Influence of the patient’s somatic status on the outcomes of lumbar interbody fusion in treatment degenerative spine disease
https://doi.org/10.56618/20712693_2022_14_3_110
Abstract
Decompression and stabilization on the lumbar spine is one of the most common surgery for degenerative pathology. The fusion formation plays a key role. The number of postoperative complications can reach up to 30 %. In order to determine the predictors of adverse outcomes, we analyzed data from 236 patients who underwent single level lumbar interbody fusion. Outcomes were assessed using the modified Macnab scale 2–7 years after surgery.
RESULTS: excellent and good results according to the Macnab criteria were obtained in 168/236 (71,2 %) patients, and 29/236 (12,3 %) respectively, fair in 9/236 (3,8 %), poor in 30/236 (12.7 %) patients.
CONCLUSION: Statistically significant predictors of adverse outcomes were identified: age over 65 years (p30), diabetes mellitus (HbA1c>7), osteoporosis (T-score < –2.5) and their combination (p<0.0001) ); the duration of the exacerbation period, the threshold value is a period of more than 5 months. (p<0.0001).
Keywords
About the Authors
V. V. KhlebovRussian Federation
Khlebov Valentin Viktorovich
Saint-Petersburg
I. V. Volkov
Russian Federation
Volkov Ivan Viktorovich
Saint-Petersburg
I. S. Karabaev
Russian Federation
Karabaev Igor Shamansurovich
Saint-Petersburg
K. A. Poyarkov
Russian Federation
Poyarkov Konstantin Alexandrovich
Saint-Petersburg
A. Z. Tilov
Russian Federation
Tilov Azamat Zhamalovich
Saint-Petersburg
A. A. Palikovskiy
Russian Federation
Palikovskiy Alexander Anatol’evich
Saint-Petersburg
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Review
For citations:
Khlebov V.V., Volkov I.V., Karabaev I.S., Poyarkov K.A., Tilov A.Z., Palikovskiy A.A. Influence of the patient’s somatic status on the outcomes of lumbar interbody fusion in treatment degenerative spine disease. Russian Neurosurgical Journal named after Professor A. L. Polenov. 2022;14(3):110-114. (In Russ.) https://doi.org/10.56618/20712693_2022_14_3_110