التفاصيل البيبلوغرافية
| العنوان: |
How does spinopelvic alignment influence short-term clinical outcomes after lumbar fusion in patients with single-level degenerative spondylolisthesis? |
| المؤلفون: |
Stephen DiMaria, Brian A Karamian, Mark J Lambrechts, Arun P Kanhere, John J Mangan, Winston W Yen, Arlene Maheu, Mahir A Qureshi, Jose A Canseco, David I Kaye, Barrett I Woods, Mark F Kurd, Kris E Radcliff, Alan S Hilibrand, Christopher K Kepler, Alexander R Vaccaro, Gregory D Schroeder |
| المصدر: |
Journal of Craniovertebral Junction and Spine, Vol 13, Iss 3, Pp 300-308 (2022) |
| بيانات النشر: |
Wolters Kluwer Medknow Publications, 2022. |
| سنة النشر: |
2022 |
| المجموعة: |
LCC:Diseases of the musculoskeletal system |
| مصطلحات موضوعية: |
degenerative spondylolisthesis, lumbar lordosis, patient-reported outcome measures, pelvic tilt, sacral slope, spinopelvic alignment, Diseases of the musculoskeletal system, RC925-935 |
| الوصف: |
Context: Studies on adult spinal deformity have shown spinopelvic malalignment results in worse outcomes. However, it is unclear if this relationship exists in patients with single-level degenerative spondylolisthesis (DS) receiving short-segment fusions. Aims: To determine if spinopelvic alignment affects patient-reported outcome measures (PROMs) after posterior lumbar decompression and fusion (PLDF) with or without a transforaminal lumbar interbody fusion in patients with L4-5 DS. Settings and Design: A retrospective cohort analysis was conducted on patients who underwent PLDF for L4-5 DS at a single tertiary referral academic medical center. Materials and Methods: Patients were divided into groups based on preoperative cutoff values of 20° for pelvic tilt (PT) and 11° for pelvic incidence-lumbar lordosis mismatch (PI-LL) with subsequent reclassification based on correction to 20° was associated with significantly greater reduction in PI-LL (−2.41° vs. 1.21°, P = 0.004) and increase in sacral slope (SS) (1.06° vs. −1.86°, P = 0.005) compared to patients with preoperative PT 20° is associated with improved PI-LL reduction and an increase in SS. However, no differences in clinical outcomes were found 1 year postoperatively for patients with preoperative PT >20° and PI-LL ≥11° compared to patients below this threshold. |
| نوع الوثيقة: |
article |
| وصف الملف: |
electronic resource |
| اللغة: |
English |
| تدمد: |
0974-8237 |
| Relation: |
http://www.jcvjs.com/article.asp?issn=0974-8237;year=2022;volume=13;issue=3;spage=300;epage=308;aulast=DiMaria; https://doaj.org/toc/0974-8237 |
| DOI: |
10.4103/jcvjs.jcvjs_58_22 |
| URL الوصول: |
https://doaj.org/article/75065b17430a43bdbabdfff58ba14d80 |
| رقم الانضمام: |
edsdoj.75065b17430a43bdbabdfff58ba14d80 |
| قاعدة البيانات: |
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