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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

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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
Creators:	Creators Email ORCID ORCID Put Code Beyer, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Geier, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bredow, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Oppermann, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Eysel, P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Sobottke, R. UNSPECIFIED UNSPECIFIED UNSPECIFIED
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
Uncontrolled Keywords:	Keywords Language SAGITTAL BALANCE; DISEASES; PELVIS Multiple languages Health Care Sciences & Services; Engineering, Biomedical Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/41563