Effect of Postoperative Sagittal Balance in Lumbar Fusion Surgeries on the Outcome of Chronic Low Back Pain
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- Category: Vol. 92, June 2024
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Effect of Postoperative Sagittal Balance in Lumbar Fusion Surgeries on the Outcome of Chronic Low Back Pain, HESHAM A. ELSHITANY, AMR HELMY ELDESSOUKY, MOHAMED ALAA ELDIN, IBRAHIM M. IBRAHIM and AHMED M. SALAH
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.