Effect of Postoperative Sagittal Balance in Lumbar Fusion Surgeries on the Outcome of Chronic Low Back Pain | ||||
The Medical Journal of Cairo University | ||||
Volume 92, Issue 06, June 2024, Page 363-368 PDF (165.67 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/mjcu.2024.371323 | ||||
View on SCiNiTO | ||||
Author | ||||
IBRAHIM M. IBRAHIM, M.D. and AHMED M. SALAH, M.D. HESHAM A. ELSHITANY, M.D.; AMR HELMY ELDESSOUKY, M.D.; MOHAMED ALAA ELDIN, M.D.; | ||||
The Department of Neurosurgery, Faculty of Medicine, Cairo University | ||||
Abstract | ||||
Background: Maintaining balanced sagittal balance after lumbar fusion surgery results in reducing muscular effort to maintain the upright position. This will improve the outcome of back pain post-operatively. Aim of Study: This study aims to determine the outcome of back pain when maintaining postoperative sagittal balance. Patients and Methods: The sagittal balance was calculated for patients undergoing lumbar fusion surgeries. Disability in-dices were calculated for the patients postoperatively to deter-mine the outcome of back pain. The outcome of surgery is then correlated with the postoperative results of the sagittal balance. Results: There was statistically significant correlation be-tween the outcome of fusion surgery and maintaining a balanced postoperative sagittal balance. The mean lumbar lordosis angle was the main determinant of the postoperative sagittal balance value. The 3 months VAS score postoperative was significantly better when postoperative pelvic harmony is achieved. Conclusion: Post operative sagittal balance was maintained when the lumbar lordosis angle was maintained postoperative-ly. Better outcome of back pain was associated with maintain-ing a balanced sagittal balance post operatively. | ||||
Keywords | ||||
Sagittal; Balance; Lumbar; Fusion; Back; Pain | ||||
Statistics Article View: 44 PDF Download: 34 |
||||