Outcomes and their predictors in lumbar spinal stenosis: a
12-year follow-up

J 2015

Outcomes and their predictors in lumbar spinal stenosis: a 12-year follow-up

ADAMOVÁ, Blanka; Stanislav VOHÁŇKA; Ladislav DUŠEK; Jiří JARKOVSKÝ; Richard CHALOUPKA et al.

Základní údaje

Originální název

Outcomes and their predictors in lumbar spinal stenosis: a 12-year follow-up

Autoři

ADAMOVÁ, Blanka; Stanislav VOHÁŇKA ; Ladislav DUŠEK; Jiří JARKOVSKÝ ; Richard CHALOUPKA a Josef BEDNAŘÍK

Vydání

European Spine Journal, New York, Springer, 2015, 0940-6719

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30000 3. Medical and Health Sciences

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 2.132

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/15:00082180

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

Lumbar spinal stenosis; Outcome; Prognosis; Predictor

Štítky

EL OK, podil

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 23. 4. 2015 11:43, Ing. Mgr. Věra Pospíšilíková

Anotace

V originále

Purpose The aim of this prospective observational cohort study was to evaluate long-term outcomes in patients with mild-to-moderate lumbar spinal stenosis (LSS) and to analyse the predictors of clinical outcomes. Methods A group of 53 patients were re-examined after a median period of 139 months. Evaluations were made of subjective clinical outcome, objective clinical outcome and its predictors, any correlation between subjective and objective outcome, and the development of changes in radiological and electrophysiological parameters after 12 years. Results Satisfactory objective and subjective clinical outcomes were recorded in 54.7 and 43.4 % of patients, respectively. No statistically significant correlation between objective and subjective clinical outcome was found (Spearman coefficient = 0.225, p = 0.132). Patients with isolated unsatisfactory subjective outcome exhibited the highest Functional Comorbidity Index of all subgroups. Electrophysiological and radiological findings did not demonstrate statistically significant changes after 12-year follow-up. Multivariate logistic regression confirmed only the lowest transverse diameter of spinal canal ^13.6 mm as an independent predictor of unsatisfactory clinical outcome (OR = 5.51). Conclusions Satisfactory objective and subjective clinical outcomes were disclosed in about half of the patients with mild-to-moderate LSS in a 12-year follow-up. The number of comorbid diseases had an unfavourable effect on subjective evaluation of clinical outcome. The lowest transverse diameter of spinal canal proved to be the only independent predictor of deterioration of clinical status in LSS patients.

Návaznosti

ED1.1.00/02.0068, projekt VaV

Název: CEITEC - central european institute of technology

Přiložené soubory

EL_1211637.pdf

Požádat o autorskou verzi souboru

Citovat

ADAMOVÁ, Blanka; Stanislav VOHÁŇKA; Ladislav DUŠEK; Jiří JARKOVSKÝ; Richard CHALOUPKA a Josef BEDNAŘÍK. Outcomes and their predictors in lumbar spinal stenosis: a 12-year follow-up. European Spine Journal. New York: Springer, 2015, roč. 24, č. 2, s. 369-380. ISSN 0940-6719. Dostupné z: https://doi.org/10.1007/s00586-014-3411-y.

@article{1211637,
   author = {Adamová, Blanka and Voháňka, Stanislav and Dušek, Ladislav and Jarkovský, Jiří and Chaloupka, Richard and Bednařík, Josef},
   article_location = {New York},
   article_number = {2},
   doi = {https://doi.org/10.1007/s00586-014-3411-y},
   keywords = {Lumbar spinal stenosis; Outcome; Prognosis; Predictor},
   language = {eng},
   issn = {0940-6719},
   journal = {European Spine Journal},
   title = {Outcomes and their predictors in lumbar spinal stenosis: a 12-year follow-up},
   volume = {24},
   year = {2015}
}

TY  - JOUR
ID  - 1211637
AU  - Adamová, Blanka - Voháňka, Stanislav - Dušek, Ladislav - Jarkovský, Jiří - Chaloupka, Richard - Bednařík, Josef
PY  - 2015
TI  - Outcomes and their predictors in lumbar spinal stenosis: a 12-year follow-up
JF  - European Spine Journal
VL  - 24
IS  - 2
SP  - 369-380
EP  - 369-380
PB  - Springer
SN  - 09406719
KW  - Lumbar spinal stenosis
KW  - Outcome
KW  - Prognosis
KW  - Predictor
N2  - Purpose The aim of this prospective observational cohort study was to evaluate long-term outcomes in patients with mild-to-moderate lumbar spinal stenosis (LSS) and to analyse the predictors of clinical outcomes. Methods A group of 53 patients were re-examined after a median period of 139 months. Evaluations were made of subjective clinical outcome, objective clinical outcome and its predictors, any correlation between subjective and objective outcome, and the development of changes in radiological and electrophysiological parameters after 12 years. Results Satisfactory objective and subjective clinical outcomes were recorded in 54.7 and 43.4 % of patients, respectively. No statistically significant correlation between objective and subjective clinical outcome was found (Spearman coefficient = 0.225, p = 0.132). Patients with isolated unsatisfactory subjective outcome exhibited the highest Functional Comorbidity Index of all subgroups. Electrophysiological and radiological findings did not demonstrate statistically significant changes after 12-year follow-up. Multivariate logistic regression confirmed only the lowest transverse diameter of spinal canal ^13.6 mm as an independent predictor of unsatisfactory clinical outcome (OR = 5.51). Conclusions Satisfactory objective and subjective clinical outcomes were disclosed in about half of the patients with mild-to-moderate LSS in a 12-year follow-up. The number of comorbid diseases had an unfavourable effect on subjective evaluation of clinical outcome. The lowest transverse diameter of spinal canal proved to be the only independent predictor of deterioration of clinical status in LSS patients.
ER  -

ADAMOVÁ, Blanka; Stanislav VOHÁŇKA; Ladislav DUŠEK; Jiří JARKOVSKÝ; Richard CHALOUPKA a Josef BEDNAŘÍK. Outcomes and their predictors in lumbar spinal stenosis: a 12-year follow-up. \textit{European Spine Journal}. New York: Springer, 2015, roč.~24, č.~2, s.~369-380. ISSN~0940-6719. Dostupné z: https://doi.org/10.1007/s00586-014-3411-y.

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