Quality of Life Before and After Microsurgical Decompression in Lumbar Spinal Stenosis

2000 ◽  
Vol 13 (3) ◽  
pp. 237-241 ◽  
Author(s):  
Birgitta Schillberg ◽  
Bo Nyström
Keyword(s):  
Quality Of Life ◽  
Spinal Stenosis ◽  
Lumbar Spinal Stenosis ◽  
Microsurgical Decompression ◽  
Before And After ◽  
Lumbar Spinal

scholarly journals Prediction of walking ability following posterior decompression for lumbar spinal stenosis

2021 ◽  
Author(s):  
Suzanne McIlroy ◽  
Feroz Jadhakhan ◽  
David Bell ◽  
Alison Rushton
Keyword(s):  
Quality Of Life ◽  
Higher Education ◽  
Spinal Stenosis ◽  
Lumbar Spinal Stenosis ◽  
Walking Distance ◽  
Walking Ability ◽  
Poor Outcome ◽  
Lumbar Spinal ◽  
Reduced Risk

Abstract Purpose Following surgery for lumbar spinal stenosis (LSS) up to 40% of people report persistent walking disability. This study aimed to identify pre-operative factors that are predictive of walking ability post-surgery for LSS. Methods An observational cohort study was conducted using data from the British Spine Registry (2017–2018) of adults (≥ 50 years) with LSS, who underwent ≤ 2 level posterior lumbar decompression. Patients receiving fixation or who had previous lumbar surgery were excluded. Walking ability was assessed by a single item on the Oswestry Disability Index and dichotomised into poor/good outcome. Multivariable regression models were performed. Results 14,485 patients were identified. Pre-operatively 30% patients reported poor walking ability, this decreased to 8% at 12 months follow-up. Predictors associated with poor walking ability at 12 months were: increasing age (≥ 75 years OR 1.54, 95% CI 1.07, 2.18), BMI ≥ 35 kg/m2 (OR 1.52, 95% CI 1.00, 2.30), severity of leg pain (OR 1.10, CI 95% 1.01, 1.21), disability (OR 1.01, 95% CI 1.01, 1.02) and quality of life (OR 0.72, 95% CI 0.56, 0.89). Pre-operative maximum walking distance (OR 1.10, 95% CI 1.05, 1.25) and higher education (OR 0.90, 95% CI 0.80, 0.96) were associated with reduced risk of poor walking ability at 12 months; p < 0.05. Depression, fear of movement and symptom duration were not associated with risk of poor outcome. Conclusion Older age, obesity, greater pre-operative pain and disability and lower quality of life are associated with risk of poor walking ability post-operatively. Greater pre-operative walking and higher education are associated with reduced risk of poor walking ability post-operatively. Patients should be counselled on their risk of poor outcome and considered for rehabilitation so that walking and surgical outcomes may be optimised.

Health-related quality of life and comorbidities associated with lumbar spinal stenosis

2012 ◽  
Vol 12 (3) ◽  
pp. 189-195 ◽  
Author(s):  
Michele C. Battié ◽  
C. Allyson Jones ◽  
Donald P. Schopflocher ◽  
Richard W. Hu
Keyword(s):  
Quality Of Life ◽  
Spinal Stenosis ◽  
Lumbar Spinal Stenosis ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Lumbar Spinal

scholarly journals Long-term Clinical Outcomes and Quality of Life in Elderly Patients Treated with Interspinous Devices for Lumbar Spinal Stenosis

2017 ◽  
Vol 79 (02) ◽  
pp. 139-144 ◽  
Author(s):  
Massimo Miscusi ◽  
Stefano Forcato ◽  
Alessandro Ramieri ◽  
Filippo Polli ◽  
Antonino Raco ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Elderly Patients ◽  
Spinal Stenosis ◽  
Local Anesthesia ◽  
Lumbar Spinal Stenosis ◽  
Short Form ◽  
Meaningful Improvement ◽  
Lumbar Spinal

Background and Objective Lumbar spinal stenosis (LSS) is a common degenerative condition that occurs in the spine with increasing age. Clinically, LSS causes a progressive reduction in walking autonomy, resulting in a poor quality of life and impaired functional capacity. The aim of this study was to evaluate the clinical outcome and quality of life of elderly patients presenting with LSS and associated comorbidities after a 5-year follow-up who were treated with an interspinous process device (IPD). Material and Methods Sixty patients > 75 years of age presenting with symptomatic degenerative LSS were included. All were treated with an IPD under local anesthesia. American Society of Anesthesiology score, Zurich Claudication Questionnaire, and Short Form 36 were evaluated pre- and postoperatively and at the follow-up visit each year for 5 years. Results The mean surgery time while under local anesthesia was 20 minutes. Forty-eight patients were followed for 5 years. Significant clinical improvements in all outcome scores (p < 0.05) both postoperatively or at follow-up were found. Conclusions IPD seems to be an effective and safe treatment for LSS in elderly patients with general comorbidities. In our study, all followed up patients had a meaningful improvement of their quality of life even at 5 years after surgery.

Predictors of Quality of Life and Physical Function After Surgical Treatment of Lumbar Spinal Stenosis

2012 ◽  
Vol 12 (9) ◽  
pp. S111-S112
Author(s):  
Natalie Egge ◽  
Daniel Mandell ◽  
Anthony S. Lapinsky ◽  
Hanbing Zhou ◽  
Jason C. Eck ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Surgical Treatment ◽  
Physical Function ◽  
Spinal Stenosis ◽  
Lumbar Spinal Stenosis ◽  
Lumbar Spinal

scholarly journals The effect of a prostaglandin E1 derivative on the symptoms and quality of life of patients with lumbar spinal stenosis

2013 ◽  
Vol 18 (2) ◽  
pp. 208-215 ◽  
Author(s):  
Jun Takahashi ◽  
Hiroki Hirabayashi ◽  
Hiroyuki Hashidate ◽  
Nobuhide Ogihara ◽  
Keijiro Mukaiyama ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Spinal Stenosis ◽  
Lumbar Spinal Stenosis ◽  
Prostaglandin E1 ◽  
Lumbar Spinal

scholarly journals Association between payer status and patient-reported outcomes in adult patients with lumbar spinal stenosis treated with decompression surgery

2019 ◽  
Vol 30 (2) ◽  
pp. 198-210 ◽  
Author(s):  
Galal Elsayed ◽  
Samuel G. McClugage ◽  
Matthew S. Erwood ◽  
Matthew C. Davis ◽  
Esther B. Dupépé ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Spinal Stenosis ◽  
Lumbar Spinal Stenosis ◽  
Private Insurance ◽  
Mean Difference ◽  
Leg Pain ◽  
Decompression Surgery ◽  
Patient Reported ◽  
Lumbar Spinal

OBJECTIVEInsurance disparities can have relevant effects on outcomes after elective lumbar spinal surgery. The aim of this study was to evaluate the association between private/public payer status and patient-reported outcomes in adult patients who underwent decompression surgery for lumbar spinal stenosis.METHODSA sample of 100 patients who underwent surgery for lumbar spinal stenosis from 2012 to 2014 was evaluated as part of the prospectively collected Quality Outcomes Database at a single institution. Outcome measures were evaluated at 3 months and 12 months, analyzed in regard to payer status (private insurance vs Medicare/Veterans Affairs insurance), and adjusted for potential confounders.RESULTSAt baseline, patients had similar visual analog scale back and leg pain, Oswestry Disability Index, and EQ-5D scores. At 3 months postintervention, patients with government-funded insurance reported significantly worse quality of life (mean difference 0.11, p < 0.001) and more leg pain (mean difference 1.26, p = 0.05). At 12 months, patients with government-funded insurance reported significantly worse quality of life (mean difference 0.14, p < 0.001). There were no significant differences at 3 months or 12 months between groups for back pain (p = 0.14 and 0.43) or disability (p = 0.19 and 0.15). Across time points, patients in both groups showed improvement at 3 months and 12 months in all 4 functional outcomes compared with baseline (p < 0.001).CONCLUSIONSBoth private and public insurance patients had significant improvement after elective lumbar spinal surgery. Patients with public insurance had slightly less improvement in quality of life after surgery than those with private insurance but still benefited greatly from surgical intervention, particularly with respect to functional status.

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