Preoperative sense of coherence associated with the 10-year outcomes of lumbar spinal stenosis surgery

2017 ◽  
Vol 24 (7) ◽  
pp. 989-997 ◽  
Author(s):  
Sanna Sinikallio ◽  
Maarit Pakarinen ◽  
Iina Tuomainen ◽  
Olavi Airaksinen ◽  
Heimo Viinamäki ◽  
...  

A prospective 10-year follow-up study was conducted to determine the significance of the preoperative sense of coherence, with respect to the preoperative and 10-year clinical characteristics, among lumbar spinal stenosis patients ( N = 99). In addition, the predictive value of the preoperative sense of coherence regarding the 10-year surgery outcome was also evaluated. In a logistic regression analysis, a weak preoperative sense of coherence and low functional ability predicted the patients’ functional ability 10 years after the surgery. Moreover, those patients with weak sense of coherence before surgery showed poorer functional ability 10 years after the surgery, but not preoperatively. A weak preoperative sense of coherence seems to associate with poorer long-term outcome after surgery; therefore, various rehabilitation strategies are discussed.

2007 ◽  
Vol 17 (2) ◽  
pp. 193-198 ◽  
Author(s):  
Shay Shabat ◽  
Zeev Arinzon ◽  
Yoram Folman ◽  
Josef Leitner ◽  
Rami David ◽  
...  

2020 ◽  
Vol 14 (5) ◽  
pp. 682-693
Author(s):  
Byung Ho Lee ◽  
Seong-Hwan Moon ◽  
Kyung-Soo Suk ◽  
Hak-Sun Kim ◽  
Jae-Ho Yang ◽  
...  

<p>Patients with lumbar spinal stenosis may exhibit symptoms such as back pain, radiating pain, and neurogenic claudication. Although long-term outcome of treatments manifests similar results for both nonsurgical and surgical treatments, positive effects such as short-term improvement in symptoms and decreased fall risk may be expected with surgery. Surgical treatment is basically decompression, and a combination of treatments can be added depending on the degree of decompression and the accompanying instability. Recently, minimally invasive surgery has been found to result in excellent outcomes in the treatment of lumbar spinal stenosis. Therefore, better treatment effects can be anticipated with an approach aimed at understanding the overall pathophysiology and treatment methods of lumbar spinal stenosis.</p>


2018 ◽  
Vol 18 (3) ◽  
pp. 458-463 ◽  
Author(s):  
Iina Tuomainen ◽  
Maarit Pakarinen ◽  
Timo Aalto ◽  
Sanna Sinikallio ◽  
Heikki Kröger ◽  
...  

2018 ◽  
Vol 131 (21) ◽  
pp. 2537-2543 ◽  
Author(s):  
Yang Zhang ◽  
Zhi-Cheng Zhang ◽  
Fang Li ◽  
Tian-Sheng Sun ◽  
Jian-Lin Shan ◽  
...  

2007 ◽  
Vol 17 (2) ◽  
pp. 199-199 ◽  
Author(s):  
Shay Shabat ◽  
Zeev Arinzon ◽  
Yoram Folman ◽  
Josef Leitner ◽  
Rami David ◽  
...  

2016 ◽  
Vol 22 (3) ◽  
pp. 347-355 ◽  
Author(s):  
Maarit Pakarinen ◽  
Sanna Sinikallio ◽  
Heli Koivumaa-Honkanen ◽  
Timo Aalto ◽  
Olavi Airaksinen ◽  
...  

This study investigated the association between the 3-month postoperative sense of coherence and the 5-year postoperative outcome of decompressive surgery for lumbar spinal stenosis. The participants with a lower sense of coherence at the 3-month follow-up had a poorer functional ability and lower satisfaction with surgery, higher pain ratings, lower life satisfaction and more depressive symptoms 5 years postoperatively. A low 3-month sense of coherence associated with greater pain and a poorer functional ability 5 years postoperatively. Evaluating sense of coherence and depressive symptoms in patients who have had lumbar spinal stenosis surgery may help in identifying those in need of enhanced support for postoperative recovery.


2000 ◽  
Vol 9 (6) ◽  
pp. 563-570 ◽  
Author(s):  
M. Cornefjord ◽  
G. Byröd ◽  
H. Brisby ◽  
B. Rydevik

2018 ◽  
Vol 80 (02) ◽  
pp. 081-087
Author(s):  
Nicola Bongartz ◽  
Christian Blume ◽  
Hans Clusmann ◽  
Christian Müller ◽  
Matthias Geiger

Background To evaluate whether decompression in lumbar spinal stenosis without fusion leads to sufficient improvement of back pain and leg pain and whether re-decompression alone is sufficient for recurrent lumbar spinal stenosis for patients without signs of instability. Material and Methods A successive series of 102 patients with lumbar spinal stenosis (with and without previous lumbar surgery) were treated with decompression alone during a 3-year period. Data on pre- and postoperative back pain and leg pain (numerical rating scale [NRS] scale) were retrospectively collected from questionnaires with a return rate of 65% (n = 66). The complete cohort as well as patients with first-time surgery and re-decompression were analyzed separately. Patients were dichotomized to short-term follow-up (< 100 weeks) and long-term follow-up (> 100 weeks) postsurgery. Results Overall, both back pain (NRS 4.59 postoperative versus 7.89 preoperative; p < 0.0001) and leg pain (NRS 4.09 versus 6.75; p < 0.0001) improved postoperatively. The short-term follow-up subgroup (50%, n = 33) showed a significant reduction in back pain (NRS 4.0 versus 6.88; p < 0.0001) and leg pain (NRS 2.49 versus 6.91: p < 0.0001). Similar results could be observed for the long-term follow-up subgroup (50%, n = 33) with significantly less back pain (NRS 3.94 versus 7.0; p < 0.0001) and leg pain (visual analog scale 3.14 versus 5.39; p < 0.002) postoperatively. Patients with previous decompression surgery benefit significantly regarding back pain (NRS 4.82 versus 7.65; p < 0.0024), especially in the long-term follow-up subgroup (NRS 4.75 versus 7.67; p < 0.0148). There was also a clear trend in favor of leg pain in patients with previous surgery; however, it was not significant. Conclusions Decompression of lumbar spinal stenosis without fusion led to a significant and similar reduction of back pain and leg pain in a short-term and a long-term follow-up group. Patients without previous surgery benefited significantly better, whereas patients with previous decompression benefited regarding back pain, especially for long-term follow-up with a clear trend in favor of leg pain.


Sign in / Sign up

Export Citation Format

Share Document