Spino-pelvic sagittal parameters in patients with degenerative thoracolumbar kyphosis combined with lumbar stenosis syndrome
Abstract Objective The patients diagnozed degenerative thoracolumbar kyphosis (DTLK) with lumbar spinal syndrome (LSS) were enrolled, to identify the significance of spino-pelvic parameters in this group.Methods An overall 138 (M/F=53/85) patients were enrolled with a mean follow-up of 24.6±11.1 (m). All cases were performed short-segment posterior fusion on LSS region. Radiological parameters were TLK, LL, PI, PT and SVA obtained on the X-ray. Quality of life (QOL) were evaluated by the visual analogue scale (VAS) and the Oswestry disability index (ODI). Accorrding to age-related formula by Lafage, various thresholds on PI-LL, PT and SVA were determined, ensuing three pairs of normal and abnormal groups were respectively divided into based on these parameters. Results Both VAS and ODI statistically improved (P <0.001). At the endpoint, TLK decreased by a mean of 8.2±8.8° and cases got TLK-correction occupied 40.4%. The whole balance status (normal SVA) was improved compared to baseline (P=0.006), so was the ratio of matched PI-LL (P=0.002), but the ratio of normal PT and larger PT was of no significance (P=0.794). The final balance status was irrelevant to QOL whatever balance status at baseline. However, ODI in PI-LL matched group or in normal PT group were respectively less than that of abnormal groups (P=0.022 and P=0.019).Conclusions The mean TLK decreased even a short-segment fusion purely performed on LSS. QOL was related to PI-LL and PT, but not to SVA in DTLK patients.