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Long-term clinical outcomes of selective segmental transforaminal lumbar interbody fusion combined with posterior spinal fusion for degenerative lumbar scoliosis
Zhu, Yi; Wang, Bo; Wang, Huimin; Jin, Zhaohui; Zhu, Zhenqi; Liu, Haiying
关键词Degenerative Scoliosis Interbody Fusion Long-term Complication Selective Segmental Transforaminal Lumbar Interbody Fusion (Tlif)
刊名ANZ JOURNAL OF SURGERY
2014-10-01
DOI10.1111/ans.12711
84期:10页:781-785
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Surgery
研究领域[WOS]Surgery
关键词[WOS]MANAGEMENT ; STENOSIS ; OPTIONS
英文摘要

BackgroundThe purpose of the current study was to investigate the long-term clinical outcomes of this technique for degenerative scoliosis (DS).

MethodsThe records of 95 consecutive patients with DS who underwent selective segmental transforaminal interbody fusion combined with posterior-instrumented spinal fusion in our department from January 1999 to December 2007 were analysed retrospectively. Average follow-up was 7.8 years. Recorded clinical outcomes included Oswestry Disability Index (ODI), visual analogue scale (VAS) pain scores and overall patient satisfaction. Radiographic measurements included coronal Cobb angle, apical vertebra translation, Nash-Moe grade, lumbar lordosis (LL) and thoracolumbar kyphosis. Comparison of the clinical and radiographic parameters before surgery and at final follow-up was studied. Linear correlation analysis was applied to analyse the relationship between the clinical and radiological results.

ResultsAverage ODI and VAS pain scores were significantly improved at final follow-up compared with baseline (P = 0.038; P = 0.005). Specifically, the average ODI score was 32.2 8.6 before surgery and 11.1 +/- 6.8 at final follow-up; the average VAS score was 8.9 +/- 2.0 before surgery and 2.0 +/- 1.2 at final follow-up; patient satisfaction was 88.2% (84/95) at final follow-up. In addition, Cobb angle, apical vertebra translation and Nash-Moe grade were all statistically significantly decreased compared with preoperative values (P = 0.019; P = 0.035; P = 0.001). Although LL had significantly increased (P = 0.022), thoracolumbar kyphosis did not exhibit a significant change (P = 0.64). There was significant correlation between LL and decreased ODI scores (r = 0.62, P = 0.01). Eleven patients (11.6%) underwent reoperation during the study period.

ConclusionSelective segmental transforaminal interbody fusion combined with posterior-instrumented spinal fusion appears to have reasonable long-term clinical and radiographic outcomes for the treatment of DS.

语种英语
WOS记录号WOS:000342767600020
引用统计
被引频次:4[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/58116
专题北京大学第二临床医学院_脊柱外科
北京大学基础医学院
作者单位Peking Univ, Dept Spinal Surg, Peoples Hosp, Beijing 100044, Peoples R China
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GB/T 7714
Zhu, Yi,Wang, Bo,Wang, Huimin,et al. Long-term clinical outcomes of selective segmental transforaminal lumbar interbody fusion combined with posterior spinal fusion for degenerative lumbar scoliosis[J]. ANZ JOURNAL OF SURGERY,2014,84(10):781-785.
APA Zhu, Yi,Wang, Bo,Wang, Huimin,Jin, Zhaohui,Zhu, Zhenqi,&Liu, Haiying.(2014).Long-term clinical outcomes of selective segmental transforaminal lumbar interbody fusion combined with posterior spinal fusion for degenerative lumbar scoliosis.ANZ JOURNAL OF SURGERY,84(10),781-785.
MLA Zhu, Yi,et al."Long-term clinical outcomes of selective segmental transforaminal lumbar interbody fusion combined with posterior spinal fusion for degenerative lumbar scoliosis".ANZ JOURNAL OF SURGERY 84.10(2014):781-785.
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