author | Hamid Rezaei Mohammad Ali Abouei-Mehrizi Ehsan Keykhosravi Masoud Pishjoo |
| author_facet | Hamid Rezaei Mohammad Ali Abouei-Mehrizi Ehsan Keykhosravi Masoud Pishjoo |
| author_sort | Hamid Rezaei |
| collection | DOAJ |
| description | Background: Spinal canal stenosis is the most common degenerative disease of the lumbar spine. Sagittal imbalance in degenerative spinal diseases is associated with disability and reduced quality of life. In this study, we examined the effect of lumbar spine laminectomy on improvement in spinopelvic sagittal parameters.
Methods: This prospective cohort study was conducted during 2016-2019 at Ghaem and Shahid Kamyab hospitals, Mashhad, Iran. Patients underwent spinal radiography before and after laminectomy, and their spinopelvic sagittal parameters were measured. Data were analyzed using SPSS considering P < 0.050 statistically significant.
Findings: Overall, 46 patients were examined in this study. The mean age was 52.9 ±11.9 years, 29 patients (63%) were men, and 17 (37%) were women. 28 subjects (60.9%) underwent 3-level and 18 subjects (39.1%) underwent 4-level laminectomy. Only the lumbar lordosis and sagittal vertical axis (SVA) were significantly changed after the surgery (P < 0.050).
Conclusion: Lumbar canal stenosis disrupted the sagittal and global spinal balance. Multi-level laminectomy improved lumbar lordosis and SVA in lumbar canal stenosis. |
| first_indexed | 2024-03-12T08:46:08Z |
| format | Article |
| id | doaj.art-c382d659de2e41e091cdd354d1862627 |
| institution | Directory Open Access Journal |
| issn | 1027-7595 1735-854X |
| language | fas |
| last_indexed | 2024-03-12T08:46:08Z |
| publishDate | 2021-02-01 |
| publisher | Isfahan University of Medical Sciences |
| record_format | Article |
| series | مجله دانشکده پزشکی اصفهان |
| spelling | doaj.art-c382d659de2e41e091cdd354d18626272023-09-02T16:26:14ZfasIsfahan University of Medical Sciencesمجله دانشکده پزشکی اصفهان1027-75951735-854X2021-02-013860493694010.22122/jims.v38i604.134303747Investigating the Spinopelvic Sagittal Parameters in Patients with Lumbar Canal Stenosis after LaminectomyHamid Rezaei0Mohammad Ali Abouei-Mehrizi1Ehsan Keykhosravi2Masoud Pishjoo3Assistant Professor, Department of Neurosurgery, School of Medicine, Mashhad University of Medical Sciences, Mashhad, IranAssistant Professor, Department of Neurosurgery, School of Medicine, Mashhad University of Medical Sciences, Mashhad, IranAssistant Professor, Department of Neurosurgery, School of Medicine, Mashhad University of Medical Sciences, Mashhad, IranResident, Department of Neurosurgery, School of Medicine, Mashhad University of Medical Sciences, Mashhad, IranBackground: Spinal canal stenosis is the most common degenerative disease of the lumbar spine. Sagittal imbalance in degenerative spinal diseases is associated with disability and reduced quality of life. In this study, we examined the effect of lumbar spine laminectomy on improvement in spinopelvic sagittal parameters. Methods: This prospective cohort study was conducted during 2016-2019 at Ghaem and Shahid Kamyab hospitals, Mashhad, Iran. Patients underwent spinal radiography before and after laminectomy, and their spinopelvic sagittal parameters were measured. Data were analyzed using SPSS considering P < 0.050 statistically significant. Findings: Overall, 46 patients were examined in this study. The mean age was 52.9 ±11.9 years, 29 patients (63%) were men, and 17 (37%) were women. 28 subjects (60.9%) underwent 3-level and 18 subjects (39.1%) underwent 4-level laminectomy. Only the lumbar lordosis and sagittal vertical axis (SVA) were significantly changed after the surgery (P < 0.050). Conclusion: Lumbar canal stenosis disrupted the sagittal and global spinal balance. Multi-level laminectomy improved lumbar lordosis and SVA in lumbar canal stenosis.http://jims.mui.ac.ir/index.php/jims/article/view/13430laminectomylumbar vertebraespinal stenosisspinal curvatures |
| spellingShingle | Hamid Rezaei Mohammad Ali Abouei-Mehrizi Ehsan Keykhosravi Masoud Pishjoo Investigating the Spinopelvic Sagittal Parameters in Patients with Lumbar Canal Stenosis after Laminectomy مجله دانشکده پزشکی اصفهان laminectomy lumbar vertebrae spinal stenosis spinal curvatures |
| title | Investigating the Spinopelvic Sagittal Parameters in Patients with Lumbar Canal Stenosis after Laminectomy |
| title_full | Investigating the Spinopelvic Sagittal Parameters in Patients with Lumbar Canal Stenosis after Laminectomy |
| title_fullStr | Investigating the Spinopelvic Sagittal Parameters in Patients with Lumbar Canal Stenosis after Laminectomy |
| title_full_unstemmed | Investigating the Spinopelvic Sagittal Parameters in Patients with Lumbar Canal Stenosis after Laminectomy |
| title_short | Investigating the Spinopelvic Sagittal Parameters in Patients with Lumbar Canal Stenosis after Laminectomy |
| title_sort | investigating the spinopelvic sagittal parameters in patients with lumbar canal stenosis after laminectomy |
| topic | laminectomy lumbar vertebrae spinal stenosis spinal curvatures |
| url | http://jims.mui.ac.ir/index.php/jims/article/view/13430 |
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