Influência da extensão da artrodese lombossacra nos resultados clínicos e funcionais

Gotfryd, Alberto Ofenhejm; Henriques, Guilherme Galito; Poletto, Patrícia Rios

doi:10.1590/s1808-18512012000100001

Cited by 9 publications

(10 citation statements)

References 19 publications

(20 reference statements)

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“…We observed, in the patients studied, a significant improvement in the different aspects of quality of life after surgery, 6 with the exception of the areas of physical limitation and social aspects. Our results are similar to those of Gotfryd et al 18 who demonstrated that 22 patients who underwent lumbar arthrodesis presented good levels of quality of life, with the exception of the domain physical limitation.…”

Section: Resultssupporting

confidence: 92%

“…On the other hand, after analysis of 30 patients with failure of conservative treatment and indication for surgery, Oliveira et al, in 2014, obtained a mean PI of 45° that is below the average for the asymptomatic population. [16][17][18] The Oswestry scale (Oswestry Disability Index -ODI) is an instrument for assessing the quality of life in disorders of the column by means of 10 clinical criteria with 6 answer alternatives each. It is used to access the degree of incapacity and the result after surgery.…”

Section: Resultsmentioning

confidence: 99%

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Lumbar Spine Surgery. Importance of Sagittal Balance in the Quality of Life of Patients

et al. 2016

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Objective: To evaluate whether performing surgery in degenerative diseases of the lumbar spine modify the spinopelvic balance and influences the clinical outcome and the quality of life of patients. Methods: The spinopelvic balance was evaluated in 25 patients using plain radiographs of the lumbosacral region including the proximal femur, as well as evaluating the quality of life on two separated occasions. Results: The measure of spinopelvic balance was obtained by averaging the angles of sacral slope, pelvic version and pelvic incidence. Mean preoperative angles were 59.88º, 22.84º, and 37.44º, respectively, and the mean postoperative values were 61.56º, 24.64º, and 37.32º, respectively. Regarding the questionnaires on quality of life, the Oswestry index showed mean preoperative values of 46.24, characterized as severe disability and mean postoperative values of 13.29 denoting satisfactory response after surgical treatment. The SF-36 questionnaire showed important and significant improvement in quality of life in different domains, with the exception of physical limitation and social aspects, with a p-value of 0.02 and 0.025, respectively. Conclusion: Patients undergoing surgical treatment of degenerative lumbar diseases showed no significant changes in the spinopelvic balance, but showed significant improvement in quality of life after surgery.

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Section: Resultssupporting

confidence: 92%

Section: Resultsmentioning

confidence: 99%

Lumbar Spine Surgery. Importance of Sagittal Balance in the Quality of Life of Patients

et al. 2016

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“…In agreement with the results in the literature, we believe that a precise indication is fundamentally important to favorable results in the surgical treatment of this condition. The studies by Glassman et al, 25 Valesin Filho et al, 17 and Godfryd et al 26 observed a statistical difference in the quality of life in relation to the number of arthrodesed levels. In view of this, we can conclude that when well-indicated, surgical treatment may present favorable results regardless of the scope of the surgery, although there is no consensus around this subject in the literature.…”

Section: Discussionmentioning

confidence: 93%

Lumbar Spinal Stenosis: Evaluation of Pain and Life Quality After Surgical Treatment

et al. 2019

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Objective: The objective of this study was to present an analysis of progression of the quality of life and pain in patients undergoing surgical treatment of LSS and the potential correlations between individual factors and the clinical outcome observed. Methods: We studied 111 patients undergoing surgical treatment of LSS from January 2009 to December 2011 using the functional capacity (ODI) and pain (VAS) questionnaires. The preoperative data were compared statistically with the results obtained during the postoperative follow-up at one month, six months, one year, and two years. Results: The population consisted of 60 men and 51 women. The mean age was 61.16 years at the time of surgery, 33.33% were 60 years or older. When the questionnaires were applied, we found improvement in the progressive disability assessment with a mean drop of 23.65 ODI points after 6 months of the surgical treatment and 27.47 at the end of one year of surgery compared to preoperative for this scale. There was a decline of 3.84 points (mean) in the VAS at first postoperative month. Conclusion: Surgical treatment of LSS presented favorable postoperative evolution in a 2-year follow-up regarding pain and quality of life through VAS and ODI. Level of Evidence IV; Case series.

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“…In addition to the criteria of Linovitz et al, 9 we used the criteria proposed by Christensen et al 13 in a complementary and subjective way, to classify the consolidation rate and the fusion grade. Besides its low cost, non-invasive surgery provides uniformity and high intra-and inter-evaluator reliability (93% and 86%, respectively) 14 when compared to the "gold standard" for checking the fusion mass by surgical exploration.…”

Section: Resultsmentioning

confidence: 99%

Analysis of Interbody Versus Posterolateral Fusion for Lumbar Spondylosis

Mendonça¹,

Filho²,

Astur³

et al. 2015

Coluna/Columna

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Objective: To evaluate and compare radiographic and clinical evaluation of patients undergoing interbody fusion versus posterolateral fusion of the lumbar spine. Methods: Retrospective study of patients diagnosed with lumbar spondylosis that were surgically treated in the period from 2012 to 2014. The results were observed by clinical evaluation by the Visual Analogue Scale (VAS) for low back and leg pain. We evaluated functional results and quality of life through the application of the Oswestry Disability Index (ODI) and the Short Form-36 (SF-36) questionnaires, respectively. The pre and postoperative condition were compared in Group 1 (interbody fusion) and Group 2 (posterolateral fusion), in addition to evaluation of fusion by means of post-operative radiograph. Results: A total of 30 patients of 36 were eligible, 12 in Group 1 and 18 in Group 2. The mean follow-up was 10.1 months. Statistical analysis showed similar scores for back and leg pain VAS, SF-36 function scores and Oswestry between groups with interbody and posterolateral fusion, and compared within these groups regarding the pre-and postoperative condition, and found no statistical significance. The successful fusion was similar in both groups, with 11 of 12 patients in

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Influência da extensão da artrodese lombossacra nos resultados clínicos e funcionais

Cited by 9 publications

References 19 publications

Lumbar Spine Surgery. Importance of Sagittal Balance in the Quality of Life of Patients

Lumbar Spine Surgery. Importance of Sagittal Balance in the Quality of Life of Patients

Lumbar Spinal Stenosis: Evaluation of Pain and Life Quality After Surgical Treatment

Analysis of Interbody Versus Posterolateral Fusion for Lumbar Spondylosis

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