Prognostic factors for lumbar arthrodesis
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Back pain is one of the most frequent presenting symptoms in healthcare institutions. Neurosurgery plays a major role on diagnosis and treatment of back pain that often results in surgical interventions that includes lumbar interbody fusion among other therapeutic alternatives. Nevertheless, functionality and expected quality of life indexes do not always demonstrate full improvement despite adequate medical and surgical treatment. Therefore, the authors made a non-systematic literature review in order to assess the most important elements involved on diagnostic assessments that include: lumbosacral anatomy, spine pathological processes that result in back pain, indications for lumbar interbody fusion and finally, the relevant part that spinopelvic balance parameters plays for adequate planning for surgery treatment. This non-systematic literature review aims to establish the most contributing assessment spinopelvic factors prior surgery in order to improve selection of patients that undergo surgical treatment and therefore, improve their functionality and quality of life indexes.
arthrodesis; low back pain; postural balanceartrodesis; lumbalgia; balance postural
2. Von Korff M, Crane P, Lane M, et al. Chronic spinal pain and physical–mental comorbid ity in the United States: results from the national comorbidity survey replication. Pain. 2005; 113:331-9.
3. Salvetti Mde G, Pimenta CA, Braga PE, Corrêa CF. Disability related to chronic low back pain: prevalence and associated factors. Rev Esc Enferm USP. 2012 Oct;46 Spec No:16-23.
4. Adams MA. Biomechanics of back pain. Acupunct Med. 2004 Dec;22(4):178-88.
5. Acevedo JC. Síndrome facetario lumbar: Nuevo signo de diagnóstico clínico. Rehabilitación (Madr). 2004;38(4):168-74.
6. Liliang PC, Lu K, Liang CL, Tsai YD, Wang KW, Chen HJ. Sacroiliac join pain after lumbar and lumbosacral fusion: findings using dual sacroiliac join blocks. Pain Med. 2011; 12(4):565-70. doi: https://doi.org/10.1111/j.1526-4637.2011.01087.x.
7. Ames CP, Smith JS, Scheer JK, Bess S, Bederman SS, Deviren V, et al. Impact of spinopelvic alignment on decision making in deformity surgery in adults: A review. J Neurosurg Spine. 2012 Jun;16(6):547-64.
8. Acevedo JC, Pérez JC. Correlación entre los resultados clínicos de los pacientes con dolor lumbar crónico, tratados con artrodesis lumbosacra y las variables biomecánicas de la unidad funcional lumbosacrococcígea. Bogotá: Unidad de Neurocirugía, Hospital Universitario San Ignacio; 2013.
9. Lamartina C, Berjano P, Petruzzi M, et al. Criteria to restore the sagittal balance in deformity and degenerative spondylolisthesis. Eur Spine J. 2012;21(Suppl 1):27-31. doi: https://doi.org/10.1007/s00586-012-2236-9.
10. Kjaer P, Bendix T, Sorensen JS, Korsholm L, Leboeuf-Yde C. Are MRI-defined fat infiltrations in the multifidus muscles associated with low back pain? BMC Med. 2007 Jan 25;5:2.
11. Hildebrandt J. [Musculature as a source of back pain]. Schmerz. 2003 Dec;17(6):412-8.
12. Weinstein JN, Lurie JD, Tosteson TD, Hanscom B, Tosteson AN, Blood EA, et al. Surgical versus nonsurgical treatment for lumbar degenerative spondylolisthesis. N Engl J Med. 2007;356(22):2257-70.
13. Teichtahl AJ, Urquhart DM, Wang Y, Wluka AE, Wijethilake P, O'Sullivan R, Cicuttini FM. Fat infiltration of paraspinal muscles is associated with low back pain, disability, and structural abnormalities in community-based adults. Spine J. 2015 Jul 1;15(7):1593-601.
14. Acevedo JC, Quintero ST. Scale of diagnostics (SI5) for the sacroiliac joint dysfunction: Pilot study. Rev Soc Esp Dolor. 2014; 21(3):123-30. doi: http://dx.doi.org/10.4321/S1134-80462014000300002.
15. Guan F, Sun Y, Zhu L, Guan G, Chen M, Chi Z, et al. Risk factors of postoperative sacroiliac joint pain for posterior lumbar surgery: ≥2-year follow-up retrospective study. World Neurosurg. 2018 Feb;110:e546-e551.
16. Fairbank JC, Pynsent PB. The Oswestry Disability Index. Spine. 2000; 25(22):2940-52.