Universität zu Köln

Lenz, Maximilian, Oikonomidis, S., Hartwig, R., Gramse, R., Meyer, C., Scheyerer, M. J., Hofstetter, C., Eysel, P. and Bredow, J. . Clinical outcome after lumbar spinal fusion surgery in degenerative spondylolisthesis: a 3-year follow-up. Arch. Orthop. Trauma Surg.. NEW YORK: SPRINGER. ISSN 1434-3916

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Abstract

Introduction Lumbar spinal fusion surgery is a widely accepted surgical treatment in degenerative causes of lumbar spondylolisthesis. The benefit of reduction of anterior displacement and restoration of sagittal parameters is still controversially debated. Purpose of the underlying publication was to analyze the influence of radiographic sagittal parameters of the spine in aspects of changes in postoperative clinical outcome. Materials and methods By prospective analysis, we included patients with low-grade degenerative lumbar spondylolisthesis (Meyerding grades I and II) with mono- or bisegmental fusion surgery with a minimum follow-up data of 3 years. For clinical outcome measures, COMI, ODI and EQ-5D were used. Spinopelvic parameters (sacral inclination, pelvic tilt, sacral slope and pelvic incidence, lumbar lordosis and lumbar index as well as anterior displacement and sagittal rotation) were measured on plain radiographs. Results We could observe a significant benefit in clinical outcome after lumbar fusion surgery in low-grade spondylolisthesis in our mid-term follow-up data including 32 patients. By surgical reduction, we could see significant restoration of anterior displacement and sagittal rotation. Interestingly, a significant correlation between restoration of both sagittal rotation and sacral inclination and clinical outcome score was observed in the 3-year follow-up. Conclusion In low-grade spondylolisthesis, spinal fusion surgery is a well-established surgical procedure; however, the impact of sagittal parameters and reduction of anterior displacement remains controversial. Within our findings, restoration of sagittal parameters showed significant correlation to improvement in clinical outcome in our mid-term follow-up data.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Lenz, Maximilian UNSPECIFIED UNSPECIFIED UNSPECIFIED Oikonomidis, S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hartwig, R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Gramse, R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Meyer, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Scheyerer, M. J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hofstetter, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Eysel, P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bredow, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-307345
DOI:	10.1007/s00402-020-03697-9
Journal or Publication Title:	Arch. Orthop. Trauma Surg.
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1434-3916
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language SAGITTAL BALANCE; INTERBODY FUSION; SURGICAL-TREATMENT; REDUCTION; SPONDYLOLYSIS; DECOMPRESSION; ALIGNMENT; TRENDS Multiple languages Orthopedics; Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/30734