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[Anterior lumbar intercorporal spondylodesis. Radiological and functional therapeutic results].
- Source :
-
Ugeskrift for laeger [Ugeskr Laeger] 1994 Sep 12; Vol. 156 (37), pp. 5285-9. - Publication Year :
- 1994
-
Abstract
- The purpose of this investigation was to identify risk factors in relation to non-union following lumbar intercorporal spondylodesis and to correlate this result with the functional outcome as assessed by the Dallas Pain Questionnaire (DPQ). This comprises questions concerning daily activities, work-leisure activities, anxiety-depression and social interest, measured on visual analog scales. During the period 1979-87 a total of 132 patients were operated with spondylodesis, diagnosed as suffering from spondylolisthesis or disc degeneration. Minimal follow-up was one year. Radiological graft incorporation was complete in 52% of the cases, partial in 24% and lacking in 24%. The rate of functional outcome follow-up was 72%. Seventy percent claimed an improvement in three out of four categories. Thirty percent claimed no improvement or worsened condition. The DPQ showed signs of poor prognosis for age groups above 45 (p < 0.04) and those with former spine surgery (p < 0.02). The questionnaire showed significantly better results for the group with perfect or doubtful union compared to the group with non-union (p < 0.006). In conclusion this investigation demonstrates a success rate of 70% for anterior lumbar interbody fusion. There is a tendency to poorer prognosis for patients with previous spine surgery and age above 45 years. The Dallas Pain Questionnaire correlates significantly to X-ray analysis and seems to be a useful tool for the description of individual biopsychosocial changes following spine surgery.
- Subjects :
- Activities of Daily Living
Adolescent
Adult
Denmark
Female
Follow-Up Studies
Humans
Intervertebral Disc Displacement diagnosis
Intervertebral Disc Displacement psychology
Lumbar Vertebrae diagnostic imaging
Male
Middle Aged
Pain Measurement methods
Quality of Life
Radiography
Retrospective Studies
Spinal Fusion adverse effects
Spondylolisthesis diagnosis
Spondylolisthesis psychology
Surveys and Questionnaires
Intervertebral Disc Displacement surgery
Spinal Fusion methods
Spondylolisthesis surgery
Subjects
Details
- Language :
- Danish
- ISSN :
- 0041-5782
- Volume :
- 156
- Issue :
- 37
- Database :
- MEDLINE
- Journal :
- Ugeskrift for laeger
- Publication Type :
- Academic Journal
- Accession number :
- 7941067