Spinopelvic parameters and pain in patients with low-grade spondylolisthesis
Background. Spondylolisthesis is the forward slippage of the upper to the lower vertebrae, which affects spinal cord. Spinal fusion is an important method for the stability of the spine leading to pain and disability reduction in patients with chronic low back pain in spondylolisthesis. The aim of t...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Amaltea Medical Publishing House
2020-12-01
|
| Series: | Romanian Journal of Neurology |
| Subjects: | |
| Online Access: | https://rjn.com.ro/articles/2020.4/RJN_2020_4_Art-09.pdf |
| _version_ | 1818362781942939648 |
|---|---|
| author | Hamid Behzadnia Shahrokh Yousefzadeh-Chabok Babak Alijani Shabnam Golmohammadi Zoheir Reyhanian Amin Naseri Sasan Andalib |
| author_facet | Hamid Behzadnia Shahrokh Yousefzadeh-Chabok Babak Alijani Shabnam Golmohammadi Zoheir Reyhanian Amin Naseri Sasan Andalib |
| author_sort | Hamid Behzadnia |
| collection | DOAJ |
| description | Background. Spondylolisthesis is the forward slippage of the upper to the lower vertebrae, which affects spinal cord. Spinal fusion is an important method for the stability of the spine leading to pain and disability reduction in patients with chronic low back pain in spondylolisthesis. The aim of this study was to evaluate postoperative changes in spinopelvic parameters, pain, and disability in low-grade spondylolisthesis patients undergoing posterior lateral fusion (PLF) and posterior lateral interbody fusion (PLIF).
Materials and methods. In the present study, 68 patients who underwent PLF and PLIF due to low-grade spondylolisthesis were recruited. The spinopelvic parameters, visual analogue scale (VAS) score and Oswestry disability index (ODI) before and after surgery were compared.
Results. Pelvic tilt (PT) decreased in both groups after surgery, with more significant decline in PLIF group. Moreover, the mean of PT returned to normal value at both groups. There was also a significant decline in both VAS score and ODI parameters between the two groups. There was a correlation between VAS score and postoperative PT changes. However, the pelvic incidence, lumbar lordosis (PI-LL) and VAS score index did not differ significantly between the two groups after surgery.
Conclusion. Both PLF and PLIF in low-grade spondylolisthesis patients are useful in restoring PT and pelvic stability, but there is no significant difference in the postoperative pain and disability of patients in the two methods. |
| first_indexed | 2024-12-13T21:38:03Z |
| format | Article |
| id | doaj.art-ed7bcb489a7242a3ab0bb26f21b22916 |
| institution | Directory Open Access Journal |
| issn | 1843-8148 2069-6094 |
| language | English |
| last_indexed | 2024-12-13T21:38:03Z |
| publishDate | 2020-12-01 |
| publisher | Amaltea Medical Publishing House |
| record_format | Article |
| series | Romanian Journal of Neurology |
| spelling | doaj.art-ed7bcb489a7242a3ab0bb26f21b229162022-12-21T23:30:37ZengAmaltea Medical Publishing HouseRomanian Journal of Neurology1843-81482069-60942020-12-0119427527910.37897/RJN.2020.4.9Spinopelvic parameters and pain in patients with low-grade spondylolisthesisHamid Behzadnia0Shahrokh Yousefzadeh-Chabok1Babak Alijani2Shabnam Golmohammadi3Zoheir Reyhanian4Amin Naseri5Sasan Andalib6Department of Neurosurgery, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, IranNeuroscience Research Center, Department of Neurosurgery, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran; Department of Nuclear Medicine, Odense University Hospital, Odense, DenmarkDepartment of Neurosurgery, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, IranDepartment of Neurosurgery, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, IranDepartment of Neurosurgery, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, IranDepartment of Neurosurgery, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, IranNeuroscience Research Center, Department of Neurosurgery, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran; Department of Nuclear Medicine, Odense University Hospital, Odense, Denmark; Research Unit of Clinical Physiology and Nuclear Medicine, Department of Clinical Research, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark; BRIDGE-Brain Research-Inter-Disciplinary Guided Excellence, Department of Clinical Research, University of Southern Denmark, Odense, Denmark; Research Unit of Psychiatry, Department of Psychiatry, Psychiatry in the Region of Southern Denmark, University of Southern Denmark, Odense, DenmarkBackground. Spondylolisthesis is the forward slippage of the upper to the lower vertebrae, which affects spinal cord. Spinal fusion is an important method for the stability of the spine leading to pain and disability reduction in patients with chronic low back pain in spondylolisthesis. The aim of this study was to evaluate postoperative changes in spinopelvic parameters, pain, and disability in low-grade spondylolisthesis patients undergoing posterior lateral fusion (PLF) and posterior lateral interbody fusion (PLIF). Materials and methods. In the present study, 68 patients who underwent PLF and PLIF due to low-grade spondylolisthesis were recruited. The spinopelvic parameters, visual analogue scale (VAS) score and Oswestry disability index (ODI) before and after surgery were compared. Results. Pelvic tilt (PT) decreased in both groups after surgery, with more significant decline in PLIF group. Moreover, the mean of PT returned to normal value at both groups. There was also a significant decline in both VAS score and ODI parameters between the two groups. There was a correlation between VAS score and postoperative PT changes. However, the pelvic incidence, lumbar lordosis (PI-LL) and VAS score index did not differ significantly between the two groups after surgery. Conclusion. Both PLF and PLIF in low-grade spondylolisthesis patients are useful in restoring PT and pelvic stability, but there is no significant difference in the postoperative pain and disability of patients in the two methods.https://rjn.com.ro/articles/2020.4/RJN_2020_4_Art-09.pdfspinopelvic parametersposterior lateral fusionposterior lumbar interbody fusionspondylolisthesis |
| spellingShingle | Hamid Behzadnia Shahrokh Yousefzadeh-Chabok Babak Alijani Shabnam Golmohammadi Zoheir Reyhanian Amin Naseri Sasan Andalib Spinopelvic parameters and pain in patients with low-grade spondylolisthesis Romanian Journal of Neurology spinopelvic parameters posterior lateral fusion posterior lumbar interbody fusion spondylolisthesis |
| title | Spinopelvic parameters and pain in patients with low-grade spondylolisthesis |
| title_full | Spinopelvic parameters and pain in patients with low-grade spondylolisthesis |
| title_fullStr | Spinopelvic parameters and pain in patients with low-grade spondylolisthesis |
| title_full_unstemmed | Spinopelvic parameters and pain in patients with low-grade spondylolisthesis |
| title_short | Spinopelvic parameters and pain in patients with low-grade spondylolisthesis |
| title_sort | spinopelvic parameters and pain in patients with low grade spondylolisthesis |
| topic | spinopelvic parameters posterior lateral fusion posterior lumbar interbody fusion spondylolisthesis |
| url | https://rjn.com.ro/articles/2020.4/RJN_2020_4_Art-09.pdf |
| work_keys_str_mv | AT hamidbehzadnia spinopelvicparametersandpaininpatientswithlowgradespondylolisthesis AT shahrokhyousefzadehchabok spinopelvicparametersandpaininpatientswithlowgradespondylolisthesis AT babakalijani spinopelvicparametersandpaininpatientswithlowgradespondylolisthesis AT shabnamgolmohammadi spinopelvicparametersandpaininpatientswithlowgradespondylolisthesis AT zoheirreyhanian spinopelvicparametersandpaininpatientswithlowgradespondylolisthesis AT aminnaseri spinopelvicparametersandpaininpatientswithlowgradespondylolisthesis AT sasanandalib spinopelvicparametersandpaininpatientswithlowgradespondylolisthesis |