ADAMOVÁ, Blanka, Stanislav VOHÁŇKA, Ladislav DUŠEK, Jiří JARKOVSKÝ, Richard CHALOUPKA and Josef BEDNAŘÍK. Outcomes and their predictors in lumbar spinal stenosis: a 12-year follow-up. European Spine Journal. New York: Springer, 2015, vol. 24, No 2, p. 369-380. ISSN 0940-6719. doi:10.1007/s00586-014-3411-y.
Other formats:   BibTeX LaTeX RIS
Basic information
Original name Outcomes and their predictors in lumbar spinal stenosis: a 12-year follow-up
Authors ADAMOVÁ, Blanka (203 Czech Republic, guarantor, belonging to the institution), Stanislav VOHÁŇKA (203 Czech Republic, belonging to the institution), Ladislav DUŠEK (203 Czech Republic, belonging to the institution), Jiří JARKOVSKÝ (203 Czech Republic, belonging to the institution), Richard CHALOUPKA (203 Czech Republic, belonging to the institution) and Josef BEDNAŘÍK (203 Czech Republic, belonging to the institution).
Edition European Spine Journal, New York, Springer, 2015, 0940-6719.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30000 3. Medical and Health Sciences
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
Impact factor Impact factor: 2.132
RIV identification code RIV/00216224:14110/15:00082180
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1007/s00586-014-3411-y
UT WoS 000349437200023
Keywords in English Lumbar spinal stenosis; Outcome; Prognosis; Predictor
Tags EL OK, podil
Tags International impact, Reviewed
Changed by Changed by: Ing. Mgr. Věra Pospíšilíková, učo 9005. Changed: 23. 4. 2015 11:43.
Abstract
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.
Links
ED1.1.00/02.0068, research and development projectName: CEITEC - central european institute of technology
PrintDisplayed: 27. 6. 2022 19:40