Evidence map›Paper›PMID 39399452›Full record

ArticleSpine surgery and related research2024

Factors Associated with Early Postoperative Pain after Lateral Lumbar Interbody Fusion.

Norihiko Takegami, Koji Akeda, Koki Kawaguchi, Tatsuhiko Fujiwara, Akihiro Sudo

Abstract read
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Article in Spine surgery and related research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Norihiko TakegamiDepartment of Orthopaedic Surgery, Mie University Graduate School of Medicine, Tsu, Japan.
Koji AkedaDepartment of Orthopaedic Surgery, Mie University Graduate School of Medicine, Tsu, Japan.
Koki KawaguchiDepartment of Orthopaedic Surgery, Mie University Graduate School of Medicine, Tsu, Japan.
Tatsuhiko FujiwaraDepartment of Orthopaedic Surgery, Mie University Graduate School of Medicine, Tsu, Japan.
Akihiro SudoDepartment of Orthopaedic Surgery, Mie University Graduate School of Medicine, Tsu, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Despite that lateral lumbar interbody fusion (LLIF) is a minimally invasive surgery, some patients complain of severe site pain immediately after the surgery. This study aimed to explore the extent of perioperative pain after LLIF, compare the degree of perioperative pain after LLIF with that after other surgical procedures, and evaluate the factors associated with severe pain in the early postoperative period. Methods: In this study, 93 patients who underwent lumbar spine surgeries for lumbar degenerative diseases were analyzed. The patients were categorized into three groups based on the surgical procedure: Group L, LLIF with percutaneous pedicle screw (PPS); Group P, posterolateral fusion (PLF) or posterior lumbar interbody fusion (PLIF); and Group D, posterior decompression (fenestration). The extent of low back pain was evaluated using the visual analog scale (VAS) preoperatively and from postoperative days 1 to 14. Results: The VAS score for postoperative pain decreased in a time-dependent manner in all three groups (P<0.01). Repeated measures analysis of variance (ANOVA) showed that the VAS in Group L was significantly higher than that in Group D (P<0.01). Time point analysis revealed that the VAS scores from postoperative days 1 to 9 in Group L were significantly higher than those in Group D (P<0.05). No significant difference was observed in the VAS scores of postoperative pain between Groups L and P on all postoperative days. The VAS score for early postoperative pain in Group L was significantly correlated with the change in disc height index (P<0.05, r=0.43) and tended to be associated with the grade of preoperative disc degeneration and the VAS score of preoperative low back pain (P=0.076-0.19). Conclusions: This study is the first to evaluate the factors associated with pain during the early postoperative period of LLIF. Although LLIF is a minimally invasive surgery, severe pain may develop in patients with significant preoperative disc degeneration or following spinal correction surgery.

Indexed as

disc degenerationdisc heightlateral lumbar interbody fusionpostoperative painpreoperative low back pain

Identifiers

PMID39399452
PMCPMC11464826

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