Näytä suppeat kuvailutiedot

dc.contributor.authorToivonen, Leevi A.
dc.contributor.authorMäntymäki, Heikki
dc.contributor.authorHäkkinen, Arja
dc.contributor.authorKautiainen, Hannu
dc.contributor.authorNeva, Marko H.
dc.date.accessioned2022-11-07T12:43:36Z
dc.date.available2022-11-07T12:43:36Z
dc.date.issued2022
dc.identifier.citationToivonen, L. A., Mäntymäki, H., Häkkinen, A., Kautiainen, H., & Neva, M. H. (2022). Postoperative Sagittal Balance has Only a Limited Role in the Development of Adjacent Segment Disease after Lumbar Spine Fusion for Degenerative Lumbar Spine Disorders : A Subanalysis of the 10-year Follow-up Study. <i>Spine</i>, <i>47</i>(19), 1357-1361. <a href="https://doi.org/10.1097/BRS.0000000000004400" target="_blank">https://doi.org/10.1097/BRS.0000000000004400</a>
dc.identifier.otherCONVID_150918220
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/83810
dc.description.abstractStudy Design. Retrospective Additional Analysis of a Prospective Follow-up Study. Objectives. We aimed to find out whether poor postoperative sagittal alignment increases revisions for adjacent segment disease (ASD) after lumbar spine fusion (LSF) performed for degenerative lumbar spine disease (DLSD). Summary of Background Data. Revisions for ASD accumulate over time after LSF for DLSD. The etiology of ASD is considered multifactorial. Yet, the role of postoperative sagittal balance in this process remains controversial. Methods. 215 consecutive patients who had undergone an elective LSF surgery for spinal stenosis with (80%) or without (20%) spondylolisthesis were analyzed. Spinal reoperations were collected from the hospital records. Pre- and postoperative sagittal alignment were evaluated from standing radiographs. The risk of revisions for ASD was evaluated by Cox proportional hazards regression models. Results. We did not find the poor postoperative balance (pelvic incidence – lumbar lordosis > 9°) to significantly increase the risk of revisions for ASD: crude hazard ratio (HR) 1.5 (95% CI 0.8–2.7), adjusted (by age, sex, pelvic incidence, fusion length, and the level of the caudal end of fusion) HR 1.7 (95% CI 0.9–3.3). We found higher lumbar lordosis outside the fusion segment (LL – segmental lordosis) to decrease the risk of revisions for ASD: HR 0.9 (95% CI 0.9–1.0). Conclusion. Poor sagittal balance has only a limited role as a risk factor for the revisions for ASD among patients with degenerative spinal disease. However, the risk for ASD might be the greatest among patients with reduced spinal mobility. Level of Evidence. 3en
dc.format.mimetypeapplication/pdf
dc.language.isoeng
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofseriesSpine
dc.rightsCC BY-NC-ND 4.0
dc.subject.otherlumbar spine fusion
dc.subject.otherdegenerative spinal disease
dc.subject.othersagittal balance
dc.subject.otherrevisions
dc.subject.otheradjacent segment disease
dc.subject.otheradjacent segment pathology
dc.titlePostoperative Sagittal Balance has Only a Limited Role in the Development of Adjacent Segment Disease after Lumbar Spine Fusion for Degenerative Lumbar Spine Disorders : A Subanalysis of the 10-year Follow-up Study
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-202211075113
dc.contributor.laitosLiikuntatieteellinen tiedekuntafi
dc.contributor.laitosFaculty of Sport and Health Sciencesen
dc.contributor.oppiaineFysioterapiafi
dc.contributor.oppiainePhysiotherapyen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.type.coarhttp://purl.org/coar/resource_type/c_2df8fbb1
dc.description.reviewstatuspeerReviewed
dc.format.pagerange1357-1361
dc.relation.issn0362-2436
dc.relation.numberinseries19
dc.relation.volume47
dc.type.versionpublishedVersion
dc.rights.copyright© 2022 The Author(s). Published by Wolters Kluwer Health, Inc.
dc.rights.accesslevelopenAccessfi
dc.subject.ysoselkäranka
dc.subject.ysoröntgenkuvaus
dc.subject.ysoselkäsairaudet
dc.subject.ysohoitotulokset
dc.subject.ysoleikkaushoito
dc.subject.ysokirurgia
dc.subject.ysoahtaumat
dc.subject.ysokipu
dc.subject.ysolanneranka
dc.format.contentfulltext
jyx.subject.urihttp://www.yso.fi/onto/yso/p110
jyx.subject.urihttp://www.yso.fi/onto/yso/p10181
jyx.subject.urihttp://www.yso.fi/onto/yso/p2499
jyx.subject.urihttp://www.yso.fi/onto/yso/p25941
jyx.subject.urihttp://www.yso.fi/onto/yso/p842
jyx.subject.urihttp://www.yso.fi/onto/yso/p846
jyx.subject.urihttp://www.yso.fi/onto/yso/p27043
jyx.subject.urihttp://www.yso.fi/onto/yso/p14193
jyx.subject.urihttp://www.yso.fi/onto/yso/p5598
dc.rights.urlhttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.relation.doi10.1097/BRS.0000000000004400
jyx.fundinginformationThis study was funded by the Competitive State Financing of the Expert Responsibility Area of Tampere University Hospital.
dc.type.okmA1


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