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논문 기본 정보

자료유형
학술저널
저자정보
Yawara Eguchi (Shimoshizu National Hospital) Munetaka Suzuki (Shimoshizu National Hospital) Hajime Yamanaka (Shimoshizu National Hospital) Hiroshi Tamai (Shimoshizu National Hospital) Tatsuya Kobayashi (Shimoshizu National Hospital) Sumihisa Orita (Chiba University) Kazuyo Yamauchi (Chiba University) Miyako Suzuki (Chiba University) Kazuhide Inage (Chiba University) Kazuki Fujimoto (Chiba University) Hirohito Kanamoto (Chiba University Graduate School of Medicine) Koki Abe (Chiba University) Masaki Norimoto (Graduate School of Medicine Chiba University) Tomotaka Umimura (Graduate School of Medicine Chiba University) Yasuchika Aoki (Eastern Chiba Medical Center) Masao Koda (Chiba University) Takeo Furuya (Chiba University) Tomoaki Toyone (Showa University) Tomoyuki Ozawa (Showa University School of Medicine) Kazuhisa Takahashi (Chiba University) Seiji Ohtori (Chiba University)
저널정보
대한척추외과학회 Asian Spine Journal Asian Spine Journal Vol.12 No.3
발행연도
2018.1
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556 - 562 (7page)

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Study Design: Retrospective observational study. Purpose: We considered the relationship between spinal alignment and skeletal muscle mass on clinical outcomes following a surgery for lumbar spinal stenosis (LSS). Overview of Literature: There are no reports of preoperative factors predicting residual low back pain following surgery for LSS. Methods: Our target population included 34 women (mean age, 74.4 years) who underwent surgery for LSS. Prior to and 6 months after the surgery, systemic bone mineral density and lean soft tissue mass were measured using dual-energy X-ray absorptiometry. Skeletal muscle mass index (SMI) was calculated as the sum of the arm and leg lean mass in kilograms divided by height in meters squared. The spinal alignment was also measured. Clinical outcomes were evaluated using the Japanese Orthopedic Association scoring system, leg and low back pain Visual Analog Scale, and Roland–Morris Disability Questionnaire (RDQ). Additionally, we examined the bone mineral density, skeletal muscle mass, and spinal alignment before and after the surgery. We used the Spearman correlation coefficient to examine the associations among clinical outcomes, preoperative muscle mass, and spinal alignment. Results: Sarcopenia (SMI <5.46) was observed in nine subjects (26.5%). Compared with normal subjects (SMI >6.12), RDQ was significantly higher in subjects with sarcopenia (p =0.04). RDQ was significantly negatively correlated with SMI (r =−0.42, p <0.05). There was a significant positive correlation between postoperative RDQ and pelvic tilt (PT; r =0.41, p <0.05). SMI and PT were significantly negatively correlated (r =−0.39, r <0.05). Conclusions: Good postoperative outcomes were negatively correlated with low preoperative appendicular muscle mass, suggesting that postoperative outcomes were inferior in cases of decreased appendicular muscle mass (sarcopenia). Posterior PT due to decreased limb muscle mass may contribute to postoperative back pain, showing that preoperatively reduced limb muscle mass and posterior PT are predictive factors in the persistence of postoperative low back pain.

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참고문헌 (18)

참고문헌 신청
Ganz JC / 1990 / Lumbar spinal stenosis: postoperative results in terms of preoperative posture-related pain / J Neurosurg 72:71~74 Crossref Jones AD / 2014 / Improvement in low back pain following spinal decompression: observational study of 119 patients / Eur Spine J 23:135~141 Crossref Yawara Eguchi / 2017 / Assessment of Clinical Symptoms in Lumbar Foraminal Stenosis Using the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire / 대한척추신경외과학회지 14(1):1~6 dbpia La Grone MO / 1988 / Loss of lumbar lordosis: a complication of spinal fusion for scoliosis / Orthop Clin North Am 19:383~393 google schola Kostuik JP / 1988 / Combined single stage anterior and posterior osteotomy for correction of iatrogenic lumbar kyphosis / Spine (Phila Pa 1976) 13:257~266 Crossref

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