Abstract
Background In this study, it was aimed to investigate the clinical rehabilitation effect of lower-limb training on the patients that undergo oblique lumbar interbody fusion (OLIF) procedures. Methods The eligible participants undergoing OLIF procedures between 01/2017 and 07/2019 were identified. All the patients underwent one-segment fusion operation (L3-4 or L4-5). Based on whether the participants received postoperative rehabilitation training, they were divided into two groups: intervention group and control group. Postoperatively, the participants in the intervention group were trained with lower-extremity rehabilitation exercise and maintained for three months. All participants got reexamined at the first postoperative week, the second postoperative week, the first postoperative month, and the third postoperative month (last follow-up). Comparisons were made in terms of the lower-extremity muscle force, visual analogue scale (VAS) score, lumbar JOA score, Oswestry disability index (ODI), the incidence of deep venous thrombosis (DVT), and patient satisfaction. Results Seventy-seven participants in the intervention group (32 males and 45 females) and 82 in the control group (39 males and 43 females) were incorporated in this study. The median age of the participants was 57 years (39∼73) in the intervention group and 54 years (35∼71) in the control group. No statistical significance between the two groups was found (P > 0.05). ODI score was less in the intervention group as compared to the control group in the first week after surgery (P=0.029). VAS and JOA scores were better in the intervention group in the first two weeks after surgery (P < 0.05). DVT incidence in the intervention group was lower than the control group at final follow-up (P=0.037). Both group participants have achieved good grading in muscle force rehabilitation but no significant differences between the two groups. Additionally, satisfaction was higher in the intervention group than the control group. Conclusions In summary, postoperative lower-extremity rehabilitation exercise can effectively accelerate patients' health recovery from the OLIF surgery and increase their satisfaction.
Highlights
Intervertebral disc degeneration (IVDD) is not uncommon, and its derived diseases, such as lumbar disc herniation, are prevalent in spine departments; interbody fusion surgeries are widely accepted and used in treating intervertebral disc degeneration (IVDD)-associated diseases, for lumbar and cervical spinal diseases [1,2,3]
Many patients after fusion surgeries reported that they persistently suffered from lower back pain (LBP), functional disability, and poor life quality; around 20% of the patients would return to reoperations [7,8,9,10]
Oblique lumbar interbody fusion (OLIF), different from the anterior lumbar interbody fusion (ALIF), is an extraperitoneal approach that has a lower incidence of vascular injury and abdominal complications, as well as the reverse ejaculation [14, 15]
Summary
Intervertebral disc degeneration (IVDD) is not uncommon, and its derived diseases, such as lumbar disc herniation, are prevalent in spine departments; interbody fusion surgeries are widely accepted and used in treating IVDD-associated diseases, for lumbar and cervical spinal diseases [1,2,3]. It was aimed to investigate the clinical rehabilitation effect of lower-limb training on the patients that undergo oblique lumbar interbody fusion (OLIF) procedures. The participants in the intervention group were trained with lower-extremity rehabilitation exercise and maintained for three months. Comparisons were made in terms of the lower-extremity muscle force, visual analogue scale (VAS) score, lumbar JOA score, Oswestry disability index (ODI), the incidence of deep venous thrombosis (DVT), and patient satisfaction. DVT incidence in the intervention group was lower than the control group at final follow-up (P 0.037) Both group participants have achieved good grading in muscle force rehabilitation but no significant differences between the two groups. Postoperative lower-extremity rehabilitation exercise can effectively accelerate patients’ health recovery from the OLIF surgery and increase their satisfaction
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