Abstract
References
- 1.Turkish Neurosurgery Society Publications, Basic Neurosurgery, Vol:2, H.Toplamaoğlu, A.Ender Ofluoğlu; Chapter:10, p.1489.
- 2. MD Bois, M Szpalski, P Donceel, Patients at risk for long-term sick leave because of long back pain. Spine Surgery 1:389-400, 1999.
- 3. Turkish Neurosurgery Society Publications, Basic Neurosurgery, Vol:2, F.Özer; Chapter :107, p.1509.
- 4. RW Hardy. Extradural cauda equina and nerve root comprasion from enign of the lumbar spine. Neurological surgery 1996; 3:2357-74.
- 5. H Weber. Lumbar disc herniation. A prospective study of factors including a controlled trial.J Oslo City Hos 1978; 28;33-64.
- 6. RM Leadley, N Armstrong, KJ Reid et al. Healthy aging in relation to chronic pain and quality of life in Europe. Pain Pract Off J World Inst Pain. 2014; 14: 547–558.
- 7. R Andrew ,S Derry, RS Taylor et al. The costs and consequences of adequately managed chronic non-cancer pain and chronic neuropathic pain. Pain Pract Off J World Inst Pain. 2014; 14: 79–94.
- 8. Handbook of Neurosurgery, Mark S.Greenberg, Part 14, Spine, p.289.
- 9. Şahin G, E Z Hasanefendioğlu, M Sezgin et al. Health-Related Quality of Life in Patients with Chronic Low Back Pain: The Effect of Pain, Clinical and Functional Status on Quality of Life. Turkish Journal of Physics Medicine Rehab 2012;58:93-8.
- 10. C S Burckhardt, K L Anderson, The Quality of Life Scale (QOLS): Reliability, Validity, and Utilization, Bio Med Central, 2003;1:60.
- 11. S Ataoğlu, Comparison of Scales Used to Evaluate Quality of Life in Fibromyalgia Patients. Anadolu Clinic Journal of Medical Sciences, 2017; 22:2,85-94.
- 12. Chou R, Huffman LH, American Pain Society, American College of Physicians. Nonpharmacologic therapies for acute and chronic low back pain: a review of the evidence for an American Pain Society/American College of Physicians clinical practice guideline. Ann Intern Med 2007; 147: 492–504.
- 13. Alemanno F, Houdayer E, Emedoli D et al. Efficiecy of virtual reality to reduce chronic low back pain: Proof-of- concept of a non-pharmacological approach on pain, quality of life, neuropsychological and functional outcome, Plos One 2019 May 23;14(5).
- 14. Rodrigues LCL, Natour J, Surgical treatment for lumbar spinal stenosis: a single-blinded randomized controlled trial. Adv Rheumatol 2021 May 12;61(1):25.
- 15. Almeida VCPA, Felix HF, Navarro FAM et al. Prospectıve Controlled Study of Spınal Surgery Versus Physical Capacıty. Acta Ortop Bras 2023; Apr 17;31.
- 16. Yamamoto Y, KawakamiM, Minetama M et al. Psychological Predictors of Satisfaction after Lumbar Surgery for Lumbar Spinal Stenosis. Asian Spine J 2022; Apr:16(2):270-278.
- 17. K Silverplats, B Lind, B Zoeg, Health- related quality of life in patients with surgically treated lumbar disc herniation. Acta Orthopaedica 2011;82(2):198-203.
Effect of Spinal Surgery on Quality of Life in Patients with Chronic Low Back Pain, Clinical Study Evaluated with The SF-36 Quality of Life Scale
Abstract
ABSTRACT:
Background:
Chronic low back pain is a disabling condition degrading peoples quality of life. Low back pain is the most common disease that neurosurgeons encounter in practice and the most common complaint that requires admission to outpatient clinics. Although the incidence of low back pain in the general population is 5% and 90% of the cases heal spontaneously within one month. In our study, the results of the quality of life scale of the patients who applied with the complaint of chronic low back pain within the clinical course and who had undergone spinal surgery and those who did not, were compared.
Methods:
110 patients with chronic low back pain (chronic low back pain: lasting more than 12 weeks), who had undergone lumbar spinal surgery and who had not, were included in the study. Patients with chronic low back pain who underwent spinal surgery and not undergoing spinal surgery were compared with SF-36 quality of life outcome scale. The statistical significance level was accepted as p<0.05 in the calculations.
Results:
Physical functionality, emotional role difficulty, social functionality, pain and general health perception sub-dimensions of quality of life were found to be statistically significantly higher in males (p<0.05), In our study, physical functionality (for example, activities that require physical effort such as walking), physical role difficulty, emotional role difficulty and general health perception scores were found to be significantly lower in patients with a history of spinal surgery (p<0.05), and also social functionality (for example, going to a neighbor's ), scores were found to be significantly lower in those with a history of surgery (p:0.087).
Conclusion:
When the early results of the surgical treatment for chronic low back pain are evaluated, it is seen that the pain is reduced and often eliminated, but it has been observed that it does not help the patients regain the correct body image, improve their functional abilities, and improve their quality of life in long-term follow-ups. In this case, before the surgery, especially the histories of the patients should be taken well, their expectations should be questioned, the benefits they can gain from surgery according to their age should be taken into account, the expectations and lifestyles of the people in the postoperative process are also extremely effective in well-being, no matter how good surgery is performed.
Ethical Statement
The study was approved by the local ethics committee of Nuh Naci Yazgan University, Kayseri with the ethics committee permission dated 22.04.2022 and numbered 2022-8146, and consent was obtained from all participants in accordance with the Declaration of Helsinki before entering the survey. Also permission of study approval was approved by the local ethics committee of Kayseri City Hospital with the ethics committee approval dated 10.05.2022 and numbered 61.
References
- 1.Turkish Neurosurgery Society Publications, Basic Neurosurgery, Vol:2, H.Toplamaoğlu, A.Ender Ofluoğlu; Chapter:10, p.1489.
- 2. MD Bois, M Szpalski, P Donceel, Patients at risk for long-term sick leave because of long back pain. Spine Surgery 1:389-400, 1999.
- 3. Turkish Neurosurgery Society Publications, Basic Neurosurgery, Vol:2, F.Özer; Chapter :107, p.1509.
- 4. RW Hardy. Extradural cauda equina and nerve root comprasion from enign of the lumbar spine. Neurological surgery 1996; 3:2357-74.
- 5. H Weber. Lumbar disc herniation. A prospective study of factors including a controlled trial.J Oslo City Hos 1978; 28;33-64.
- 6. RM Leadley, N Armstrong, KJ Reid et al. Healthy aging in relation to chronic pain and quality of life in Europe. Pain Pract Off J World Inst Pain. 2014; 14: 547–558.
- 7. R Andrew ,S Derry, RS Taylor et al. The costs and consequences of adequately managed chronic non-cancer pain and chronic neuropathic pain. Pain Pract Off J World Inst Pain. 2014; 14: 79–94.
- 8. Handbook of Neurosurgery, Mark S.Greenberg, Part 14, Spine, p.289.
- 9. Şahin G, E Z Hasanefendioğlu, M Sezgin et al. Health-Related Quality of Life in Patients with Chronic Low Back Pain: The Effect of Pain, Clinical and Functional Status on Quality of Life. Turkish Journal of Physics Medicine Rehab 2012;58:93-8.
- 10. C S Burckhardt, K L Anderson, The Quality of Life Scale (QOLS): Reliability, Validity, and Utilization, Bio Med Central, 2003;1:60.
- 11. S Ataoğlu, Comparison of Scales Used to Evaluate Quality of Life in Fibromyalgia Patients. Anadolu Clinic Journal of Medical Sciences, 2017; 22:2,85-94.
- 12. Chou R, Huffman LH, American Pain Society, American College of Physicians. Nonpharmacologic therapies for acute and chronic low back pain: a review of the evidence for an American Pain Society/American College of Physicians clinical practice guideline. Ann Intern Med 2007; 147: 492–504.
- 13. Alemanno F, Houdayer E, Emedoli D et al. Efficiecy of virtual reality to reduce chronic low back pain: Proof-of- concept of a non-pharmacological approach on pain, quality of life, neuropsychological and functional outcome, Plos One 2019 May 23;14(5).
- 14. Rodrigues LCL, Natour J, Surgical treatment for lumbar spinal stenosis: a single-blinded randomized controlled trial. Adv Rheumatol 2021 May 12;61(1):25.
- 15. Almeida VCPA, Felix HF, Navarro FAM et al. Prospectıve Controlled Study of Spınal Surgery Versus Physical Capacıty. Acta Ortop Bras 2023; Apr 17;31.
- 16. Yamamoto Y, KawakamiM, Minetama M et al. Psychological Predictors of Satisfaction after Lumbar Surgery for Lumbar Spinal Stenosis. Asian Spine J 2022; Apr:16(2):270-278.
- 17. K Silverplats, B Lind, B Zoeg, Health- related quality of life in patients with surgically treated lumbar disc herniation. Acta Orthopaedica 2011;82(2):198-203.
Details
| Primary Language | English |
|---|---|
| Subjects | Brain and Nerve Surgery (Neurosurgery) |
| Journal Section | Research Articles |
| Authors | |
| Early Pub Date | September 17, 2024 |
| Publication Date | October 1, 2024 |
| Submission Date | December 19, 2023 |
| Acceptance Date | February 7, 2024 |
| Published in Issue | Year 2024 |