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European Spine Journal

Erschienen in:

24.09.2019 | Original Article

Factors leading to postoperative pain in adolescent idiopathic scoliosis patients including sagittal alignment and lumbar disc degeneration

verfasst von: Tetsuhiko Mimura, Shota Ikegami, Hiroki Oba, Masashi Uehara, Michihiko Koseki, Jun Takahashi

Erschienen in: European Spine Journal | Ausgabe 12/2019

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Abstract

Purpose

This study examined for factors contributing to postoperative pain in adolescent idiopathic scoliosis (AIS), including those of sagittal alignment and lumbar disc degeneration.

Methods

A total of 101 consecutive patients who underwent posterior spinal fusion for AIS and who were followed for a minimum of 2 years were included in this investigation. We assessed Lenke curve type, age, Risser grade, body mass index (BMI), radiographic parameters, lumbar disc degeneration, correction rate, number of fused vertebrae, lowest instrumented vertebra, preoperative SRS-22r survey mental health score, and pre- and postoperative SRS-22r survey pain scores. Univariate and multivariate general linear models were employed to identify factors associated with pain 2 years after AIS surgery.

Results

In multivariate analysis, patients with a lower preoperative pain score (i.e. higher pain) (P < 0.01) or higher postoperative T5-12 kyphotic angle (P = 0.02) had a worsened pain score 2 years after surgery. There were no remarkable differences for Lenke curve type, age, BMI, coronal radiographic parameters, lumbar disc degeneration, correction rate, number of fused vertebrae, or lowest instrumented vertebra. Higher preoperative Risser grade (P = 0.01) and lower preoperative SRS-22r mental health score (P < 0.01) were significantly related to a diminished preoperative SRS-22r pain score.

Conclusion

While preoperative lumbar disc degeneration was not associated with pre- or postoperative pain in AIS, higher preoperative pain and higher postoperative T5-12 kyphotic angle had significant associations with augmented postoperative pain. Higher preoperative pain was related to increased Risser grade and lower mental health score.

Graphic abstract

These slides can be retrieved under Electronic Supplementary Material.

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Titel: Factors leading to postoperative pain in adolescent idiopathic scoliosis patients including sagittal alignment and lumbar disc degeneration
verfasst von: Tetsuhiko Mimura
Shota Ikegami
Hiroki Oba
Masashi Uehara
Michihiko Koseki
Jun Takahashi
Publikationsdatum: 24.09.2019
Verlag: Springer Berlin Heidelberg
Erschienen in: European Spine Journal / Ausgabe 12/2019
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-019-06152-5

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Springer Medizin

Factors leading to postoperative pain in adolescent idiopathic scoliosis patients including sagittal alignment and lumbar disc degeneration

Abstract

Purpose

Methods

Results

Conclusion

Graphic abstract

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Springer Medizin

Abstract

Purpose

Methods

Results

Conclusion

Graphic abstract

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