Outcome of spine surgery: In a clinical field with few randomized controlled studies, a national spine surgery register creates evidence for practice guidelines

Outcome of spine surgery: In a clinical field with few randomized controlled studies, a national... In this issue of the Scandinavian Journal of Pain Järvimäki and co-workers [1] from Northern Finland publish a cross-sectional postal questionnaire survey on functional capacity and quality of life 1-4 years after lumbar spine surgery due to disc herniation, instability (stabilizing-spondylosyndesis), or spinal stenosis (decompression). They focused on patients in working age, i.e.18-65 years of age, operated in the Oulu University Hospital during 3 years from June 2005. Their response rate was 66%. Among the 537 responders 2/3 had disc surgery, 1/6 had stabilizing, and 1/6 had decompression surgery. Half of those who had disc-surgery had no or negligible pain, whereas after both stabilizing and decompressing lumbar spine surgery almost 2/3 had daily pain with axial pain around 5/10 and slightly less radicular pain. Results from the Owestry Low Back Disability Questionnaire and the SF-36 Quality of Life Questionnaire documented acceptable outcome for the disc-surgery patients, but significantly poorer functional and quality of life outcomes after stabilizing fusion surgery and after decompression surgery for spinal stenosis.1Bias from non-responders in spine-surgery follow-up surveysThese results mostly agree with other outcome surveys of lumbar spinal surgery [2-4], however, there may be a source of bias due to the 34% who did not http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Scandinavian Journal of Pain de Gruyter

Outcome of spine surgery: In a clinical field with few randomized controlled studies, a national spine surgery register creates evidence for practice guidelines

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Publisher
de Gruyter
Copyright
© 2014 Scandinavian Association for the Study of Pain
ISSN
1877-8860
eISSN
1877-8879
D.O.I.
10.1016/j.sjpain.2014.10.001
Publisher site
See Article on Publisher Site

Abstract

In this issue of the Scandinavian Journal of Pain Järvimäki and co-workers [1] from Northern Finland publish a cross-sectional postal questionnaire survey on functional capacity and quality of life 1-4 years after lumbar spine surgery due to disc herniation, instability (stabilizing-spondylosyndesis), or spinal stenosis (decompression). They focused on patients in working age, i.e.18-65 years of age, operated in the Oulu University Hospital during 3 years from June 2005. Their response rate was 66%. Among the 537 responders 2/3 had disc surgery, 1/6 had stabilizing, and 1/6 had decompression surgery. Half of those who had disc-surgery had no or negligible pain, whereas after both stabilizing and decompressing lumbar spine surgery almost 2/3 had daily pain with axial pain around 5/10 and slightly less radicular pain. Results from the Owestry Low Back Disability Questionnaire and the SF-36 Quality of Life Questionnaire documented acceptable outcome for the disc-surgery patients, but significantly poorer functional and quality of life outcomes after stabilizing fusion surgery and after decompression surgery for spinal stenosis.1Bias from non-responders in spine-surgery follow-up surveysThese results mostly agree with other outcome surveys of lumbar spinal surgery [2-4], however, there may be a source of bias due to the 34% who did not

Journal

Scandinavian Journal of Painde Gruyter

Published: Jan 1, 2015

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