Instrumented posterior lumbar fusion outcomes for lumbar degenerative disorders in a southern European, semirural population.

作者: Alexandros G. Brotis , Kostantinos N. Paterakis , Paraskevi M. Tsiamalou , Kostas N. Fountas , Georgios M. Hahjigeorgiou

DOI: 10.1097/BSD.0B013E3181C9828E

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摘要: STUDY DESIGN: Prospective, clinical study. OBJECTIVE: This study compares the preoperative and postoperative status of patients with degenerative lumbar spine disorders, who underwent instrumented posterior fusion (IPLF), from functional, economic psychologic perspectives in a semirural population. SUMMARY OF BACKGROUND DATA: IPLF is common procedure treatment more disorder, degeneration. It has been postulated that both disorder surgical may affect many aspects patients' life. METHODS: During 2 years period, 46 for disorders spine. The included decompression affected segment(s) stabilization by means pedicle screws rods every case, interbody implants selected cases. outcome measures Greek versions (a) Visual Analogue Scale (VAS) pain assessment, (b) Oswestry Disability Index (ODI) back-related disability, (c) Prolo functional (d) Zung Depression to screen depression. Measurements were taken 1-week preoperatively, 3 after procedure. comparison results was done using paired-samples t test. RESULTS: Thirty-nine (25 females, 14 males) mean age 59 eligible our Half them worked agricultural sector. All developed solid, fusions. Instrumented decreased patient's somatic pain, as shown VAS (P<0.001) improved function indicated ODI (P<0.001), allowed return work (P<0.001). Nevertheless, revealed incidence depression increased postoperatively CONCLUSIONS: improves promotes complete or partial work. In contrast, are chronic conditions negatively psychology.

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