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, Pages 363-368 PDF (165.67 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/mjcu.2024.371323 | ||
| 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 | ||
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