Benefits of Lumbar Spine Fusion Surgery Reach 10 Years with Various Surgical Indications
Toivonen, L., Häkkinen, A., Pekkanen, L., Kyrölä, K., Kautiainen, H., & Neva, M. H. (2023). Benefits of Lumbar Spine Fusion Surgery Reach 10 Years with Various Surgical Indications. North American Spine Society Journal, 16, Article 100276. https://doi.org/10.1016/j.xnsj.2023.100276
Julkaistu sarjassa
North American Spine Society JournalTekijät
Päivämäärä
2023Tekijänoikeudet
© 2023 The Author(s). Published by Elsevier Inc. on behalf of North American Spine Society.
Background
Lumbar spine fusion (LSF) surgery is a viable form of treatment for several spinal disorders. Treatment effects are preferably to be endorsed in real-life settings.
Methods
This prospective study evaluated the 10-year outcomes of LSF. A population-based series of elective LSFs performed at 2 spine centers between January 2008 and June 2012 were enrolled. Surgeries for tumor, acute fracture or infection, neuromuscular scoliosis, or postoperative conditions were excluded. The following patient-reported outcome measures (PROMs) were collected at baseline, and 1, 2, 5, and 10 years postsurgery: VAS for back and leg pain, ODI, SF-36. Longitudinal measures of PROMs were analyzed using mixed-effects models.
Results
683 patients met the inclusion criteria, and 630 (92%) of them completed baseline and at least one f-u PROMs, and they constituted the study population. Mean age was 61 (SD 12) years, 69% women. According to surgical indication, patients were stratified into degenerative spondylolisthesis (DS, n=332, 53%), spinal stenosis (SS, n=102, 16%), isthmic spondylolisthesis (IS, n=97, 15%), degenerative disc disease (DDD, n=52, 8%), and deformity (DF, n=47, 7%).
All diagnostic cohorts demonstrated significant improvement at 1 year, followed by a partial loss of benefits by 10 years. ODI baselines and changes at 1 and 10 years were: (DS) 45, -21, and -14; (SS) 51, -24, and -13; (IS) 41, -24, and -20; (DDD) 50, -20, and -20; and (DF) 50, -21, and -16, respectively. Comparable patterns were seen in pain scores. Significant HRQoL achievements were recorded in all cohorts, greatest in physical domains, but also substantial in mental aspects of HRQoL.
Conclusions
Benefits of LSF were partially lost but still meaningful at 10 years of surgery. Long-term benefits seemed milder with degenerative conditions, reflecting the progress of the ongoing spinal degeneration. Benefits were most overt in pain and physical function measures.
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Julkaisija
ElsevierISSN Hae Julkaisufoorumista
2666-5484Asiasanat
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https://converis.jyu.fi/converis/portal/detail/Publication/184888328
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The authors declare that no funds, grants, or other support were received during the preparation of this manuscript.Lisenssi
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