JOA Back Pain Evaluation Questionnaire (JOABPEQ)/ JOA Cervical Myelopathy Evaluation Questionnaire (JOACMEQ) The report on the development of revised versions April 16, 2007

Fukui, Manabu; Chiba, Kazuhiro; Kawakami, Mamoru; Kikuchi, Shinichi; Konno, Satoshi; Miyamoto, Masabumi; Seichi, Atsushi; Shimamura, Tadashi; Shirado, Osamu; Taguchi, Toshihiko; Takahashi, Kazuhisa; Takeshita, Katsushi; Tani, Tohru; Toyama, Yoshiaki; Yonenobu, Kazuo; Wada, Eitaro; Tsuruo, Takashi; Hirota, Yoshio

doi:10.1007/s00776-009-1337-8

Cited by 243 publications

(152 citation statements)

References 7 publications

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“…We also assessed HRQOL outcomes with the Roland-Morris Disability Questionnaire (RMDQ) and the JOA Back Pain Evaluation Questionnaire (JOAB-PEQ). 8 …”

Section: Methodsmentioning

confidence: 99%

Impact of sagittal spinopelvic alignment on clinical outcomes after decompression surgery for lumbar spinal canal stenosis without coronal imbalance

Hikata¹,

Watanabe²,

Fujita³

et al. 2015

SPI

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OBJECT The object of this study was to investigate correlations between sagittal spinopelvic alignment and improvements in clinical and quality-of-life (QOL) outcomes after lumbar decompression surgery for lumbar spinal canal stenosis (LCS) without coronal imbalance. METHODS The authors retrospectively reviewed data from consecutive patients treated for LCS with decompression surgery in the period from 2009 through 2011. They examined correlations between preoperative or postoperative sagittal vertical axis (SVA) and radiological parameters, clinical outcomes, and health-related (HR)QOL scores in patients divided according to SVA. Clinical outcomes were assessed according to Japanese Orthopaedic Association (JOA) and visual analog scale (VAS) scores. Health-related QOL was evaluated using the Roland-Morris Disability Questionnaire (RMDQ) and the JOA Back Pain Evaluation Questionnaire (JOABPEQ). RESULTS One hundred nine patients were eligible for inclusion in the study. Compared to patients with normal sagittal alignment prior to surgery (Group A: SVA < 50 mm), those with preoperative sagittal imbalance (Group B: SVA ≥ 50 mm) had significantly smaller lumbar lordosis and thoracic kyphosis angles and larger pelvic tilt. In Group B, there was a significant decrease in postoperative SVA compared with the preoperative SVA (76.3 ± 29.7 mm vs 54.3 ± 39.8 mm, p = 0.004). The patients in Group B with severe preoperative sagittal imbalance (SVA > 80 mm) had residual sagittal imbalance after surgery (82.8 ± 41.6 mm). There were no significant differences in clinical and HRQOL outcomes between Groups A and B. Compared to patients with normal postoperative SVA (Group C: SVA < 50 mm), patients with a postoperative SVA ≥ 50 mm (Group D) had significantly lower JOABPEQ scores, both preoperative and postoperative, for walking ability (preop: 36.6 ± 26.3 vs 22.7 ± 26.0, p = 0.038, respectively; postop: 71.1 ± 30.4 vs 42.5 ± 29.6, p < 0.001) and social functioning (preop: 38.7 ± 18.5 vs 30.2 ± 16.7, p = 0.045; postop: 67.0 ± 25.8 vs 49.6 ± 20.0, p = 0.001), as well as significantly higher postoperative RMDQ (4.9 ± 5.2 vs 7.9 ± 5.7, p = 0.015) and VAS scores for low-back pain (2.68 ± 2.69 vs 3.94 ± 2.59, p = 0.039). CONCLUSIONS Preoperative sagittal balance was not significantly correlated with clinical or HRQOL outcomes after decompression surgery in LCS patients without coronal imbalance. Decompression surgery improved the SVA value in patients with preoperative sagittal imbalance; however, the patients with severe preoperative sagittal imbalance (SVA > 80 mm) had residual imbalance after decompression surgery. Both clinical and HRQOL outcomes were negatively affected by postoperative residual sagittal imbalance.

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“…We also assessed HRQOL outcomes with the Roland-Morris Disability Questionnaire (RMDQ) and the JOA Back Pain Evaluation Questionnaire (JOAB-PEQ). 8 …”

Section: Methodsmentioning

confidence: 99%

Impact of sagittal spinopelvic alignment on clinical outcomes after decompression surgery for lumbar spinal canal stenosis without coronal imbalance

Hikata¹,

Watanabe²,

Fujita³

et al. 2015

SPI

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“…Clinical outcome was evaluated using the Japanese Orthopaedic Association (JOA) score, and visual analog scales 5,8,10 for low-back pain, gluteal and lower limb pain, and gluteal and lower limb numbness.…”

Section: Investigation Itemsmentioning

confidence: 99%

Prevention of neurological complications using a neural monitoring system with a finger electrode in the extreme lateral interbody fusion approach

Narita

Takatori

Nagae

et al. 2016

SPI

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OBJECTIVE Extreme lateral interbody fusion (XLIF) is a minimally disruptive surgical procedure that uses a lateral approach. There is, however, concern about the development of neurological complications when this approach is used, particularly at the L4–5 level. The authors performed a prospective study of the effects of a new neural monitoring system using a finger electrode to prevent neurological complications in patients treated with XLIF and compared the results to results obtained in historical controls. METHODS The study group comprised 36 patients (12 male and 24 female) who underwent XLIF for lumbar spine degenerative spondylolisthesis or lumbar spine degenerative scoliosis at L4–5 or a lower level. Using preoperative axial MR images obtained at the mid-height of the disc at the treated level, we calculated the psoas position value (PP%) by dividing the distance from the posterior border of the vertebral disc to the posterior border of the psoas major muscle by the anteroposterior diameter of the vertebral disc. During the operation, the psoas major muscle was dissected using an index finger fitted with a finger electrode, and threshold values of the dilator were recorded before and after dissection. Eighteen cases in which patients had undergone the same procedure for the same indications but without use of the finger electrode served as historical controls. Baseline clinical and demographic characteristics, PP values, clinical results, and neurological complications were compared between the 2 groups. RESULTS The mean PP% values in the control and finger electrode groups were 17.5% and 20.1%, respectively (no significant difference). However, 6 patients in the finger electrode group had a rising psoas sign with PP% values of 50% or higher. The mean threshold value before dissection in the finger electrode group was 13.1 ± 5.9 mA, and this was significantly increased to 19.0 ± 1.5 mA after dissection (p < 0.001). A strong negative correlation was found between PP% and threshold values before dissection, but there was no correlation with threshold values after dissection. The thresholds after dissection improved to 11 mA or higher in all patients. There were no serious neurological complications in any patient, but there was a significantly lower incidence of transient neurological symptoms in the finger electrode group (7 [38%] of 18 cases vs 5 [14%] of 36 cases, p = 0.047). CONCLUSIONS The new neural monitoring system using a finger electrode may be useful to prevent XLIF-induced neurological complications.

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“…The Japanese Orthopaedic Association Back Pain Evaluation Questionnaire ( JOABPEQ ), 9 the test-retest reliability and construct validity of which have been assessed, 10,11 is classified into the following five subcategories: mental health, walking ability, social function, low back pain, and lumbar function. Subcategories of mental health and walking ability/ social function were used to assess patients' psycho-logical status and subjective disability, respectively.…”

Section: Psychological Status and Subjective Disabilitymentioning

confidence: 99%

Clinical values of control over pain and pain coping strategies in surgical treatment for patients with lumbar spinal stenosis

Higuchi

2016

Int J Spine Surg

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JOA Back Pain Evaluation Questionnaire (JOABPEQ)/ JOA Cervical Myelopathy Evaluation Questionnaire (JOACMEQ) The report on the development of revised versions April 16, 2007

Cited by 243 publications

References 7 publications

Impact of sagittal spinopelvic alignment on clinical outcomes after decompression surgery for lumbar spinal canal stenosis without coronal imbalance

Impact of sagittal spinopelvic alignment on clinical outcomes after decompression surgery for lumbar spinal canal stenosis without coronal imbalance

Prevention of neurological complications using a neural monitoring system with a finger electrode in the extreme lateral interbody fusion approach

Clinical values of control over pain and pain coping strategies in surgical treatment for patients with lumbar spinal stenosis

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