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The radiological outcome in lumbar interbody fusion among rheumatoid arthritis patients: a 20-year retrospective study

BACKGROUND: Clinical outcomes amongst Rheumatoid Arthritis (RA) patients have shown satisfactory results being reported after lumbar surgery. The increased adoption of the interbody fusion technique has been due to a high fusion rate and less invasive procedures. However, the radiographic outcome fo...

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Autores principales: Tung, Kuan-Kai, Wu, Yun-Che, Chen, Kun-Hui, Pan, Chien-Chou, Lu, Wen-Xian, Chin, Ning-Chien, Shih, Cheng-Min, Hsu, Fang-Wei, Lee, Cheng-Hung
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8344185/
https://www.ncbi.nlm.nih.gov/pubmed/34353311
http://dx.doi.org/10.1186/s12891-021-04531-y
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author Tung, Kuan-Kai
Wu, Yun-Che
Chen, Kun-Hui
Pan, Chien-Chou
Lu, Wen-Xian
Chin, Ning-Chien
Shih, Cheng-Min
Hsu, Fang-Wei
Lee, Cheng-Hung
author_facet Tung, Kuan-Kai
Wu, Yun-Che
Chen, Kun-Hui
Pan, Chien-Chou
Lu, Wen-Xian
Chin, Ning-Chien
Shih, Cheng-Min
Hsu, Fang-Wei
Lee, Cheng-Hung
author_sort Tung, Kuan-Kai
collection PubMed
description BACKGROUND: Clinical outcomes amongst Rheumatoid Arthritis (RA) patients have shown satisfactory results being reported after lumbar surgery. The increased adoption of the interbody fusion technique has been due to a high fusion rate and less invasive procedures. However, the radiographic outcome for RA patients after receiving interbody fusion has scarcely been addressed in the available literature. METHODS: Patients receiving interbody fusion including ALIF, OLIF, and TLIF were examined for implant cage motion and fusion status at two-year follow-up. Parameters for the index correction level including ADH, PDH, WI, SL, FW, and FH were measured and compared at pre-OP, post-OP, and two-year follow-up. RESULTS: We enrolled 64 RA patients at 104 levels (mean 64.0 years old, 85.9% female) received lumbar interbody fusion. There were substantial improvement in ADH, PDH, WI, SL, FW, and FH after surgery, with both ADH and PDH having significantly dropped at two-year follow up. The OLIF group suffered from a higher subsidence rate with no significant difference in fusion rate when compared to TLIF. The fusion rate and subsidence rate for all RA patients was 90.4 and 28.8%, respectively. CONCLUSIONS: We revealed the radiographic outcomes of lumbar interbody fusions towards symptomatic lumbar disease in RA patients with good fusion outcome despite the relative high subsidence rate amongst the OLIF group. Those responsible for intra-operative endplate management should be more cautious to avoid post-OP cage subsidence.
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spelling pubmed-83441852021-08-09 The radiological outcome in lumbar interbody fusion among rheumatoid arthritis patients: a 20-year retrospective study Tung, Kuan-Kai Wu, Yun-Che Chen, Kun-Hui Pan, Chien-Chou Lu, Wen-Xian Chin, Ning-Chien Shih, Cheng-Min Hsu, Fang-Wei Lee, Cheng-Hung BMC Musculoskelet Disord Research BACKGROUND: Clinical outcomes amongst Rheumatoid Arthritis (RA) patients have shown satisfactory results being reported after lumbar surgery. The increased adoption of the interbody fusion technique has been due to a high fusion rate and less invasive procedures. However, the radiographic outcome for RA patients after receiving interbody fusion has scarcely been addressed in the available literature. METHODS: Patients receiving interbody fusion including ALIF, OLIF, and TLIF were examined for implant cage motion and fusion status at two-year follow-up. Parameters for the index correction level including ADH, PDH, WI, SL, FW, and FH were measured and compared at pre-OP, post-OP, and two-year follow-up. RESULTS: We enrolled 64 RA patients at 104 levels (mean 64.0 years old, 85.9% female) received lumbar interbody fusion. There were substantial improvement in ADH, PDH, WI, SL, FW, and FH after surgery, with both ADH and PDH having significantly dropped at two-year follow up. The OLIF group suffered from a higher subsidence rate with no significant difference in fusion rate when compared to TLIF. The fusion rate and subsidence rate for all RA patients was 90.4 and 28.8%, respectively. CONCLUSIONS: We revealed the radiographic outcomes of lumbar interbody fusions towards symptomatic lumbar disease in RA patients with good fusion outcome despite the relative high subsidence rate amongst the OLIF group. Those responsible for intra-operative endplate management should be more cautious to avoid post-OP cage subsidence. BioMed Central 2021-08-05 /pmc/articles/PMC8344185/ /pubmed/34353311 http://dx.doi.org/10.1186/s12891-021-04531-y Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Tung, Kuan-Kai
Wu, Yun-Che
Chen, Kun-Hui
Pan, Chien-Chou
Lu, Wen-Xian
Chin, Ning-Chien
Shih, Cheng-Min
Hsu, Fang-Wei
Lee, Cheng-Hung
The radiological outcome in lumbar interbody fusion among rheumatoid arthritis patients: a 20-year retrospective study
title The radiological outcome in lumbar interbody fusion among rheumatoid arthritis patients: a 20-year retrospective study
title_full The radiological outcome in lumbar interbody fusion among rheumatoid arthritis patients: a 20-year retrospective study
title_fullStr The radiological outcome in lumbar interbody fusion among rheumatoid arthritis patients: a 20-year retrospective study
title_full_unstemmed The radiological outcome in lumbar interbody fusion among rheumatoid arthritis patients: a 20-year retrospective study
title_short The radiological outcome in lumbar interbody fusion among rheumatoid arthritis patients: a 20-year retrospective study
title_sort radiological outcome in lumbar interbody fusion among rheumatoid arthritis patients: a 20-year retrospective study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8344185/
https://www.ncbi.nlm.nih.gov/pubmed/34353311
http://dx.doi.org/10.1186/s12891-021-04531-y
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