{"title":"低度退行性腰椎滑脱患者斜腰椎椎间融合术后腰痛的危险因素：一项回顾性研究。","authors":"Shuanchi Wang, Jiabao Chen, Zhe Lu","doi":"10.3389/fsurg.2024.1494849","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To investigate the risk factors of low back pain after oblique lumbar interbody fusion (OLIF) in patients with low grade degenerative lumbar spondylolisthesis (DLS).</p><p><strong>Methods: </strong>This retrospective study included 116 patients with single-level low-grade lumbar spondylolisthesis with low back pain who underwent OLIF surgery in our hospital from December 2017 to October 2020. Demographic, clinical, surgical, and radiological characteristics of this population were analyzed to determine the relationship between these characteristics and the degree of low back pain relief after OLIF.</p><p><strong>Results: </strong>A total of 116 patients (average age 58.61 ± 7.01 years) were included in this study. Among them, 33 patients had poor improvement of low back pain after surgery, and 83 patients had satisfactory effect after surgery with obvious relief of low back pain. Postoperative disc height increase ≤2.5 mm (<i>P</i> = 0.000) was most correlated with poor improvement of low back pain symptoms after OLIF. The factors positively correlated with poor improvement of low back pain symptoms after OLIF in patients with low-grade degenerative lumbar spondylolisthesis included the increase of spondylolisthesis grade (OR = 17.665; 95%CI: 3.262-95.678 <i>P</i> = 0.001), disc height increase ≤2.5 mm (OR = 34.377; 95%CI: 5.632-209.818 <i>P</i> = 0.000). The factors negatively correlated with poor improvement of low back pain symptoms after OLIF in patients with low-grade degenerative lumbar spondylolisthesis included no osteoporosis (OR = 0.067; 95%CI: 0.013-0.350 <i>P</i> = 0.001), no cage subsidence (OR = 0.208; 95%CI: 0.048-0.903 <i>P</i> = 0.036), duration of preoperative low back pain symptoms ≤36 months (OR = 0.045; 95%CI: 0.007-0.277 <i>P</i> = 0.001).</p><p><strong>Conclusions: </strong>OLIF can significantly improve the low back pain symptoms in patients with low-grade degenerative lumbar spondylolisthesis. High grade of spondylolisthesis before operation, duration of low back pain symptoms more than 36 months, osteoporosis, postoperative cage subsidence, and postoperative segmental disc height improvement less than 2.5 mm are risk factors for low back pain after operation.</p>","PeriodicalId":12564,"journal":{"name":"Frontiers in Surgery","volume":"11 ","pages":"1494849"},"PeriodicalIF":1.6000,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11744013/pdf/","citationCount":"0","resultStr":"{\"title\":\"Risk factors for low back pain after oblique lumbar interbody fusion in patients with low-grade degenerative lumbar spondylolisthesis: a retrospective study.\",\"authors\":\"Shuanchi Wang, Jiabao Chen, Zhe Lu\",\"doi\":\"10.3389/fsurg.2024.1494849\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To investigate the risk factors of low back pain after oblique lumbar interbody fusion (OLIF) in patients with low grade degenerative lumbar spondylolisthesis (DLS).</p><p><strong>Methods: </strong>This retrospective study included 116 patients with single-level low-grade lumbar spondylolisthesis with low back pain who underwent OLIF surgery in our hospital from December 2017 to October 2020. Demographic, clinical, surgical, and radiological characteristics of this population were analyzed to determine the relationship between these characteristics and the degree of low back pain relief after OLIF.</p><p><strong>Results: </strong>A total of 116 patients (average age 58.61 ± 7.01 years) were included in this study. Among them, 33 patients had poor improvement of low back pain after surgery, and 83 patients had satisfactory effect after surgery with obvious relief of low back pain. Postoperative disc height increase ≤2.5 mm (<i>P</i> = 0.000) was most correlated with poor improvement of low back pain symptoms after OLIF. The factors positively correlated with poor improvement of low back pain symptoms after OLIF in patients with low-grade degenerative lumbar spondylolisthesis included the increase of spondylolisthesis grade (OR = 17.665; 95%CI: 3.262-95.678 <i>P</i> = 0.001), disc height increase ≤2.5 mm (OR = 34.377; 95%CI: 5.632-209.818 <i>P</i> = 0.000). The factors negatively correlated with poor improvement of low back pain symptoms after OLIF in patients with low-grade degenerative lumbar spondylolisthesis included no osteoporosis (OR = 0.067; 95%CI: 0.013-0.350 <i>P</i> = 0.001), no cage subsidence (OR = 0.208; 95%CI: 0.048-0.903 <i>P</i> = 0.036), duration of preoperative low back pain symptoms ≤36 months (OR = 0.045; 95%CI: 0.007-0.277 <i>P</i> = 0.001).</p><p><strong>Conclusions: </strong>OLIF can significantly improve the low back pain symptoms in patients with low-grade degenerative lumbar spondylolisthesis. High grade of spondylolisthesis before operation, duration of low back pain symptoms more than 36 months, osteoporosis, postoperative cage subsidence, and postoperative segmental disc height improvement less than 2.5 mm are risk factors for low back pain after operation.</p>\",\"PeriodicalId\":12564,\"journal\":{\"name\":\"Frontiers in Surgery\",\"volume\":\"11 \",\"pages\":\"1494849\"},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2025-01-06\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11744013/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Frontiers in Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3389/fsurg.2024.1494849\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers in Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3389/fsurg.2024.1494849","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
摘要
目的：探讨低度退行性腰椎滑脱（DLS）患者行斜腰椎椎体间融合术（OLIF）后腰痛的危险因素。方法：回顾性研究2017年12月至2020年10月在我院行OLIF手术的116例单级别低度腰椎滑脱伴腰痛患者。分析该人群的人口学、临床、外科和放射学特征，以确定这些特征与OLIF后腰痛缓解程度之间的关系。结果：共纳入116例患者，平均年龄58.61±7.01岁。其中33例患者术后腰痛改善不佳，83例患者术后效果满意，腰痛明显缓解。术后椎间盘高度增加≤2.5 mm （P = 0.000）与OLIF术后腰痛症状改善不良最相关。轻度退行性腰椎滑脱患者行OLIF后腰痛症状改善不良的正相关因素包括：腰椎滑脱程度升高(OR = 17.665；95%CI: 3.262 ~ 95.678 P = 0.001)，椎间盘高度增加≤2.5 mm (OR = 34.377；95%ci: 5.632-209.818 p = 0.000)。与低度退行性腰椎滑脱患者OLIF术后腰痛症状改善不良负相关的因素包括：无骨质疏松症(OR = 0.067；95%CI: 0.013-0.350 P = 0.001)，无笼子下沉(OR = 0.208；95%CI: 0.048-0.903 P = 0.036)，术前腰痛症状持续时间≤36个月(OR = 0.045；95%ci: 0.007-0.277 p = 0.001)。结论：OLIF可显著改善低度退行性腰椎滑脱患者腰痛症状。术前椎体滑脱程度高、腰痛症状持续时间超过36个月、骨质疏松、术后笼型下沉、术后节段椎间盘高度改善小于2.5 mm是发生术后腰痛的危险因素。
Risk factors for low back pain after oblique lumbar interbody fusion in patients with low-grade degenerative lumbar spondylolisthesis: a retrospective study.
Objective: To investigate the risk factors of low back pain after oblique lumbar interbody fusion (OLIF) in patients with low grade degenerative lumbar spondylolisthesis (DLS).
Methods: This retrospective study included 116 patients with single-level low-grade lumbar spondylolisthesis with low back pain who underwent OLIF surgery in our hospital from December 2017 to October 2020. Demographic, clinical, surgical, and radiological characteristics of this population were analyzed to determine the relationship between these characteristics and the degree of low back pain relief after OLIF.
Results: A total of 116 patients (average age 58.61 ± 7.01 years) were included in this study. Among them, 33 patients had poor improvement of low back pain after surgery, and 83 patients had satisfactory effect after surgery with obvious relief of low back pain. Postoperative disc height increase ≤2.5 mm (P = 0.000) was most correlated with poor improvement of low back pain symptoms after OLIF. The factors positively correlated with poor improvement of low back pain symptoms after OLIF in patients with low-grade degenerative lumbar spondylolisthesis included the increase of spondylolisthesis grade (OR = 17.665; 95%CI: 3.262-95.678 P = 0.001), disc height increase ≤2.5 mm (OR = 34.377; 95%CI: 5.632-209.818 P = 0.000). The factors negatively correlated with poor improvement of low back pain symptoms after OLIF in patients with low-grade degenerative lumbar spondylolisthesis included no osteoporosis (OR = 0.067; 95%CI: 0.013-0.350 P = 0.001), no cage subsidence (OR = 0.208; 95%CI: 0.048-0.903 P = 0.036), duration of preoperative low back pain symptoms ≤36 months (OR = 0.045; 95%CI: 0.007-0.277 P = 0.001).
Conclusions: OLIF can significantly improve the low back pain symptoms in patients with low-grade degenerative lumbar spondylolisthesis. High grade of spondylolisthesis before operation, duration of low back pain symptoms more than 36 months, osteoporosis, postoperative cage subsidence, and postoperative segmental disc height improvement less than 2.5 mm are risk factors for low back pain after operation.
期刊介绍：
Evidence of surgical interventions go back to prehistoric times. Since then, the field of surgery has developed into a complex array of specialties and procedures, particularly with the advent of microsurgery, lasers and minimally invasive techniques. The advanced skills now required from surgeons has led to ever increasing specialization, though these still share important fundamental principles.
Frontiers in Surgery is the umbrella journal representing the publication interests of all surgical specialties. It is divided into several “Specialty Sections” listed below. All these sections have their own Specialty Chief Editor, Editorial Board and homepage, but all articles carry the citation Frontiers in Surgery.
Frontiers in Surgery calls upon medical professionals and scientists from all surgical specialties to publish their experimental and clinical studies in this journal. By assembling all surgical specialties, which nonetheless retain their independence, under the common umbrella of Frontiers in Surgery, a powerful publication venue is created. Since there is often overlap and common ground between the different surgical specialties, assembly of all surgical disciplines into a single journal will foster a collaborative dialogue amongst the surgical community. This means that publications, which are also of interest to other surgical specialties, will reach a wider audience and have greater impact.
The aim of this multidisciplinary journal is to create a discussion and knowledge platform of advances and research findings in surgical practice today to continuously improve clinical management of patients and foster innovation in this field.
京公网安备 11010802042870号
京ICP备2023020795号-1
分享
求助内容：
应助结果提醒方式：
扫码关注我们
