
Resultados a 10 años de la artrodesis lumbar circunferencial medidos por la escala de Oswestry.
Author(s) -
J Orts-García,
Ja Avellana-Zaragoza,
T Bas-Hermida
Publication year - 2020
Publication title -
revista española de cirugía osteoarticular/revista española de cirugía osteoarticular
Language(s) - English
Resource type - Journals
eISSN - 2605-1656
pISSN - 0304-5056
DOI - 10.37315/sotocav20202815517
Subject(s) - oswestry disability index , medicine , arthrodesis , lumbar , radicular pain , physical therapy , low back pain , back pain , surgery , alternative medicine , pathology
Circumferential arthrodesis is postulated as the surgical treatment of choice in some de-generative and disc diseases of the lumbar spine, both in primary surgery and especially in revision surgery. Objective: To measure pain and functionality using the ODI scale, in patients with low back and / or radicular pain who have had a comprehensive transforaminal surgical ap-proach together with anterior and posterior arthrodesis (TLIF). Material and methods: In our series, we performed TLIF(transforaminal interbody fusión lumbar) on 38 patients during 2-000-2.003 years and evaluated the long-term results, ten years, using the Oswestry Disability Index (ODI). Results: They show improvement in ODI by comparing the baseline figures, prior to the intervention, with the 10-year follow-up (34.21 +/- 9.31 to 11.82 +/- 7.62 points, p = 0.000) . This improvement is also observed in each of the ODI sections in a significant way: pain intensity, personal care, ability to get up, walk, sit, stand, sleep, sex life, social life and travel (p = 0.000, in all of them).Conclusion: In our case series, in patients with low back and / or radicular pain, the use of the TLIF technique may have contributed to a significant improvement in the test score by improving pain, sleep, functionality and social aspects, maintained at least up to 10 years of follow-up.