요추부 척추전방전위증 환자에서 후방경유 추체간 골유합술 후 시상면 균형과 하부요통 간의 관계 분석

• 영문명: Analysis of Sagittal Balance and Lower Back Pain after Posterior Lumbar Interbody Fusion for Patients with Lumbar Spondylolisthesis
• 발행기관: 조선대학교 의학연구원
• 저자명: 김희열(Hee Yeul Kim) 주창일(Chang Il Ju) 이승명(Seung Myung Lee)
• 간행물 정보: 『The Medical Journal of Chosun University』제42권 제2호, 51~55쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2017.06.30

영문 초록

Measures of radiographic pelvic and spinal parameters of sagittal balance analysis have become of considerable importance for reconstructive surgery of the spine, particularly in cases of degenerative spondylolisthesis. The authors conducted a retrospective study of clinical outcomes and a radiological review on 231 patients with one or two level degenerative spondylolisthesis. First, patients were classified using preoperative pelvic parameters and evaluations were conducted using mean values of pre- and postoperative spinopelvic parameters. Second, patients were divided into two study groups, that is, Group A (n=105; exhibited no improvement (increase or no change) in pelvic tilt postoperatively) and Group B (n=126; exhibited pelvic tilt improvement (decrease) postoperatively). Clinical outcomes in the two groups were compared using Visual Analogue Pain Scores (VAS) and Oswestry disability index (ODI). All preoperative pelvic parameters show restoration tendency after PLIF surgery for spondylolisthesis, and greater deviations of preoperative pelvic parameters from normality showed greater recovery postoperatively. VAS and ODI improvements at follow-up were poorer in group A than in group B.

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키워드

Degenerative spondylolisthesis Posterior Lumbar Interbody Fusion (PLIF) Spinopelvic parameters Pelvic tilt Surgical outcome