Functional Results in Patients Submitted to Surgery for Degenerative Lumbar Disease

Rocha, Ricardo Dantas; Pratali, Raphael de Rezende; Motta, Rodrigo de Luca; Barsotti, Carlos Eduardo Gonçales; Santos, Francisco Prado Eugenio dos; Oliveira, Carlos Eduardo Algaves Soares de

doi:10.1590/s1808-185120171604179116

Cited by 2 publications

(1 citation statement)

References 23 publications

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“…The treatment of various pathological conditions of the spine through solid intervertebral arthrodesis is widely supported in the literature, 3,4,10,11 despite the knowledge that the loss of segmental mobility associated with arthrodesis can impair, at least to some degree, the functional capacity for different activities. 12,13 However, a relationship is not yet fully established between the number of levels included in the arthrodesis and either the degree of rigidity or the degree of limitation of functional capacity, especially when the inclusion or not of the sacrum in the arthrodesed levels are compared. Extension of the arthrodesis to the sacrum has always been viewed as a challenge, both because of considerable levels of fusion failure when compared to arthrodesis without extension to the sacrum and due to a fear of limitation of functional capacity resulting from stiffness in the region of the lumbosacral transition.…”

Section: Discussionmentioning

confidence: 99%

Impact of the Lumbar Stiffness Related to Arthrodesis to Functional Disability

et al. 2021

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Objective: To assess the impact of stiffness associated with lumbar spinal fusion on disability and quality of life. Methods: This is a retrospective study including 40 patients (mean age: 57.7 ± 16.2) who underwent spinal surgery with fusion including the lumbar segment and a minimum of 24-month postoperative follow-up. The version translated and adapted to Portuguese of the Lumbar Stiffness Disability Index (LSDI) questionnaire was applied to assess the disability associated with stiffness secondary to lumbar spinal fusion. To quantify postoperative clinical lumbar stiffness / mobility, the Modified-Modified Schober Test (MMST) was applied. Results: There was a moderate negative correlation (r = -0.320), but significant (p = 0.04), between the MMST value and the LSDI score. The average of LSDI score in patients with extension of spinal fusion to the sacrum was higher than in patients without extension to the sacrum (p = 0.002), indicating greater disability in those with extension to the sacrum. Conclusions: In patients undergoing lumbar spinal fusion, the disability related to lumbar stiffness, measured by the LSDI score, was directly related to clinical lumbar stiffness, measured by the modified-modified Schöber test. The inclusion of the sacrum in fusion showed an association with worsening of disability related to lumbar stiffness. Level of evidence III; Retrospective analysis.

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Section: Discussionmentioning

confidence: 99%

Impact of the Lumbar Stiffness Related to Arthrodesis to Functional Disability

et al. 2021

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Correlation Between Degenerative Diseases of the Lumbar Spine and Types of Lumbar Lordosis

et al. 2021

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Objective: Evaluate the relationship between the incidence of different types of degenerative diseases of the spine and lumbopelvic biomechanics, according to the types of lordosis of Roussouly's classification. Methods: Retrospective study of medical records and results of imaging exams of patients seen at a private hospital in São Paulo. The sagittal alignment of these patients was evaluated by classifying them according to Roussouly into 4 types, based on panoramic radiographs of the spine. These results were correlated with the patient's degenerative diagnosis (Herniated disc, Canal stenosis, Spondylolisthesis, degenerative discopathy and Facet arthrosis). Statistical tests were performed comparing the types of curvature and diagnoses identified. Results: 418 patients were evaluated, 51.4% male and 49.6% female. The vast majority of patients, about 54%, had a diagnosis of herniated lumbar disc. There was a statistically significant difference that showed a predilection for surgical treatment in cases classified as Type I and Type II in the Roussouly classification. There was no statistically significant difference that correlated the types of lumbar lordosis with the diagnosis presented by the patients. Conclusion: There is no statistically significant difference that correlates the type of lumbar lordosis according to Roussouly with lumbar degenerative diseases. In contrast, patients classified as Type 1 and Type 2 by Roussouly underwent a greater number of surgical treatments compared to patients type 3 and 4, with statistical relevance. Level of evidence 2; Retrospective prognostic study.

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Functional Results in Patients Submitted to Surgery for Degenerative Lumbar Disease

Cited by 2 publications

References 23 publications

Impact of the Lumbar Stiffness Related to Arthrodesis to Functional Disability

Impact of the Lumbar Stiffness Related to Arthrodesis to Functional Disability

Correlation Between Degenerative Diseases of the Lumbar Spine and Types of Lumbar Lordosis

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