EVALUATION OF THE RESULTS OF USING THE ACCELERATED RECOVERY PROGRAM AFTER PERFORMING TWO-LEVEL LUMBAR SPINAL FUSION IN PATIENTS OF AN OLDER AGE GROUP

2021 ◽  
pp. 964-971
Author(s):  
В. А. Бывальцев ◽  
В. Ю. Голобородько ◽  
А. А. Калинин ◽  
Э. Е. Сатардинова ◽  
Ю. Я. Пестряков ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Patient Satisfaction ◽  
Spinal Fusion ◽  
Older Age ◽  
Age Group ◽  
Lumbar Spinal Fusion ◽  
Sf 36 ◽  
Lumbar Spinal ◽  
Recovery Program

Целью исследования явилась оценка результатов использования программы ускоренного восстановления после выполнения двухуровневого поясничного спондилодеза у пациентов старшей возрастной группы. Ретроспективно изучены результаты хирургического лечения 29 пациентов старше 65 лет с полисегментарными дегенеративными заболеваниями поясничного отдела, которым выполняли минимально-инвазивную двухуровневую ригидную стабилизацию с применением концепции «программа ускоренного восстановления» (ПУВ). Исследовали технические особенности оперативных вмешательств, специфичность послеоперационного периода, количество неблагоприятных исходов анестезиологического пособия и периоперационных хирургических осложнений, частоту повторных госпитализаций в течение 90 дней. Для оценки эффективности ПУВ использовали клинические параметры: уровень болевого синдрома в области операции по визуально-аналоговой шкале (ВАШ) в течение госпитализации, качество жизни пациентов по анкете SF-36 и удовлетворенность пациента результатом лечения по шкале Macnab. В результате установлено, что внедренная ПУВ после выполнения двухуровневого поясничного спондилодеза у пациентов старшей возрастной группы обеспечивает минимальное количество неблагоприятных последствий анестезиологического пособия и периоперационных хирургических осложнений, значительное восстановление уровня качества жизни и высокую удовлетворенность пациентов проведенным лечением. The aim of the study was to evaluate the results of using the accelerated recovery program after performing two-level lumbar spinal fusion in patients of an older age group. The results of surgical treatment of 29 patients older than 65 years with multisegmental degenerative diseases of the lumbar region, who performed minimally invasive two-level rigid stabilization using the concept of «accelerated recovery program» (PAR), were retrospectively studied. We studied the technical features of surgical interventions, the specificity of the postoperative period, the number of adverse outcomes of anesthetic benefits and perioperative surgical complications, the frequency of repeated hospitalizations for 90 days. Clinical parameters were used to evaluate the effectiveness of PAR: the level of pain in the area of operation according to the visual analogue scale (VAS) during hospitalization, the quality of life of patients on the SF-36 questionnaire, and patient satisfaction with the result of treatment using the Macnab scale. As a result, it was established that the introduced PAR after performing two-level lumbar spinal fusion in patients of an older age group provides the minimum number of adverse consequences of anesthesiological aid and perioperative surgical complications, a significant restoration of the quality of life and high patient satisfaction with the treatment.

Health-Related Quality of Life Improvements in Patients Undergoing Lumbar Spinal Fusion as a Revision Surgery

Spine ◽  
2011 ◽  
Vol 36 (4) ◽  
pp. 269-276 ◽  
Author(s):  
Mladen Djurasovic ◽  
Steven D. Glassman ◽  
Jennifer M. Howard ◽  
Anne G. Copay ◽  
Leah Y. Carreon
Keyword(s):  
Quality Of Life ◽  
Spinal Fusion ◽  
Revision Surgery ◽  
Lumbar Spinal Fusion ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Lumbar Spinal

Central Sensitization Index as a Predictor of Worse Quality of Life Measures following Cervical and Lumbar Spinal Fusion

2015 ◽  
Vol 15 (10) ◽  
pp. S118-S119
Author(s):  
Elizabeth E. Bennett ◽  
Kevin M. Walsh ◽  
Nicolas Thompson ◽  
Ajit A. Krishnaney
Keyword(s):  
Quality Of Life ◽  
Spinal Fusion ◽  
Central Sensitization ◽  
Lumbar Spinal Fusion ◽  
Quality Of Life Measures ◽  
Lumbar Spinal

scholarly journals Quality of Life and Disability in Patients Candidate for Lumbar Spinal Fusion Surgery

2018 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Rahim Roeintan ◽  
Ahmadreza Khoshroo ◽  
Alireza Khoshnevisan ◽  
Alireza Arefidoust ◽  
Hamid Reza Rasouli
Keyword(s):  
Quality Of Life ◽  
Spinal Fusion ◽  
Lumbar Spinal Fusion ◽  
Fusion Surgery ◽  
Spinal Fusion Surgery ◽  
Lumbar Spinal

scholarly journals Spinal fusion achieves similar two-year improvement in HRQoL as total hip and total knee replacement. A prospective, multicentric and observational study

SICOT-J ◽  
2019 ◽  
Vol 5 ◽  
pp. 26
Author(s):  
Javier Cervera Irimia ◽  
Félix Tomé-Bermejo ◽  
Angel R. Piñera-Parrilla ◽  
Marina Benito Gallo ◽  
Michele Bisaccia ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Spinal Fusion ◽  
Functional Assessment ◽  
Summary Score ◽  
Functional Improvement ◽  
Lumbar Spinal Fusion ◽  
Total Knee ◽  
Lumbar Spinal

Introduction: Total hip and knee arthroplasty (THA/TKA) are surgical procedures with proven benefits. Although the literature reports outcomes of fusion of the lumbar spine comparable to those of THA/TKA in general health-related quality-of-life (HRQoL) questionnaires, functional assessment is nevertheless needed for these results to be of use in clinical practice and management. Aim of our study was to prove that lumbar spinal fusion has similar if not better outcomes than THA/TKA using intervention-specific HRQoL questionnaires and functional assessment questionnaires. Materials and methods: Observational, ambispective, multicentre study of three cohorts undergoing lumbar spinal fusion (n = 115), THA (n = 119) and TKA (n = 253). Patients were evaluated using the Short-Form-12 (SF-12), Harris–Hip-Score, Hospital for Special Surgery Scale (HSS) and Oswestry Low Back Pain Disability questionnaires. A minimum follow-up of two years was conducted. Results: The SF-12 showed significant improvement in all groups. The SF-12 physical component summary score indicated a more severe pre-operative status (p = 0.031) in the THA cohort. The mental component summary score indicated a less severe pre-operative status in the TKA cohort (p = 0.008) and greater post-operative improvement in the TKA and THA cohorts across follow-up (six months p = 0.021; one year p = 0.012; two years p = 0.042). Functional assessment indicated greater pre-operative disability in the THA group. At two years of follow-up, functional improvement according to the Harris, HSS and Oswestry questionnaires were 152.01%, 50.07% and 41.14% respectively. Conclusions: This study demonstrates that lumbar spinal fusion and total knee and hip arthroplasty are comparable in terms of functional improvement when thoroughly studied with health, quality-of-life and functional assessment questionnaires.

Has a Mono- or Bisegmental Lumbar Spinal Fusion Surgery an Influence on Self-Assessed Quality of Life, Trunk Range of Motion, and Gait Performance?

Spine ◽  
2015 ◽  
Vol 40 (11) ◽  
pp. E618-E626 ◽  
Author(s):  
Felix Stief ◽  
Andrea Meurer ◽  
Johanna Wienand ◽  
Michael Rauschmann ◽  
Marcus Rickert
Keyword(s):  
Quality Of Life ◽  
Range Of Motion ◽  
Spinal Fusion ◽  
Lumbar Spinal Fusion ◽  
Fusion Surgery ◽  
Gait Performance ◽  
Spinal Fusion Surgery ◽  
Lumbar Spinal

scholarly journals Factors affecting health-related quality of life one year after lumbar spinal fusion

2017 ◽  
Vol 20 (2) ◽  
pp. 36-43
Author(s):  
Kazufumi MIYAGISHIMA ◽  
Eiki TSUSHIMA ◽  
Kazuhiro ISHIDA ◽  
Shigenobu SATO
Keyword(s):  
Quality Of Life ◽  
Spinal Fusion ◽  
Lumbar Spinal Fusion ◽  
Health Related Quality ◽  
Factors Affecting ◽  
Related Quality ◽  
Health Related ◽  
One Year ◽  
Lumbar Spinal

Radiologic Efficacy and Patient Satisfaction after Minimally Invasive Unilateral Laminotomy and Bilateral Decompression in Patients with Lumbar Spinal Stenosis: A Retrospective Analysis

2020 ◽  
Vol 81 (06) ◽  
pp. 475-483
Author(s):  
Seung-Kook Kim ◽  
Sungmo Ryu ◽  
Eun-Sang Kim ◽  
Sun-Ho Lee ◽  
Su-Chan Lee
Keyword(s):  
Quality Of Life ◽  
Patient Satisfaction ◽  
Minimally Invasive ◽  
Retrospective Analysis ◽  
Spinal Stenosis ◽  
Surgical Procedure ◽  
Lateral Recess ◽  
Lateral Recess Stenosis ◽  
Lumbar Spinal

Abstract Background and Study Aims Lumbar spinal stenosis (LSS) is the most common spinal disease in older adults. Although surgical modalities are recommended in patients who are unresponsive to conservative treatment, the most appropriate minimally invasive surgical procedure for patients with LSS remains controversial. Moreover, few previous studies have focused on patient-centered outcomes with radiologic correlation. In the present study, we aimed to investigate radiologic efficacy and patient satisfaction following bilateral decompression via unilateral laminotomy. Materials and Methods We performed a retrospective analysis of radiologic efficacy and patient satisfaction in a series of surgical patients treated at our institution. We classified patients into two groups based on the primary pathology (i.e., central or lateral recess stenosis). Medical records were analyzed retrospectively for radiologic outcomes and clinical parameters including pain and changes in quality of life. Data related to outcomes were collected at 2 weeks, 3 months, and 12 months after surgery in the outpatient clinic. Results Among the 122 patients enrolled in this study, 51 had central spinal stenosis; 71 had lateral recess stenosis. Radiologically, we observed significant improvements in the anteroposterior diameter and cross-sectional area of the dural sac (central stenosis) and the lateral width of the central canal and depth of the lateral recess (lateral recess stenosis). Two weeks and 12 months after the surgical procedure, we observed significant improvements in the extent of symptoms, patient satisfaction, and quality of life (including physical function). Conclusion Our findings suggest that bilateral decompression via a unilateral approach shows improved radiologic outcomes, varying based on the type of stenosis. Furthermore, patient satisfaction significantly improved regardless of the type of disease.

scholarly journals Lower Urinary Tract Symptoms, Erectile Dysfunction, and Quality of Life in Poststroke Men: A Controlled Cross-Sectional Study

2017 ◽  
Vol 11 (3) ◽  
pp. 748-756 ◽  
Author(s):  
Sigrid Tibaek ◽  
Gunvor Gard ◽  
Christian Dehlendorff ◽  
Helle K. Iversen ◽  
Fin Biering-Soerensen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cross Sectional Study ◽  
Healthy Controls ◽  
Age Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
Sf 36 ◽  
Urinary Tract Symptoms ◽  
Lower Urinary

The aim of the current study was to compare lower urinary tract symptoms (LUTS), erectile dysfunction (ED), and quality of life (QoL) in poststroke and healthy men. Thirty poststroke men with stroke-related LUTS, and as controls, 96 healthy men participated in this controlled, cross-sectional study. Participants filled in the Danish Prostate Symptom Score (DAN-PSS-1) Questionnaire, the International Index of Erectile Function (IIEF-5), the 36-Item Short Form (SF-36), the Nocturia Quality-of-Life (N-QoL) Questionnaire. In the age group ≤55 years, comparing poststroke men with healthy controls both with LUTS, the results indicated DAN-PSS-1, total score median 13 (4-17) versus 3 (2-6), p = .05; IIEF-5 25 (14-25) versus 24 (23-25), p = .06; SF-12, total score 499 (360-679) versus 695 (644-734), p = .02; and N-QoL 98 (70-100) versus 96 (90-100), p = .65. In the age group >55 years, comparing poststroke men with healthy controls both with LUTS, the results indicated DAN-PSS-1, total score 13 (8-24) versus 5 (2-7), p < .01; IIEF-5 13 (5-20) versus 25 (24-25), p < .01; SF-36, total score 585 (456-718) versus 742 (687-772), p < .01; and N-QoL, total score 81 (66-95) versus 98 (80-100), p < .01. The results demonstrated that in age group above, but not below 55 years, poststroke men with LUTS had significantly higher frequency of severe and bothersome LUTS and ED than the healthy controls with LUTS, while QoL and N-QoL were significantly lower in comparison. It is recommended to identify and assess older poststroke men for LUTS, ED, and QoL.

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