Universität zu Köln

Zarghooni, Kourosh ORCID: 0000-0001-7069-6291, Beyer, Frank, Papadaki, Joanna, Boese, Christoph Kolja, Siewe, Jan, Schiffer, Gereon, Eysel, Peer and Bredow, Jan (2017). Quality of Life and Functional Outcome after Microsurgical Decompression in Lumbar Spinal Stenosis: a Register Study. Z. Orthop. Unfallchir., 155 (4). S. 429 - 435. NEW YORK: THIEME MEDICAL PUBL INC. ISSN 1864-6743

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Abstract

Introduction Because of recent increases in life expectancy, lumbar spinal stenosis (LSS) has become one of the most common degenerative changes in the spine. In patients not responding to conservative therapy, microsurgical decompression is the gold standard of operative treatment for degenerative LSS. The goal of the current study is to evaluate quality of life after microsurgical decompression for LSS, using data from the DWG Register (previously Spine Tango). Methods 36 patients were included in this single-center, prospective, observational study from January 2013 to June 2014. Data were collected from the Spine Tango or DWG Register. The core outcome measure index (COMI), Oswestry Disability Index (ODI), and the quality of life questionnaire EuroQoL-5D were used. Data were collected prior to surgery as well as six weeks, six months, and twelve months after the operation. Results The patient cohort comprised 13 females and 23 males (36.1 and 63.9%). Complete 12-month follow-up data on 21 patients were available for analysis. Compared to preoperative measures, the COMI score increased 8.1 +/- 1.5 over the entire follow up, with 4.5 +/- 3.1 at 6 weeks (p < 0.001), 4.8 +/- 3.1 at 6 months, and 3.8 +/- 3.2 at 12 months. ODI scores, measuring spinal function impairment, were significantly better than preoperative values overall (47.5 +/- 17.3) and after 6 weeks (29.1 +/- 22.4; p < 0.005), 6 months (30.0 +/- 19.3), and 12 months (23.8 +/- 18.2). Quality of life measures improved in a similar manner (preoperative: 0.36 +/- 0.38; 6 weeks: 0.57 +/- 0.34 (p < 0.019); 6 months: 0.62 +/- 0.28; 12 months: 0.67 +/- 0.31). Conclusion Our study shows that LSS patients without previous surgery and neurologic deficits can expect significant pain relief and improved quality of life already six weeks after undergoing stabilizing decompression. There was an increase in positive postoperative effects over 12 months. The DWG Register provides a standardized and validated means to compare non-operative and operative treatments of the spine over the long term.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Zarghooni, Kourosh UNSPECIFIED orcid.org/0000-0001-7069-6291 UNSPECIFIED Beyer, Frank UNSPECIFIED UNSPECIFIED UNSPECIFIED Papadaki, Joanna UNSPECIFIED UNSPECIFIED UNSPECIFIED Boese, Christoph Kolja UNSPECIFIED UNSPECIFIED UNSPECIFIED Siewe, Jan UNSPECIFIED UNSPECIFIED UNSPECIFIED Schiffer, Gereon UNSPECIFIED UNSPECIFIED UNSPECIFIED Eysel, Peer UNSPECIFIED UNSPECIFIED UNSPECIFIED Bredow, Jan UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-222851
DOI:	10.1055/s-0043-103958
Journal or Publication Title:	Z. Orthop. Unfallchir.
Volume:	155
Number:	4
Page Range:	S. 429 - 435
Date:	2017
Publisher:	THIEME MEDICAL PUBL INC
Place of Publication:	NEW YORK
ISSN:	1864-6743
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language NONOPERATIVE TREATMENT; SURGERY; MANAGEMENT; TRENDS Multiple languages Orthopedics Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/22285