Lumbar Degenerative Disease, Lumbar Disc Herniation, Sarcopenia
Conditions
Keywords
Lumbar Degenerative disease, PLIF, Sarcopenia, Sagittal balance, Machine learning, SVM, Cross Validation
Brief summary
The study was a clinical retrospective study designed to investigate risk factors for long-term recurrent pain after PLIF in patients with lumbar degenerative disease and to improve patient outcomes
Interventions
The study was retrospective and did not design an intervention
Sponsors
Study design
Eligibility
Inclusion criteria
1. confirmed diagnosis of lumbar degenerative disease (spinal stenosis, disc herniation with lumbar instability, and lumbar spondylolisthesis), with no significant symptomatic relief after conservative treatment for more than 3 months, and in need of surgical intervention; 2. lumbar spinal fusion surgical treatment with PLIF; 3. grouping based on the presence or absence of a lumbar or limb pain with VAS ≥3 at the 12-18 month postoperative follow-up; 4. observational indicators including individual factors, surgical factors, spine-pelvis sagittal balance parameters, and paravertebral muscle parameters.
Exclusion criteria
(1) those with a history of lumbar spine trauma, inflammation, tumor, or surgery; (2) those with congenital or acquired severe lumbar vertebral deformity; (3) those with severe neurological dysfunction; (4) those with incomplete baseline and follow-up data.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| SAS(Pain rating scale) | 12-18 months after surgery | The visual analogue scale (VAS) was employed to determine the patient's perception of lower back pain or lower limb pain prior to surgery, as well as 12-18 months after surgery. (0-10 scale, with 0 being painless and 10 being the most painful) |
Countries
China