Clinical outcomes after single-level posterior lumbar interbody fusion in osteoporotic patients with or without paraspinal muscle atrophy: a retrospective study - Summary - MDSpire
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Clinical outcomes after single-level posterior lumbar interbody fusion in osteoporotic patients with or without paraspinal muscle atrophy: a retrospective study
To evaluate the impact of concomitant paraspinal muscle atrophy (PMA) on postoperative outcomes in osteoporotic patients with lumbar disc herniation (LDH) treated with posterior lumbar interbody fusion (PLIF).
Approach:
Key Findings:
The OP + PMA group exhibited significantly greater paraspinal muscle degeneration with lower FCSA and higher FI%.
The OP + PMA group had persistently higher VAS scores and worse ODI at 6 and 12 months post-surgery.
SF-36 Bodily Pain scores were significantly lower in the OP + PMA group at all time points.
Improvements in SF-36 domains from baseline were significantly smaller in the OP + PMA group compared to the OP group.
Interpretation:
Concomitant PMA was associated with poorer postoperative recovery and worse functional prognosis in osteoporotic patients undergoing PLIF.
Limitations:
The study is retrospective and may be subject to selection bias.
The sample size may limit the generalizability of the findings.
Conclusion:
Concomitant PMA negatively impacts postoperative recovery in osteoporotic patients with LDH undergoing PLIF.
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