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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004269naa a2200529 4500
001oai:gup.ub.gu.se/335981
003SwePub
008240528s2024 | |||||||||||000 ||eng|
009oai:DiVA.org:umu-221455
0247 a https://gup.ub.gu.se/publication/3359812 URI
0247 a https://doi.org/10.1007/s00586-024-08137-52 DOI
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-2214552 URI
040 a (SwePub)gud (SwePub)umu
041 a eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Wänman, Johanu Umeå universitet,Ortopedi4 aut0 (Swepub:umu)jonwan02
2451 0a The association between lumbar lordosis preoperatively and changes in PROMs for lumbar spinal stenosis patients 2 years after spinal surgery: radiological and clinical results from the NORDSTEN-spinal stenosis trial
264 1b Springer,c 2024
520 a BackgroundPatients with lumbar spinal stenosis (LSS) sometimes have lower lumbar lordosis (LL), and the incidence of LSS correlates closely with the loss of LL. The few studies that have evaluated the association between LL and clinical outcomes after non-instrumented surgery for LSS show conflicting results. This study investigates the association between preoperative LL and changes in PROMs 2 years after decompressive surgery.MethodThis prospective cohort study obtained preoperative and postoperative data for 401 patients from the multicenter randomized controlled spinal stenosis trial as part of the NORwegian degenerative spondylolisthesis and spinal STENosis (NORDSTEN) study. Before surgery, the radiological sagittal alignment parameter LL was measured using standing X-rays. The association between LL and 2-year postoperative changes was analyzed using the oswestry disability index (ODI), a numeric rating scale (NRS) for low back and leg pain, the Zurich claudication questionnaire (ZCQ), and the global perceived effect (GPE) score. The changes in PROMs 2 years after surgery for quintiles of lumbar lordosis were adjusted for the respective baseline PROMs: age, sex, smoking, and BMI. The Schizas index and the Pfirrmann index were used to analyze multiple regressions for changes in PROMs.ResultsThere were no associations in the adjusted and unadjusted analyses between preoperative LL and changes in ODI, ZCQ, GPE, and NRS for back and leg pain 2 years after surgery.ConclusionLL before surgery was not associated with changes in PROMs 2 years after surgery. Lumbar lordosis should not be a factor when considering decompressive surgery for LSS.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicin0 (SwePub)3022 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicine0 (SwePub)3022 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Ortopedi0 (SwePub)302112 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Orthopaedics0 (SwePub)302112 hsv//eng
653 a Lumbar lordosis
653 a Lumbar spinal stenosis
653 a Lumbar spine surgery
653 a Patient-related outcome measures
653 a Lumbar lordosis
7001 a Åkerstedt, Josefinu Umeå universitet,Ortopedi4 aut0 (Swepub:umu)joak0027
7001 a Banitalebi, Hasan4 aut
7001 a Myklebust, Tor age4 aut
7001 a Weber, Clemens4 aut
7001 a Storheim, Kjersti4 aut
7001 a Austevoll, Ivar Magne4 aut
7001 a Hellum, Christian4 aut
7001 a Indrekvam, Kari4 aut
7001 a Brisby, Helena,d 1965u Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics4 aut0 (Swepub:gu)xbrish
7001 a Hermansen, Erland4 aut
7102 a Umeå universitetb Ortopedi4 org
7730 t EUROPEAN SPINE JOURNALd : Springerx 0940-6719x 1432-0932
8564 u https://doi.org/10.1007/s00586-024-08137-5y Fulltext
8564 u https://umu.diva-portal.org/smash/get/diva2:1840254/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
8564 8u https://gup.ub.gu.se/publication/335981
8564 8u https://doi.org/10.1007/s00586-024-08137-5
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-221455

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