Does the Sagittal Balance Influence Microsurgical Results for Spinal Stenosis?

SB does not influence the long-term clinical outcome in patients with symptomatic LSS after microsurgical decompression. Patients without obvious instability benefit significantly from microsurgery, regardless of their preoperative global SB. The initial pathologic SB in patients with LSS appears to represent true structural changes of the spine, rather than a pseudo-imbalance due to a compensatory mechanism to relieve claudication.

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Publication Details

Journal
Spine
Published
2025-04-21
DOI
https://doi.org/10.1097/brs.0000000000005195
Primary Topic
Spine and Intervertebral Disc Pathology
Type
article
Field-Weighted Citation Impact
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article

Does the Sagittal Balance Influence Microsurgical Results for Spinal Stenosis?

Peter Vajkoczy, Simon Bayerl, Malte Dinkelbach, Florian Pöhlmann et al.
1 links
Spine
Spine and Intervertebral Disc Pathology
article

Does the Sagittal Balance Influence Microsurgical Results for Spinal Stenosis?

Peter Vajkoczy, Simon Bayerl, Malte Dinkelbach, Florian Pöhlmann, Nils Hecht, Anton Früh, J. Franke, Kimberly Ohm
article en

Abstract

SB does not influence the long-term clinical outcome in patients with symptomatic LSS after microsurgical decompression. Patients without obvious instability benefit significantly from microsurgery, regardless of their preoperative global SB. The initial pathologic SB in patients with LSS appears to represent true structural changes of the spine, rather than a pseudo-imbalance due to a compensatory mechanism to relieve claudication.

SpineVol. 50(16)
Berlin School of Economics and Law (DE), Humboldt-Universität zu Berlin (DE), Park-Klinik Weißensee (DE), DRK Kliniken Berlin (DE), Berlin Institute of Health at Charité - Universitätsmedizin Berlin (DE), Freie Universität Berlin (DE), Charité - Universitätsmedizin Berlin (DE), Otto-von-Guericke-Universität Magdeburg (DE)
Openalex Percentile: Top 88%
Spine and Intervertebral Disc Pathology
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Does the Sagittal Balance Influence Microsurgical Results for Spinal Stenosis? — Peter Vajkoczy, Simon Bayerl, et al. · Spine (2025) | TGRS Research Map | TGRS