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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 132 - 139 (8page)
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초록· 키워드
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Study Design: Retrospective review of prospectively collected outcome data. Purpose: To compare 5-year outcomes following decompression with fusion (FU) and microendoscopic decompression (MED) in patients with degenerative lumbar spondylolisthesis (DLS) and to define surgical indication limitations regarding the use of MED for this condition. Overview of Literature: There have been no comparative studies on mid- or long-term outcomes following FU and MED for patients with DLS. Methods: Forty-one consecutive patients with DLS were surgically treated. Sixteen patients first underwent FU (FU group), and 25 then underwent MED (MED group). The 5-year clinical outcomes following the two surgical methods were compared using the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire. Results: The degree of improvement (DOI) for social life function was significantly greater in the MED group than in the FU group. Although not statistically significant, DOIs for the other four functional scores were also greater in the MED group than in the FU group. However, patients with a large percentage of slippage in the neutral position might experience limited improvement in low back pain, those with a large percentage of slippage at maximal extension might experience limited improvement in three functional scores, and those with a small intervertebral angle at maximal flexion might have limited improvement in three functional scores after MED for DLS. Therefore, we statistically compared the DOIs between the FU and MED groups regarding the preoperative percentage of slippage in the neutral position among patients with greater than 20% slippage, the preoperative percentage of slippage at maximal extension among patients with greater than 15% slippage, and the intervertebral angle at flexion among patients with angles lesser than −5°; however, there were no statistically significant differences between the two groups. Conclusions: MED is a useful minimally invasive surgical procedure that possibly offers better clinical outcomes than FU for DLS.
목차
등록된 정보가 없습니다.
참고문헌 (11)
참고문헌 신청
Martin CR / 2007 / The surgical management of degenerative lumbar spondylolisthesis: a systematic review / Spine (Phila Pa 1976) 32:1791~1798
Aihara T / 2012 / Surgical management of degenerative lumbar spondylolisthesis: a comparative study of outcomes following decompression with fusion and microendoscopic decompression / J Musculoskelet Res 15:1250020
Ikuta K / 2008 / Clinical outcome of microendoscopic posterior decompression for spinal stenosis associated with degenerative spondylolisthesis: minimum 2-year outcome of 37 patients / Minim Invasive Neurosurg 51:267~271
Herkowitz HN / 1991 / Degenerative lumbar spondylolisthesis with spinal stenosis: a prospective study comparing decompression with decompression and intertransverse process arthrodesis / J Bone Joint Surg Am 73:802~808
Matsudaira K / 2005 / Spinal stenosis in grade I degenerative lumbar spondylolisthesis: a comparative study of outcomes following laminoplasty and laminectomy with instrumented spinal fusion / J Orthop Sci 10:270~276
Aihara T / 2012 / Surgical management of degenerative lumbar spondylolisthesis: a comparative study of outcomes following decompression with fusion and microendoscopic decompression / J Musculoskelet Res 15:1250020
Ikuta K / 2008 / Clinical outcome of microendoscopic posterior decompression for spinal stenosis associated with degenerative spondylolisthesis: minimum 2-year outcome of 37 patients / Minim Invasive Neurosurg 51:267~271
Herkowitz HN / 1991 / Degenerative lumbar spondylolisthesis with spinal stenosis: a prospective study comparing decompression with decompression and intertransverse process arthrodesis / J Bone Joint Surg Am 73:802~808
Matsudaira K / 2005 / Spinal stenosis in grade I degenerative lumbar spondylolisthesis: a comparative study of outcomes following laminoplasty and laminectomy with instrumented spinal fusion / J Orthop Sci 10:270~276
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