Influence of spinopelvic parameters on non-operative treatment of XXXX .

@entity1 @entity2649 @entity1515 @entity158 @entity258
BACKGROUND: Non-operative treatment is widely accepted for early stages of @entity2649 . In general, a trial of conservative treatment is recommended prior to surgery. OBJECTIVE: The influence of sagittal alignment on treatment outcomes remains unclear. METHODS: Twenty-five @entity1 were included in this prospective study. All @entity1 received repeated epidural injections and facet joint injections as well as physiotherapy during a one week hospitalization. @entity1 characteristics, VAS scores, COMI scores, ODI scores and SF-36 were assessed prior to and immediately after treatment as well as after six, twelve, and 26 weeks. Spinopelvic parameter measurements were performed. Outcome parameters were correlated to spinopelvic parameters. RESULTS: ODI and PCSS scores improved significantly up to three months follow-up. COMI score improved significantly over the entire follow-up. Back @entity158 improvement at six weeks and three months follow-up correlated inversely with pelvic incidence. Sacral slope correlated significantly with ODI improvement immediately after therapy. @entity258 also correlated significantly with ODI improvement at three months follow-up. CONCLUSIONS: Subjects with higher pelvic incidence reported significantly greater back @entity158 improvements at three months follow-up. ODI improvements were higher for @entity1 with high sacral slope immediately after treatment and for @entity1 with a @entity1515 after three months. No influence of sagittal alignment was observed on leg @entity158 or quality of life.
