Influence of spinopelvic parameters on non-operative treatment of lumbar spinal stenosis.
Technol Health Care
; 23(6): 871-9, 2015.
Article
em En
| MEDLINE
| ID: mdl-26409519
ABSTRACT
BACKGROUND:
Non-operative treatment is widely accepted for early stages of lumbar spinal stenosis. In general, a trial of conservative treatment is recommended prior to surgery.OBJECTIVE:
The influence of sagittal alignment on treatment outcomes remains unclear.METHODS:
Twenty-five patients were included in this prospective study. All patients received repeated epidural injections and facet joint injections as well as physiotherapy during a one week hospitalization. Patient characteristics, VAS scores, COMI scores, ODI scores and SF-36 were assessed prior to and immediately after treatment as well as after six, twelve, and 26 weeks. Spinopelvic parameter measurements were performed. Outcome parameters were correlated to spinopelvic parameters.RESULTS:
ODI and PCSS scores improved significantly up to three months follow-up. COMI score improved significantly over the entire follow-up. Back pain improvement at six weeks and three months follow-up correlated inversely with pelvic incidence. Sacral slope correlated significantly with ODI improvement immediately after therapy. Low lumbar lordosis also correlated significantly with ODI improvement at three months follow-up.CONCLUSIONS:
Subjects with higher pelvic incidence reported significantly greater back pain improvements at three months follow-up. ODI improvements were higher for patients with high sacral slope immediately after treatment and for patients with a higher lumbar lordosis after three months. No influence of sagittal alignment was observed on leg pain or quality of life.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Pelve
/
Estenose Espinal
/
Modalidades de Fisioterapia
/
Vértebras Lombares
Idioma:
En
Ano de publicação:
2015
Tipo de documento:
Article