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Effects of Lumbar Stiffness After Lumbar Fusion Surgery on Activities of Daily Living

机译：腰椎融合手术后腰椎僵硬对日常生活活动的影响

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Study Design.A retrospective cohort study.Objective.The aim of this study was to assess the effects of lumbar stiffness after lumbar fusion surgery on functional limitations, health-related quality of life, and activities of daily living (ADL).Summary of Background Data.Postoperative outcomes after fusion surgery are usually assessed using patient-reported instruments to describe disability related to pain and health status. There are few studies on the effects of lumbar stiffness on ADL after lumbar fusion surgery.Methods.This study included 93 patients who underwent lumbar fusion surgery for degenerative lumbar disease. Their mean age was 69 years (range 51-79), and the mean follow-up was 34 months (24-46). The patients were categorized into 5 groups according to the number of segments involved: 0 level (decompression), 1 level, 2 levels, 3 levels, and 4 levels. They completed a 21-item questionnaire about their ADL and the Short Form Health Survey 36 (SF-36) to evaluate the effects of lumbar stiffness on ADL after surgery.Results.There was a linear trend toward a decreased rating in all items in our questionnaire and in the physical component summary in the SF-36 related to postoperative lumbar stiffness. These trends were significantly related to the number of fused segments (P<0.05 and P<0.001, respectively). Patient satisfaction did not differ between the groups (P=0.381). Patients who received a 1- or 2-level fusion reported no serious limitations in most ADL. Patients who received a 3- or 4-level fusion, especially 4-level fusion, reported more limitations because of postoperative lumbar stiffness.Conclusion.This study investigated in detail the effects of lumbar stiffness after fusion surgery on ADL. Spine surgeons should consider the patient's occupation and lifestyle in preoperative planning. These results will help the surgeon explain the possible outcomes to patients planning to undergo fusion surgery.Level of Evidence: 2
机译：研究设计是一项回顾性队列研究，目的是评估腰椎融合手术后腰部僵硬对功能限制，健康相关的生活质量和日常生活活动（ADL）的影响。数据：通常使用患者报告的器械评估融合手术后的术后结果，以描述与疼痛和健康状况相关的残疾。腰椎融合手术后腰椎僵硬对ADL的影响的研究很少。方法：这项研究包括93例因退行性腰椎疾病而接受腰椎融合手术的患者。他们的平均年龄为69岁（范围为51-79），平均随访时间为34个月（24-46）。根据涉及的段数将患者分为5组：0级（减压），1级，2级，3级和4级。他们完成了一项有关ADL的21项问卷调查和《简短健康状况调查》 36（SF-36），以评估腰椎僵硬度对术后ADL的影响。结果，我们所有项目的评分均呈线性下降趋势问卷和SF-36中的物理成分摘要与术后腰部僵硬有关。这些趋势与融合片段的数量显着相关（分别为P <0.05和P <0.001）。两组之间的患者满意度没有差异（P = 0.381）。接受1级或2级融合的患者在大多数ADL中没有严重的限制。由于术后腰部僵硬，接受3级或4级融合，尤其是4级融合的患者报告了更多的局限性。结论。本研究详细研究了融合手术后腰部僵硬对ADL的影响。脊柱外科医生应在术前计划中考虑患者的职业和生活方式。这些结果将有助于外科医生向计划进行融合手术的患者解释可能的结果。证据级别：2

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