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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).

About the Authors

V. V. Khlebov
Nikiforov Russian Center of Emergency and Radiation Medicine
Russian Federation

Khlebov Valentin Viktorovich

Saint-Petersburg



I. V. Volkov
Nikiforov Russian Center of Emergency and Radiation Medicine; Railway hospital
Russian Federation

Volkov Ivan Viktorovich

Saint-Petersburg



I. S. Karabaev
Nikiforov Russian Center of Emergency and Radiation Medicine
Russian Federation

Karabaev Igor Shamansurovich 

Saint-Petersburg



K. A. Poyarkov
Nikiforov Russian Center of Emergency and Radiation Medicine
Russian Federation

Poyarkov Konstantin Alexandrovich

Saint-Petersburg



A. Z. Tilov
Nikiforov Russian Center of Emergency and Radiation Medicine
Russian Federation

Tilov Azamat Zhamalovich

Saint-Petersburg



A. A. Palikovskiy
Nikiforov Russian Center of Emergency and Radiation Medicine
Russian Federation

Palikovskiy Alexander Anatol’evich 

Saint-Petersburg



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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

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ISSN 2071-2693 (Print)