scholarly journals Trunk Muscle Strength After Lumbar Spine Fusion: A 12-Month Follow-up

Neurospine ◽  
2019 ◽  
Vol 16 (2) ◽  
pp. 332-338 ◽  
Author(s):  
Outi Elina Ilves ◽  
Marko Henrik Neva ◽  
Keijo Häkkinen ◽  
Joost Dekker ◽  
William J. Kraemer ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Muscle Strength ◽  
Trunk Muscle ◽  
Spine Fusion ◽  
Trunk Muscle Strength ◽  
Lumbar Spine Fusion

The early changes in trunk muscle strength and disability following lumbar spine fusion

2012 ◽  
Vol 35 (2) ◽  
pp. 134-139 ◽  
Author(s):  
Sami Tarnanen ◽  
Marko H. Neva ◽  
Hannu Kautiainen ◽  
Jari Ylinen ◽  
Liisa Pekkanen ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Muscle Strength ◽  
Trunk Muscle ◽  
Spine Fusion ◽  
Trunk Muscle Strength ◽  
Lumbar Spine Fusion

scholarly journals Patients Undergoing Lumbar Spine Fusion has Low Trunk Muscle Strength and Imbalance between Flexor and Extensor Muscles Preoperatively and still 1 Year after the Surgery

2015 ◽  
Vol 5 (1_suppl) ◽  
pp. s-0035-1554308-s-0035-1554308
Author(s):  
Marko H. Neva ◽  
Sami Tarnanen ◽  
Liisa Pekkanen ◽  
Ilkka Marttinen ◽  
Tiina Kaistila ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Muscle Strength ◽  
Trunk Muscle ◽  
Spine Fusion ◽  
Trunk Muscle Strength ◽  
Lumbar Spine Fusion ◽  
Extensor Muscles

scholarly journals Disability, Health-Related Quality of Life and Mortality in Lumbar Spine Fusion Patients—A 5-Year Follow-Up and Comparison With a Population Sample

2020 ◽  
pp. 219256822097297
Author(s):  
Leevi Toivonen ◽  
Liisa Pekkanen ◽  
Marko H. Neva ◽  
Hannu Kautiainen ◽  
Kati Kyrölä ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Lumbar Spine ◽  
General Population ◽  
Spine Fusion ◽  
Health Related Quality ◽  
Lumbar Spine Fusion ◽  
Related Quality ◽  
Health Related

Study Design: Prospective follow-up study. Objectives: We aimed to assess the effect of lumbar spine fusion (LSF) on disability, health-related quality of life and mortality in a 5-year follow-up, and to compare these results with the general population. Methods: 523 consecutive LSF operations were included in a prospective follow-up. Disability was assessed by the Oswestry Disability Index (ODI), and HRQoL by the 36-item Short Form (SF-36) questionnaire using the physical and mental summary scores (PCS and MCS). The patients were compared with an age-, sex-, and residential area matched general population cohort. Results: The preoperative ODI in the patients was 46 (SD 16), and the change at 5 years was −26 (95% CI: −24 to −28), p < 0.001. In the population, ODI (baseline 13, SD 16) remained unchanged. The preoperative PCS in the patients was 27 (SD 7), in the population 45 (SD 11), and the increase in the patients at 5 years was 8 (95% CI: 7 to 9), p < 0.001. The patients did not reach the population in ODI or PCS. The baseline MCS in the patients was 47 (SD 13), and the change at 5 years 4 (95% CI: 3 to 7), p < 0.001. MCS of the females reached the population at 5-year follow-up. When analyzing short and long fusions separately, comparable changes were seen in both subgroups. There was no difference in mortality between the patients (3.4%) and the population (4.8%), hazard ratio (HR) 0.86. Conclusions: Although the patients who had undergone LSF benefited from surgery still at 5 years, they never reached the physical level of the population.

Influence of Depressive Symptoms on the Outcome of Lumbar Spine Fusion - a 5-year Follow-up Study

Spine ◽  
2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Leevi Toivonen ◽  
Arja Häkkinen ◽  
Liisa Pekkanen ◽  
Anne Salonen ◽  
Hannu Kautiainen ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Lumbar Spine ◽  
Spine Fusion ◽  
Follow Up Study ◽  
Lumbar Spine Fusion

scholarly journals MIS Fusion of the SI Joint: Does Prior Lumbar Spinal Fusion Affect Patient Outcomes?

2013 ◽  
Vol 7 (1) ◽  
pp. 163-168 ◽  
Author(s):  
Leonard Rudolf
Keyword(s):  
Lumbar Spine ◽  
Spinal Fusion ◽  
Spine Fusion ◽  
Lumbar Spinal Fusion ◽  
Lumbar Spine Fusion ◽  
Spine Pathology ◽  
History Of ◽  
Lumbar Spinal ◽  
Si Joint

Background: Sacroiliac (SI) joint pain is a challenging condition to manage as it can mimic discogenic or radicular low back pain, and present as low back, hip, groin and/or buttock pain. Patients may present with a combination of lumbar spine and SI joint symptoms, further complicating the diagnosis and treatment algorithm [1-3]. SI joint pain after lumbar spinal fusion has been reported in the literature. Both clinical and biomechanical studies show the SI joint to be susceptible to increased motion and stress at the articular surface with up to 40-75% of patients developing significant SI joint degeneration after 5 years. In a recent case series study of 50 patients who underwent minimally invasive SI joint arthrodesis, 50% had undergone previous lumbar spinal fusion and 18% had symptomatic lumbar spine pathology treated conservatively [4]. The purpose of this study is to determine if history of previous lumbar fusion or lumbar pathology affects patient outcomes after MIS SI joint fusion surgery. Methods: We report on 40 patients with 24 month follow up treated with MIS SI joint fusion using a series of triangular porous plasma coated titanium implants (iFuse, SI-Bone, Inc. San Jose, CA). Outcomes using a numerical rating scale (NRS) for pain were obtained at 3-, 6-, 12- and 24 month follow up intervals. Additionally, patient satisfaction was collected at the latest follow up interval. Patients were separated into 3 cohorts: 1) underwent prior lumbar spine fusion (PF), 2) no history of previous lumbar spine fusion (NF), 3) no history of previous lumbar spine fusion with symptomatic lumbar spine pathology treated conservatively (LP). A repeated measures analysis of variance (rANOVA) was used to determine if the change in NRS pain scores differed across timepoints and subgroups. A decrease in NRS by 2 points was deemed clinically significant [5]. Results: Mean age was 54 (±13) years and varied slightly but not statistically between groups. All subgroups experienced a clinically and statistically significant reduction in pain at all time points (mean change >2 points, p<0.001). There was a statistically significant effect of cohort (p=0.045), with the NF cohort (no prior lumbar spinal fusion) having a somewhat greater decrease in pain (by approximately 1 point) compared to the other 2 groups (PF and LP).Patient reported satisfaction by cohort was: 89% (NF), 92% (PF) and 63% (LP).Overall satisfaction rate was 87%. Discussion and Conclusion: Patients with SI joint pain, regardless of prior lumbar spine fusion history, show significant improvement in pain after minimally invasive SI joint fusion. The presence of symptomatic lumbar spine pathology potentially confounds the treatment affect, as patients may not be able to discriminate between symptoms arising from the SI joint and the lumbar spine. These patients expressed a lower satisfaction with surgery. Patients without other confounding lumbar spine pathology and who have not undergone previous spine surgery tend to be younger and experience a greater reduction in pain.

A 10-Year Follow-up Evaluation of Lumbar Spine Fusion With Pedicle Screw Fixation

Spine ◽  
2003 ◽  
Vol 28 (13) ◽  
pp. 1390-1395 ◽  
Author(s):  
John Glaser ◽  
Mark Stanley ◽  
Hutha Sayre ◽  
Joyce Woody ◽  
Ernest Found ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Pedicle Screw ◽  
Screw Fixation ◽  
Pedicle Screw Fixation ◽  
Spine Fusion ◽  
Lumbar Spine Fusion
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