{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:37:04Z","timestamp":1740148624015,"version":"3.37.3"},"reference-count":31,"publisher":"Georg Thieme Verlag KG","issue":"06","license":[{"start":{"date-parts":[[2021,9,11]],"date-time":"2021-09-11T00:00:00Z","timestamp":1631318400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivo\u2003Comparar a dor, a fun\u00e7\u00e3o, a qualidade de vida e os eventos adversos da descompress\u00e3o lombar e da fus\u00e3o espinhal em pacientes com patologias degenerativas da coluna vertebral que participaram de um programa de segunda opini\u00e3o para cirurgias de coluna com acompanhamento de 36 meses.<\/jats:p><jats:p>\n          M\u00e9todos\u2003Os dados desta coorte retrospectiva foram obtidos de um sistema de sa\u00fade privado entre junho de 2011 e janeiro de 2014. A amostra do estudo foi composta por 71 pacientes encaminhados para cirurgia de coluna lombar. Os desfechos para compara\u00e7\u00f5es entre a descompress\u00e3o lombar e a fus\u00e3o espinhal foram qualidade de vida (avaliada pelo question\u00e1rio EuroQoL 5D), dor (medida pela Escala Num\u00e9rica de Classifica\u00e7\u00e3o de Dor) e fun\u00e7\u00e3o (avaliada pelo Question\u00e1rio de Incapacidade de Roland Morris) no in\u00edcio do estudo e aos 12 e 36 meses de acompanhamento p\u00f3s-cir\u00fargico. As defini\u00e7\u00f5es de recupera\u00e7\u00e3o foram estabelecidas pela diferen\u00e7a m\u00ednima clinicamente importante (DMCI). As diferen\u00e7as basais entre os grupos foram analisadas por teste t n\u00e3o pareado, e as diferen\u00e7as nas pontua\u00e7\u00f5es dos instrumentos entre os momentos, por modelos mistos generalizados. Os resultados foram apresentados como valores m\u00e9dios ajustados pelos modelos e intervalos de confian\u00e7a de 95%.<\/jats:p><jats:p>\n          Resultados\u2003No total, 22 pacientes foram submetidos \u00e0 artrodese, e 49 pacientes, \u00e0 descompress\u00e3o lombar. Quanto \u00e0s compara\u00e7\u00f5es de achados antes e depois das interven\u00e7\u00f5es cir\u00fargicas, a DMCI foi alcan\u00e7ada em todos os desfechos de qualidade de vida, dor e fun\u00e7\u00e3o nos dois pontos de acompanhamento em rela\u00e7\u00e3o aos escores basais Em rela\u00e7\u00e3o \u00e0s complica\u00e7\u00f5es, apenas a descompress\u00e3o lombar apresentou 4% (n\u2009=\u20093) de taxa cir\u00fargica de recidiva da h\u00e9rnia de disco lombar.<\/jats:p><jats:p>\n          Conclus\u00e3o\u2003Pacientes com patologias espinhais degenerativas apresentam melhoras nos desfechos de dor, fun\u00e7\u00e3o e qualidade de vida em longo prazo que s\u00e3o clinicamente significativas e independentes da interven\u00e7\u00e3o cir\u00fargica.<\/jats:p>","DOI":"10.1055\/s-0041-1724083","type":"journal-article","created":{"date-parts":[[2021,9,11]],"date-time":"2021-09-11T22:30:15Z","timestamp":1631399415000},"page":"766-771","source":"Crossref","is-referenced-by-count":0,"title":["Descompress\u00e3o lombar versus fus\u00e3o espinhal em ambiente ambulatorial privado: Um estudo retrospectivo com tr\u00eas anos de acompanhamento"],"prefix":"10.1055","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4688-5169","authenticated-orcid":false,"given":"Isadora Orlando de","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Hospital Israelita Albert Einstein, S\u00e3o Paulo, SP, Brasil"},{"name":"Instituto Wilson Mello, Campinas, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3497-2206","authenticated-orcid":false,"given":"Mario","family":"Lenza","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Hospital Israelita Albert Einstein, S\u00e3o Paulo, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8563-877X","authenticated-orcid":false,"given":"Eliane","family":"Antonioli","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Hospital Israelita Albert Einstein, S\u00e3o Paulo, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5298-2486","authenticated-orcid":false,"given":"Mario","family":"Ferretti","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Hospital Israelita Albert Einstein, S\u00e3o Paulo, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,9,11]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"1345","DOI":"10.1016\/S0140-6736(17)32366-8","article-title":"Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016","volume":"390","author":"E Gakidou","year":"2017","journal-title":"Lancet"},{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"2","DOI":"10.3171\/2014.4.SPINE14257","article-title":"Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 1: introduction and methodology","volume":"21","author":"M G Kaiser","year":"2014","journal-title":"J Neurosurg Spine"},{"issue":"05","key":"ref3","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1055\/s-0039-1698393","article-title":"Lumbar Canal Stenosis: A Prospective Clinicoradiologic Analysis","volume":"81","author":"N Jain","year":"2020","journal-title":"J Neurol Surg A Cent Eur Neurosurg"},{"issue":"02","key":"ref4","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1302\/0301-620X.36B2.230","article-title":"A radicular syndrome from developmental narrowing of the lumbar vertebral canal","volume":"36","author":"H Verbiest","year":"1954","journal-title":"J Bone Joint Surg Br"},{"issue":"01","key":"ref5","first-page":"CD010264","article-title":"Surgical versus non-surgical treatment for lumbar spinal stenosis","volume":"2016","author":"F Zaina","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"issue":"07","key":"ref6","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1038\/nrneurol.2009.90","article-title":"Lumbar spinal stenosis: syndrome, diagnostics and treatment","volume":"5","author":"E Siebert","year":"2009","journal-title":"Nat Rev Neurol"},{"issue":"07","key":"ref7","doi-asserted-by":"crossref","first-page":"853","DOI":"10.1097\/00007632-200004010-00014","article-title":"Anterior lumbar fusion improves discogenic pain at levels of prior posterolateral fusion","volume":"25","author":"W T Barrick","year":"2000","journal-title":"Spine (Phila Pa 1976)"},{"issue":"07","key":"ref8","doi-asserted-by":"crossref","first-page":"E409","DOI":"10.1097\/BRS.0b013e3182877f11","article-title":"Lumbar spine fusion for chronic low back pain due to degenerative disc disease: a systematic review","volume":"38","author":"F M Phillips","year":"2013","journal-title":"Spine (Phila Pa 1976)"},{"issue":"11","key":"ref9","doi-asserted-by":"crossref","first-page":"1131","DOI":"10.1097\/00007632-200206010-00002","article-title":"Chronic low back pain and fusion: a comparison of three surgical techniques: a prospective multicenter randomized study from the Swedish lumbar spine study group","volume":"27","author":"P Fritzell","year":"2002","journal-title":"Spine (Phila Pa 1976)"},{"issue":"01","key":"ref10","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1177\/230949900201000102","article-title":"Comparative study of iliac bone graft and carbon cage with local bone graft in posterior lumbar interbody fusion","volume":"10","author":"Y Arai","year":"2002","journal-title":"J Orthop Surg (Hong Kong)"},{"issue":"20","key":"ref11","doi-asserted-by":"crossref","first-page":"2312","DOI":"10.1097\/01.brs.0000182315.88558.9c","article-title":"Surgery for degenerative lumbar spondylosis: updated Cochrane Review","volume":"30","author":"J NA 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Miller","year":"2011","journal-title":"SAS J"},{"issue":"10","key":"ref15","doi-asserted-by":"crossref","first-page":"1088","DOI":"10.1001\/jama.2011.1300","article-title":"Error in trends, major medical complications, and charges associated with surgery for lumbar spinal stenosis in older adults","volume":"306","author":"R A Deyo","year":"2011","journal-title":"JAMA"},{"issue":"22","key":"ref16","doi-asserted-by":"crossref","first-page":"2459","DOI":"10.1097\/BRS.0b013e3181849dbe","article-title":"Clinimetric testing of three self-report outcome measures for low back pain patients in Brazil: which one is the best?","volume":"33","author":"L O Costa","year":"2008","journal-title":"Spine (Phila Pa 1976)"},{"issue":"03","key":"ref17","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1016\/0168-8510(90)90421-9","article-title":"EuroQol--a new facility for the measurement of health-related quality of life","volume":"16","author":"EuroQol Group","year":"1990","journal-title":"Health 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J"},{"issue":"05","key":"ref24","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1007\/s00586-006-0179-8","article-title":"Costs and effects in lumbar spinal fusion. A follow-up study in 136 consecutive patients with chronic low back pain","volume":"16","author":"R Soegaard","year":"2007","journal-title":"Eur Spine J"},{"issue":"22","key":"ref25","doi-asserted-by":"crossref","first-page":"1737","DOI":"10.1097\/BRS.0000000000002207","article-title":"Trends, Complications, and Costs for Hospital Admission and Surgery for Lumbar Spinal Stenosis","volume":"42","author":"G C Machado","year":"2017","journal-title":"Spine (Phila Pa 1976)"},{"issue":"06","key":"ref26","first-page":"397","article-title":"Factors associated with lumbar disc hernia recurrence after microdiscectomy","volume":"61","author":"G Camino Willhuber","year":"2017","journal-title":"Rev Esp Cir Ortop Traumatol"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"e627","DOI":"10.1016\/j.wneu.2017.11.057","article-title":"Risk Factors Associated with Readmission and Reoperation in Patients Undergoing Spine Surgery","volume":"110","author":"K Piper","year":"2018","journal-title":"World Neurosurg"},{"issue":"01","key":"ref28","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.bjpt.2018.09.004","article-title":"Second opinion programs in spine surgeries: an attempt to reduce unnecessary care for low back pain patients","volume":"23","author":"I O Oliveira","year":"2019","journal-title":"Braz J Phys Ther"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1016\/j.wneu.2016.10.124","article-title":"Considerations in Spinal Fusion Surgery for Chronic Lumbar Pain: Psychosocial Factors, Rating Scales, and Perioperative Patient Education-A Review of the Literature","volume":"98","author":"D Gaudin","year":"2017","journal-title":"World Neurosurg"},{"issue":"06","key":"ref30","doi-asserted-by":"crossref","first-page":"656","DOI":"10.1001\/jama.299.6.656","article-title":"Expenditures and health status among adults with back and neck problems","volume":"299","author":"B I Martin","year":"2008","journal-title":"JAMA"},{"issue":"01","key":"ref31","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1111\/j.1475-6773.2012.01434.x","article-title":"Hospital and surgeon variation in complications and repeat surgery following incident lumbar fusion for common degenerative diagnoses","volume":"48","author":"B I Martin","year":"2013","journal-title":"Health Serv Res"}],"container-title":["Revista Brasileira de Ortopedia"],"original-title":[],"language":"pt","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0041-1724083.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,7]],"date-time":"2021-12-07T23:59:09Z","timestamp":1638921549000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0041-1724083"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,11]]},"references-count":31,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2021,12,7]]},"published-print":{"date-parts":[[2021,12]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0041-1724083","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0102-3616","1982-4378"],"issn-type":[{"type":"print","value":"0102-3616"},{"type":"electronic","value":"1982-4378"}],"subject":[],"published":{"date-parts":[[2021,9,11]]}}}