doi: 10.3390/jcm12020479.
Affiliations
Affiliations
- 1 Department of Orthopedics, Taichung Veterans General Hospital, Taichung 40705, Taiwan.
- 2 Department of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei 11221, Taiwan.
- 3 Division of Endocrinology and Metabolism, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung 40705, Taiwan.
- 4 Ph.D. Program in Translational Medicine, National Chung Hsing University, Taichung 40227, Taiwan.
- 5 Department of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taichung 40227, Taiwan.
- 6 Department of Computer Science and Information Engineering, Providence University, Taichung 43301, Taiwan.
- 7 Department of Rehabilitation Science, Jenteh Junior College of Medicine, Nursing, and Management, Miaoli 35664, Taiwan.
- 8 Department of Food Science and Technology, Hung Kuang University, Taichung 43304, Taiwan.
Item in Clipboard
Yu-Tsung Lin et al.
J Clin Med.
.
Display options
Format
doi: 10.3390/jcm12020479.
Affiliations
- 1 Department of Orthopedics, Taichung Veterans General Hospital, Taichung 40705, Taiwan.
- 2 Department of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei 11221, Taiwan.
- 3 Division of Endocrinology and Metabolism, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung 40705, Taiwan.
- 4 Ph.D. Program in Translational Medicine, National Chung Hsing University, Taichung 40227, Taiwan.
- 5 Department of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taichung 40227, Taiwan.
- 6 Department of Computer Science and Information Engineering, Providence University, Taichung 43301, Taiwan.
- 7 Department of Rehabilitation Science, Jenteh Junior College of Medicine, Nursing, and Management, Miaoli 35664, Taiwan.
- 8 Department of Food Science and Technology, Hung Kuang University, Taichung 43304, Taiwan.
Item in Clipboard
Display options
Format
Abstract
The relationship between quantitative anatomic parameters in MRI and patient-reported outcomes (PROs) before and after surgery in degenerative lumbar foraminal stenosis remains unknown. We included 58 patients who underwent transforaminal lumbar interbody fusion (TLIF) for single-level degenerative disc disease with foraminal stenosis between February 2013 and June 2020. PROs were evaluated using the visual analog scale (VAS) for back and leg pain, Oswestry Disability Index (ODI), and EuroQol-5D (EQ-5D). The foraminal parameters assessed using preoperative MRI included foraminal height, posterior intervertebral disc height, superior and inferior foraminal width, and foraminal area. The correlation between foraminal parameters and PROs before operation, at 1 year follow-up, and change from baseline were assessed. The associations between the aforementioned parameters were examined using linear regression analysis. The analysis revealed that among these parameters, superior foraminal width was found to be significantly correlated with ODI and EQ-5D at the 1 year follow-up and with change in ODI and EQ-5D from baseline. The associations remained significant after adjustment for confounding factors including age, sex, body mass index, and duration of hospital stay. The results indicated that in degenerative lumbar foraminal stenosis, decreased superior foraminal width was associated with better improvement in disability and quality of life after TLIF.
Keywords:
MRI; foraminal parameters; lumbar foraminal stenosis; patient-reported outcome; quantitative analysis; superior foraminal width; transforaminal lumbar interbody fusion.