PMID- 34900105
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20211215
IS  - 0102-3616 (Print)
IS  - 1982-4378 (Electronic)
IS  - 0102-3616 (Linking)
VI  - 56
IP  - 6
DP  - 2021 Dec
TI  - Lumbar Decompression Versus Spinal Fusion in a Private Outpatient Setting: A 
      Retrospective Study with Three Years of Follow-up.
PG  - 766-771
LID - 10.1055/s-0041-1724083 [doi]
AB  - Objective  To compare pain, function, quality of life and adverse events of 
      lumbar decompression and spinal fusion in patients with degenerative spinal 
      pathologies who participated in a second opinion program for spinal surgeries 
      with a 36-month follow-up. Methods  The data for this retrospective cohort were 
      withdrawn from a private healthcare system between June 2011 and January 2014. 
      The study sample consisted of 71 patients with a lumbar spine surgical referral. 
      The outcomes for the comparisons between lumbar decompression and spinal fusion 
      were quality of life (evaluated through the EuroQoL 5D), pain (measured by the 
      Numerical Rating Scale) and function (assessed through the Roland Morris 
      Disability Questionnaire) measured at baseline, and at 12 and 36 months after the 
      surgical procedures. The definitions of recovery were established by the minimal 
      clinically important difference (MCID). The baseline differences between the 
      groups were analyzed by non-paired t -test, and the differences in instrument 
      scores between time points, by generalized mixed models. The results were 
      presented as mean values adjusted by the models and 95% confidence intervals. 
      Results  Concerning the surgical techniques, 22 patients were submitted to spinal 
      fusion and 49 patients, to lumbar decompression. As for the comparisons of the 
      findings before and after the surgical interventions, the MCID was achieved in 
      all outcomes regarding quality of life, pain and function at both time points 
      when compared to baseline scores Moreover, concerning the complication rates, 
      only lumbar decompression presented a surgical rate of 4% ( n  = 3) for 
      recurrence of lumbar disc hernia. Conclusion  Patients with degenerative spinal 
      pathologies present improvements in long-term outcomes of pain, function and 
      quality of life which are clinically significant, no matter the surgical 
      intervention.
CI  - Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article 
      published by Thieme under the terms of the Creative Commons 
      Attribution-NonDerivative-NonCommercial License, permitting copying and 
      reproduction so long as the original work is given appropriate credit. Contents 
      may not be used for commecial purposes, or adapted, remixed, transformed or built 
      upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ).
FAU - Oliveira, Isadora Orlando de
AU  - Oliveira IO
AUID- ORCID: 0000-0003-4688-5169
AD  - Departamento de Ortopedia e Traumatologia, Hospital Israelita Albert Einstein, 
      Sao Paulo, SP, Brasil.
AD  - Instituto Wilson Mello, Campinas, SP, Brasil.
FAU - Lenza, Mario
AU  - Lenza M
AUID- ORCID: 0000-0003-3497-2206
AD  - Departamento de Ortopedia e Traumatologia, Hospital Israelita Albert Einstein, 
      Sao Paulo, SP, Brasil.
FAU - Antonioli, Eliane
AU  - Antonioli E
AUID- ORCID: 0000-0002-8563-877X
AD  - Departamento de Ortopedia e Traumatologia, Hospital Israelita Albert Einstein, 
      Sao Paulo, SP, Brasil.
FAU - Ferretti, Mario
AU  - Ferretti M
AUID- ORCID: 0000-0002-5298-2486
AD  - Departamento de Ortopedia e Traumatologia, Hospital Israelita Albert Einstein, 
      Sao Paulo, SP, Brasil.
LA  - eng
PT  - Journal Article
DEP - 20210911
PL  - Germany
TA  - Rev Bras Ortop (Sao Paulo)
JT  - Revista brasileira de ortopedia
JID - 0123326
PMC - PMC8651442
OTO - NOTNLM
OT  - back pain
OT  - musculoskeletal diseases
OT  - outcome assessment, health care
OT  - spine
OT  - surgical interventions
COIS- Conflito de Interesses Os autores declaram nao haver conflito de interesse.
EDAT- 2021/12/14 06:00
MHDA- 2021/12/14 06:01
PMCR- 2021/09/01
CRDT- 2021/12/13 18:00
PHST- 2020/07/24 00:00 [received]
PHST- 2020/09/17 00:00 [accepted]
PHST- 2021/12/13 18:00 [entrez]
PHST- 2021/12/14 06:00 [pubmed]
PHST- 2021/12/14 06:01 [medline]
PHST- 2021/09/01 00:00 [pmc-release]
AID - 2000226pt [pii]
AID - 10.1055/s-0041-1724083 [doi]
PST - epublish
SO  - Rev Bras Ortop (Sao Paulo). 2021 Sep 11;56(6):766-771. doi: 
      10.1055/s-0041-1724083. eCollection 2021 Dec.