Research Article

Impact of Adjacent Facet Joint Osteoarthritis on Adjacent Segment Degeneration after Short-Segment Lateral Lumbar Interbody Fusion for Indirect Decompression: Minimum 5-Year Follow-Up

Table 1

Patients demographic data and surgical outcomes.

41

Sex
 Male18 (43.9%)
 Female23 (56.1%)
Mean age (yrs)
Diagnosis
 Degenerative spondylolisthesis33 (80.5%)
  Grade 131
  Grade 22
 Spinal canal stenosis8 (19.5%)
Type of posterior fixation
 Indirect decompression (PPS)41 (100%)
Graft materials
 Autografts and bone graft substitutes41 (100%)
Number of fixation levels
 1 level31 (75.6%)
 2 levels10 (24.3%)
Fixation vertebral levels (including duplicate)
 L3/415
 L4/536
Combined with adjacent segment decompression0
Clinical surgical outcomes
 Preop. JOA score
 Postop. JOA score (vs. preop.)(<0.001)
Radiographical surgical outcomes
 Preop. LL (degree)
 Postop. LL (degree) (vs. preop.)(0.007)
 Preop. PI-LL mismatch (degree)
 Postop. PI-LL mismatch (degree) (vs. preop.)(0.007)
 Preop. local lordosis (degree)
 Postop. local lordosis (degree) (vs. preop.)(<0.001)
 Preop. intervertebral height (mm)
 Postop. intervertebral height (mm) (vs. preop.)(<0.001)
Radiographical parameters at cranial adjacent level
 Facet joint osteoarthritis
  16
  217
  315
  43
 Adjacent disc degeneration (Pfirrmann grading system)
  10
  21
  37
  424
  59
 Preop. dural sac cross-sectional area (mm2)
 Postop. dural sac cross-sectional area (mm2) (vs. preop.)(0.005)
 Facet joint violation, case2 (4.9%)

PPS: percutaneous pedicle screw; LL: lumbar lordosis; PI: pelvic incidence.