Beyer, F., Geier, F., Bredow, J., Oppermann, J., Eysel, P. and Sobottke, R. (2015). Influence of spinopelvic parameters on non-operative treatment of lumbar spinal stenosis. Technol. Health Care, 23 (6). S. 871 - 880. AMSTERDAM: IOS PRESS. ISSN 1878-7401
Full text not available from this repository.Abstract
BACKGROUND: Non-operative treatment is widely accepted for early stages of lumbar spinal stenosis. In general, a trial of conservative treatment is recommended prior to surgery. OBJECTIVE: The influence of sagittal alignment on treatment outcomes remains unclear. METHODS: Twenty-five patients were included in this prospective study. All patients received repeated epidural injections and facet joint injections as well as physiotherapy during a one week hospitalization. Patient characteristics, VAS scores, COMI scores, ODI scores and SF-36 were assessed prior to and immediately after treatment as well as after six, twelve, and 26 weeks. Spinopelvic parameter measurements were performed. Outcome parameters were correlated to spinopelvic parameters. RESULTS: ODI and PCSS scores improved significantly up to three months follow-up. COMI score improved significantly over the entire follow-up. Back pain improvement at six weeks and three months follow-up correlated inversely with pelvic incidence. Sacral slope correlated significantly with ODI improvement immediately after therapy. Low lumbar lordosis also correlated significantly with ODI improvement at three months follow-up. CONCLUSIONS: Subjects with higher pelvic incidence reported significantly greater back pain improvements at three months follow-up. ODI improvements were higher for patients with high sacral slope immediately after treatment and for patients with a higher lumbar lordosis after three months. No influence of sagittal alignment was observed on leg pain or quality of life.
Item Type: | Journal Article | ||||||||||||||||||||||||||||
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URN: | urn:nbn:de:hbz:38-415635 | ||||||||||||||||||||||||||||
DOI: | 10.3233/THC-151032 | ||||||||||||||||||||||||||||
Journal or Publication Title: | Technol. Health Care | ||||||||||||||||||||||||||||
Volume: | 23 | ||||||||||||||||||||||||||||
Number: | 6 | ||||||||||||||||||||||||||||
Page Range: | S. 871 - 880 | ||||||||||||||||||||||||||||
Date: | 2015 | ||||||||||||||||||||||||||||
Publisher: | IOS PRESS | ||||||||||||||||||||||||||||
Place of Publication: | AMSTERDAM | ||||||||||||||||||||||||||||
ISSN: | 1878-7401 | ||||||||||||||||||||||||||||
Language: | English | ||||||||||||||||||||||||||||
Faculty: | Unspecified | ||||||||||||||||||||||||||||
Divisions: | Unspecified | ||||||||||||||||||||||||||||
Subjects: | no entry | ||||||||||||||||||||||||||||
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URI: | http://kups.ub.uni-koeln.de/id/eprint/41563 |
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