Aikuisten selän ryhtivirheet : leikkaushoidon pitkäaikaistulokset K-SKS:ssa
Kyrölä, K., Pekkanen, L., Mäkelä, P., & Häkkinen, A. (2017). Aikuisten selän ryhtivirheet : leikkaushoidon pitkäaikaistulokset K-SKS:ssa. Suomen ortopedia ja traumatologia, 40(3), 246-253. http://www.soy.fi/files/sot_3_2017_web.pdf
Published in
Suomen ortopedia ja traumatologiaDate
2017Copyright
© Kirjoittajat & Suomen ortopediyhdistys, 2017.
Adult patients with degenerative deformities (ASD) benefit surgical treatment
when exercise and pain medication seize to control their symptoms. Disability
and clinical symptoms are stronger drivers against surgical treatment of ASD
than radiographic changes. We present the results of 79 adult patients’ corrective
surgery for degenerative spinal deformity of after 1-10 year follow-up. PI-LL (pelvic
incidence minus lumbar lordosis) mismatch remained stable after correction
during follow-up. Global sagittal balance indicated by sagittal vertical axis (SVA)
and T1 pelvic angle (TPA) started deteriorating after 2.5 years postoperatively. 26
(32.9%) patients required reoperation. 77.1% of the patients were satisfied with
the treatment at follow-up and the most important single item was relief of pain.
They had a statistically significant improvement postoperatively in Oswestry
Disability Index and back and leg pain. Depression and multiple co-morbidities
predicted poor result for surgery.
...
Publisher
Suomen ortopediyhdistysISSN Search the Publication Forum
0780-671XKeywords
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http://www.soy.fi/files/sot_3_2017_web.pdfPublication in research information system
https://converis.jyu.fi/converis/portal/detail/Publication/27388733
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