Long-term follow-up of the anterior lumbar interbody fusion procedure / Dimitri Verbruggen in Acta Orthopaedica Belgica, Vol. 81/3 (Septembre 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 81/3 (Septembre 2015) . - p.546-552 Titre : Long-term follow-up of the anterior lumbar interbody fusion procedure Type de document : texte imprimé Auteurs : Dimitri Verbruggen, Auteur ; Thomas TAMPERE, Auteur ; Dirk UYTTENDAELE, Auteur Année de publication : 2015 Article en page(s) : p.546-552 Langues : Anglais (eng) Mots-clés : Spine  lumbar spine  interbody fusion  outcome  low back pain Résumé : Purpose: To evaluate the long-term clinical results and the effectiveness of the anterior lumbar interbody fusion procedure. Methods: Between 1999 and 2005, 60 ALIFs were performed in 59 patients. Mean age was 41.1 years. Clinically, patients were evaluated at a mean followup of 9.5 years using the Visual Analogue Scale grading scale, the Oswestry Disability score and the SF-36 questionnaire. Results: Preoperative and postoperative clinical evaluation scores of 38 patients were available. Nineteen patients were lost to follow-up, and 2 patients died during the follow-up. The fusion rate was 84%. Mean preoperative VAS-score for back pain was 6.69 (± 2.15); in the long term, the mean VAS-score was 4.95 (± 2.95), which was a significant improvement. (p < 0.01). The postoperative ODI-score was 36.11 (± 22.32), while the preoperative ODI-score was 59.31 (± 17.16), which demonstrates a significant improvement. According to the SF-36, mild to good results were observed. Conclusions: The ALIF procedure can offer significant pain relief and improved function if a strict indication policy is followed. Permalink : ./index.php?lvl=notice_display&id=40932 [article] Long-term follow-up of the anterior lumbar interbody fusion procedure [texte imprimé] / Dimitri Verbruggen, Auteur ; Thomas TAMPERE, Auteur ; Dirk UYTTENDAELE, Auteur . - 2015 . - p.546-552. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 81/3 (Septembre 2015) . - p.546-552 Mots-clés : Spine  lumbar spine  interbody fusion  outcome  low back pain Résumé : Purpose: To evaluate the long-term clinical results and the effectiveness of the anterior lumbar interbody fusion procedure. Methods: Between 1999 and 2005, 60 ALIFs were performed in 59 patients. Mean age was 41.1 years. Clinically, patients were evaluated at a mean followup of 9.5 years using the Visual Analogue Scale grading scale, the Oswestry Disability score and the SF-36 questionnaire. Results: Preoperative and postoperative clinical evaluation scores of 38 patients were available. Nineteen patients were lost to follow-up, and 2 patients died during the follow-up. The fusion rate was 84%. Mean preoperative VAS-score for back pain was 6.69 (± 2.15); in the long term, the mean VAS-score was 4.95 (± 2.95), which was a significant improvement. (p < 0.01). The postoperative ODI-score was 36.11 (± 22.32), while the preoperative ODI-score was 59.31 (± 17.16), which demonstrates a significant improvement. According to the SF-36, mild to good results were observed. Conclusions: The ALIF procedure can offer significant pain relief and improved function if a strict indication policy is followed. Permalink : ./index.php?lvl=notice_display&id=40932

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Outcome of patellofemoral arthroplasty, determinants for success / Philippe Willekens in Acta Orthopaedica Belgica, Vol.81/4 (Décembre 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.759-767 Titre : Outcome of patellofemoral arthroplasty, determinants for success Type de document : texte imprimé Auteurs : Philippe Willekens ; Jan Victor ; Dimitri Verbruggen Année de publication : 2015 Article en page(s) : p.759-767 Langues : Anglais (eng) Résumé : The primary aim of this study is to document whether patellofemoral arthroplasty is a good treatment option for patellofemoral osteoarthritis and to identify prognostic outcome factors. Secondary aim is to investigate the influence of preoperative tibiofemoral osteoarthritis on the clinical outcome. From 2004 to 2010, 37 Avon patellofemoral prostheses were implanted in 32 patients. Clinical outcome was evaluated with five questionnaires : KOOS, Kujala, VAS, OKS and Satisfaction Score. Radiographs were analyzed using the IWANO and Kellgren- Lawrence classification. To identify determinants of outcome, subgroups were examined according to sex, age, diagnosis, BMI and prior surgery. Patellofemoral arthroplasty is a valuable treatment for patellofemoral osteoarthritis. After prosthesis placement, KOOS, Kujala, VAS and OKS improved significantly (all p < 0.001). Patients with prior patellofemoral surgery were clinically worse (p < 0.05). Patients with preoperative Kellgren-Lawrence grade 2 tibiofemoral osteoarthritis had a significantly worse outcome compared to grade 1 (p < 0.05). Further research is necessary to determine whether patellofemoral arthroplasty is indicated in these patients. Permalink : ./index.php?lvl=notice_display&id=42362 [article] Outcome of patellofemoral arthroplasty, determinants for success [texte imprimé] / Philippe Willekens ; Jan Victor ; Dimitri Verbruggen . - 2015 . - p.759-767. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.759-767 Résumé : The primary aim of this study is to document whether patellofemoral arthroplasty is a good treatment option for patellofemoral osteoarthritis and to identify prognostic outcome factors. Secondary aim is to investigate the influence of preoperative tibiofemoral osteoarthritis on the clinical outcome. From 2004 to 2010, 37 Avon patellofemoral prostheses were implanted in 32 patients. Clinical outcome was evaluated with five questionnaires : KOOS, Kujala, VAS, OKS and Satisfaction Score. Radiographs were analyzed using the IWANO and Kellgren- Lawrence classification. To identify determinants of outcome, subgroups were examined according to sex, age, diagnosis, BMI and prior surgery. Patellofemoral arthroplasty is a valuable treatment for patellofemoral osteoarthritis. After prosthesis placement, KOOS, Kujala, VAS and OKS improved significantly (all p < 0.001). Patients with prior patellofemoral surgery were clinically worse (p < 0.05). Patients with preoperative Kellgren-Lawrence grade 2 tibiofemoral osteoarthritis had a significantly worse outcome compared to grade 1 (p < 0.05). Further research is necessary to determine whether patellofemoral arthroplasty is indicated in these patients. Permalink : ./index.php?lvl=notice_display&id=42362

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