Poor muscle health and low preoperative ODI are independent predictors for slower achievement of MCID after minimally invasive decompression

Although some previous studies have analyzed predictors of nonimprovement, most of these have focused on demographic and clinical variables and have not accounted for radiological predictors. In addition, while several studies have examined the degree of improvement after decompression, there is les...

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Bibliographic Details
Published in:The spine journal 2023-08, Vol.23 (8), p.1152-1160
Main Authors: Singh, Sumedha, Shahi, Pratyush, Asada, Tomoyuki, Kaidi, Austin, Subramanian, Tejas, Zhao, Eric, Kim, Ashley Yeo Eun, Maayan, Omri, Araghi, Kasra, Singh, Nishtha, Tuma, Olivia, Korsun, Maximilian, Kamil, Robert, Sheha, Evan, Dowdell, James, Qureshi, Sheeraz, Iyer, Sravisht
Format: Article
Language:English
Subjects:
Failure
Laminectomy
Lumbar decompression
MCID
ODI
Predictors
Radiological
Risk factors
Slower improvement
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Summary:Although some previous studies have analyzed predictors of nonimprovement, most of these have focused on demographic and clinical variables and have not accounted for radiological predictors. In addition, while several studies have examined the degree of improvement after decompression, there is less data on the rate of improvement. To identify the risk factors and predictors (both radiological and nonradiological) for slower as well as nonachievement of minimal clinically important difference (MCID) after minimally invasive decompression. Retrospective cohort. Patients who underwent minimally invasive decompression for degenerative lumbar spine conditions and had a minimum of 1-year follow up were included. Patients with preoperative Oswestry Disability Index (ODI)
ISSN:1529-9430
1878-1632
DOI:10.1016/j.spinee.2023.04.004