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- Title
CORRELATION ANALYSIS OF PREOPERATIVE CALSIUM SERUM LEVEL ON DEGENERATIVE DISC HERNIATION PATIENT TO POSTOPERATIVE FUSION OF POSTERIOR LUMBAR INTERBODY FUSION (PLIF).
- Authors
Dahlan, Rutty Hanafi; Ompusunggu, Sevline Estethia; Yudoyono, Farid; Malau, Lukas Gaitteo
- Abstract
Background: Lumbar disc herniation occurs in 40% of the population in the US alone with peak incidence at the age of three or four decades, which are in the productive ages. This disorder is a non-traumatic cause of disability and the most common activity disorder and causing significant socio economic impacts. Calcium serum level can identify the successful of spinal fusion process which is understood influencing post operative outcome, thus it becomes a potential component to be studied. Operative management with fusion for lumbar disc herniation based on the study of previous researches provides a better outcome compared with non fusion surgery techniques. The goal of this study is to identify the correlation between preoperative calcium serum level to the successful of fusion post PLIF. Methods: This study was a cross sectional study searching for correlations using the methods of collecting data retrospectively with consecutive sampling in 26 cases of degenerative lumbar disc herniation treated and performed fusion surgery (PLIF) at Neurosurgery Department of Dr. Hasan Sadikin Hospital, who then were followed up to 3 months; assessed the occurrence of fusion with dynamic lumbar X-ray during 1 January 2016 - 31 December 2016 period. Results: Based on Spearman's correlation test, there is a statistically significant association between preoperative calcium serum level with postoperative fusion of PLIF (P=0,046<0,05), while for variables such as age and gender do not indicate a significant correlation. Of linear regression by combining multiple variables at once on the occurrence of fusion, the best result is to combine calcium serum level and age component that show moderate correlation with the value of R=0,455 dengan P=0,075. Conclusions: Based on the data, there is a statistical significant correlation between preoperative calcium serum level to the successful fusion of degenerative lumbar disc herniation patient which was performed PLIF. These results are expected to be able to assist spine neurosurgeons in predicting the occurrence of fusion post PLIF and as a consideration in determining the best management for patients.
- Subjects
SPINAL fusion; HERNIA; LUMBAR vertebrae surgery
- Publication
Neurosurgery & Neurology of Kazakhstan, 2017, Vol 49, Issue 4, p32
- ISSN
1813-3908
- Publication type
Article