Influence of comorbid knee osteoarthritis on surgical outcome and sagittal spinopelvic/lower-extremity alignment in elderly patients with degenerative lumbar spondylolisthesis undergoing transforaminal lumbar interbody fusion.

CONCLUSIONS: A lack of lumbar lordosis caused by double-level listhesis and knee flexion contracture compensated for by far greater pelvic retroversion is experienced by elderly patients with DLS and severe KOA. Therefore, corrective lumbar surgery and knee arthroplasty may be considered to improve sagittal alignment, which may contribute to the prevention of ASD, resulting in favorable long-term surgical outcomes. PMID: 31978880 [PubMed - as supplied by publisher]

https://www.ncbi.nlm.nih.gov/pubmed/31978880?dopt=Abstract

Source: Journal of Neurosurgery.Spine - January 23, 2020 Category: Neurosurgery Authors: Kohno M, Iwamura Y, Inasaka R, Akiyama G, Higashihira S, Kawai T, Niimura T, Inaba Y Tags: J Neurosurg Spine Source Type: research