Preoperative facet joint arthropathy does not impact long-term clinical outcomes after lumbar-stability-preserving decompression and dynesys fixation

Abstract To evaluate the impact of the preoperative severity of facet joint arthropathy on long-term functional outcomes and spinopelvic parameters in patients undergoing lumbar-stability-preserving decompression and Dynesys fixation. In this retrospective study, 88 patients undergoing combined surg...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Po-Hsin Chou, Hsi-Hsien Lin, Yu-Cheng Yao, Shih-Tien Wang, Ming-Chau Chang, Chien-Lin Liu
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/d902f72b3d6d46b4a4f83702921b687e
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:d902f72b3d6d46b4a4f83702921b687e
record_format	dspace
spelling	oai:doaj.org-article:d902f72b3d6d46b4a4f83702921b687e2021-12-02T16:53:11ZPreoperative facet joint arthropathy does not impact long-term clinical outcomes after lumbar-stability-preserving decompression and dynesys fixation10.1038/s41598-021-90967-02045-2322https://doaj.org/article/d902f72b3d6d46b4a4f83702921b687e2021-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-90967-0https://doaj.org/toc/2045-2322Abstract To evaluate the impact of the preoperative severity of facet joint arthropathy on long-term functional outcomes and spinopelvic parameters in patients undergoing lumbar-stability-preserving decompression and Dynesys fixation. In this retrospective study, 88 patients undergoing combined surgery at our hospital from 2008 to 2015 were included. The patients were divided into two groups, the less and more than mean degeneration groups, based on preoperative facet joint arthropathy of the index level(s). The clinical outcomes were the Visual Analogue Scale (VAS) score, the Oswestry Disability Index (ODI) score and spinopelvic parameters. The mean follow-up durations for the less and more than mean degeneration groups were 84.83 ± 27.58 and 92.83 ± 20.45 months, respectively. The combined surgery significantly improved VAS and ODI scores, and increased sacral slope (SS) regardless of preoperative arthropathy severity. In addition, facet joint arthropathy at adjacent levels continued to worsen after surgery in both arthropathy severity groups. Preoperative facet joint arthropathy did not influence most long-term clinical outcomes in patients undergoing lumbar-stability-preserving decompression and Dynesys fixation. This combined surgery may be suitable for patients with facet joint arthropathy regardless of disease severity.Po-Hsin ChouHsi-Hsien LinYu-Cheng YaoShih-Tien WangMing-Chau ChangChien-Lin LiuNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Po-Hsin Chou Hsi-Hsien Lin Yu-Cheng Yao Shih-Tien Wang Ming-Chau Chang Chien-Lin Liu Preoperative facet joint arthropathy does not impact long-term clinical outcomes after lumbar-stability-preserving decompression and dynesys fixation
description	Abstract To evaluate the impact of the preoperative severity of facet joint arthropathy on long-term functional outcomes and spinopelvic parameters in patients undergoing lumbar-stability-preserving decompression and Dynesys fixation. In this retrospective study, 88 patients undergoing combined surgery at our hospital from 2008 to 2015 were included. The patients were divided into two groups, the less and more than mean degeneration groups, based on preoperative facet joint arthropathy of the index level(s). The clinical outcomes were the Visual Analogue Scale (VAS) score, the Oswestry Disability Index (ODI) score and spinopelvic parameters. The mean follow-up durations for the less and more than mean degeneration groups were 84.83 ± 27.58 and 92.83 ± 20.45 months, respectively. The combined surgery significantly improved VAS and ODI scores, and increased sacral slope (SS) regardless of preoperative arthropathy severity. In addition, facet joint arthropathy at adjacent levels continued to worsen after surgery in both arthropathy severity groups. Preoperative facet joint arthropathy did not influence most long-term clinical outcomes in patients undergoing lumbar-stability-preserving decompression and Dynesys fixation. This combined surgery may be suitable for patients with facet joint arthropathy regardless of disease severity.
format	article
author	Po-Hsin Chou Hsi-Hsien Lin Yu-Cheng Yao Shih-Tien Wang Ming-Chau Chang Chien-Lin Liu
author_facet	Po-Hsin Chou Hsi-Hsien Lin Yu-Cheng Yao Shih-Tien Wang Ming-Chau Chang Chien-Lin Liu
author_sort	Po-Hsin Chou
title	Preoperative facet joint arthropathy does not impact long-term clinical outcomes after lumbar-stability-preserving decompression and dynesys fixation
title_short	Preoperative facet joint arthropathy does not impact long-term clinical outcomes after lumbar-stability-preserving decompression and dynesys fixation
title_full	Preoperative facet joint arthropathy does not impact long-term clinical outcomes after lumbar-stability-preserving decompression and dynesys fixation
title_fullStr	Preoperative facet joint arthropathy does not impact long-term clinical outcomes after lumbar-stability-preserving decompression and dynesys fixation
title_full_unstemmed	Preoperative facet joint arthropathy does not impact long-term clinical outcomes after lumbar-stability-preserving decompression and dynesys fixation
title_sort	preoperative facet joint arthropathy does not impact long-term clinical outcomes after lumbar-stability-preserving decompression and dynesys fixation
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/d902f72b3d6d46b4a4f83702921b687e
work_keys_str_mv	AT pohsinchou preoperativefacetjointarthropathydoesnotimpactlongtermclinicaloutcomesafterlumbarstabilitypreservingdecompressionanddynesysfixation AT hsihsienlin preoperativefacetjointarthropathydoesnotimpactlongtermclinicaloutcomesafterlumbarstabilitypreservingdecompressionanddynesysfixation AT yuchengyao preoperativefacetjointarthropathydoesnotimpactlongtermclinicaloutcomesafterlumbarstabilitypreservingdecompressionanddynesysfixation AT shihtienwang preoperativefacetjointarthropathydoesnotimpactlongtermclinicaloutcomesafterlumbarstabilitypreservingdecompressionanddynesysfixation AT mingchauchang preoperativefacetjointarthropathydoesnotimpactlongtermclinicaloutcomesafterlumbarstabilitypreservingdecompressionanddynesysfixation AT chienlinliu preoperativefacetjointarthropathydoesnotimpactlongtermclinicaloutcomesafterlumbarstabilitypreservingdecompressionanddynesysfixation
_version_	1718382889471574016

Preoperative facet joint arthropathy does not impact long-term clinical outcomes after lumbar-stability-preserving decompression and dynesys fixation

Ejemplares similares