Does spinal stenosis correlate with MRI findings and pain, psychologic factor and quality of life?

Hong, Ji Hee; Lee, Mi Young; Jung, Sung Won; Lee, Su Yong

doi:10.4097/kjae.2015.68.5.481

Cited by 17 publications

(24 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The number of slipped vertebrae affected the severity of disability ( p = .033), where patients with more slipped vertebrae tended to experience more severe disabilities. This result is consistent with that of Hong Lee Jung and Lee (). The intensity of LBP and leg pain also influenced the degree of disability ( p = .023; p = .001).…”

Section: Discussionsupporting

confidence: 93%

See 1 more Smart Citation

Disability, emotional distress and well‐being among patients with lumbar spondylolisthesis

Hsu

Chang

Tung³

et al. 2019

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aim and objective To explore the disability, emotional distress and well‐being of patients with lumbar spondylolisthesis. Background Few studies have investigated the correlations between disability, emotional distress and well‐being of patients with lumbar spondylolisthesis. Design This study used a cross‐sectional research design. Methods Participants were 133 patients aged over 50 years who were experiencing lumbar spondylolisthesis. The research instruments included a demographic information questionnaire; the Numeric Rating Scale (NRS); the Charlson Comorbidity Index (CCI); the Chinese versions of the Oswestry Disability Index (ODI), State‐Trait Anxiety Inventory‐State (STAI‐S) and Center for Epidemiological Study‐Depression (CES‐D); and the Psychological Well‐being (PWB) Scale. Emotional distress was measured by the STAI‐S and CES‐D. Pearson's correlations coefficient, multiple linear regression and a mediating effect model were introduced to explore correlations between the variables and predictors of psychological well‐being, and details of the methods are reported in coherence to STROBE criteria. Results Eighty‐six participants (64.6%) had moderate and severe anxiety, and 42 (31.6%) experienced depression. Participants reported medium to high levels of well‐being; “satisfaction with interpersonal relationships” was rated the highest and “physical and mental health” the lowest. Disability, depression and anxiety had significant negative correlations with well‐being. Depression and anxiety mediated the relationship between disability and well‐being. Moreover, depression, family support, educational background and anxiety were predictors of well‐being, accounting for 39.1% of the total variance. Conclusions Disability and emotional distress among patients with lumbar spondylolisthesis had a negative impact on well‐being. Anxiety and depression were closely correlated with and substantially influenced well‐being. Relevance to clinical practice Health professionals will enhance the understanding of important factors influencing well‐being among patients with lumbar spondylolisthesis. This study suggests the conduct of depression and anxiety evaluations at outpatient clinics and prior to surgery, so that clinicians will be aware of the emotional distress status of patients with lumbar spondylolisthesis and, therefore, enhance their well‐being.

show abstract

Section: Discussionsupporting

confidence: 93%

“…The intensity of leg pain increases the likelihood of undergoing depression. These findings are similar to those of Hong et al (). This study also discovered that patients who were more satisfied with their level of family support tended to have a lower level of depression, which is consistent with past studies (Hung et al, ).…”

Section: Discussionsupporting

confidence: 93%

Disability, emotional distress and well‐being among patients with lumbar spondylolisthesis

Hsu

Chang

Tung³

et al. 2019

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

“…It typically presents with buttock or low back pain, sensory and motor disturbances in the lower leg, and neurogenic intermittent claudication [2, 4]. LSS is characterized by narrowing of the spinal canal, which is caused by disc herniation combined with osteophytes, hypertrophy of the ligamentum flavum, and mechanical compression of the spinal nerve roots [5, 6].…”

Section: Introductionmentioning

confidence: 99%

“…The foramen can be narrowed further by characteristic changes in the facet joints such as synovial cysts, osteoarthritis, or hypertrophy of articular processes [8, 9]. All of the changes contribute to LFS symptoms [4, 5]. Previous studies have indicated that morphologic parameters including the dural sac area, spinal canal area, and ligamentum flavum thickness are associated with disc degeneration, aging, and LSS [10–12].…”

Section: Introductionmentioning

confidence: 99%

Optimal Cut-Off Value of the Superior Articular Process Area as a Morphological Parameter to Predict Lumbar Foraminal Stenosis

Lim

Choi

Cho

et al. 2017

Pain Research and Management

View full text Add to dashboard Cite

Background. We devised a new morphological parameter called the superior articular process area (SAPA) to evaluate the connection between lumbar foraminal stenosis (LFS) and the superior articular process. Objective. We hypothesized that the SAPA is an important morphologic parameter in the diagnosis of LFS. Methods. All patients over 60 years of age were included. Data regarding the SAPA were collected from 137 patients with LFS. A total of 167 control subjects underwent lumbar magnetic resonance imaging (MRI) as part of a routine medical examination. We analyzed the cross-sectional area of the bone margin of the superior articular process at the level of L4-L5 facet joint in the axial plane. Results. The average SAPA was 96.3 ± 13.6 mm2 in the control group and 128.1 ± 17.2 mm2 in the LFS group. The LFS group was found to have significantly higher levels of SAPA (p < 0.001) in comparison to the control group. In the LFS group, the optimal cut-off value was 112.1 mm2, with 84.4% sensitivity, 83.9% specificity, and AUC of 0.94 (95% CI: 0.91–0.96). Conclusions. Higher SAPA values were associated with a higher possibility of LFS. These results are important in the evaluation of patients with LFS.

show abstract

“…There are now several studies that support the role of social and psychological variables, including depression, anxiety, mental state, or patient personality, in affecting the results of spinal surgery,8–10 with depression having a recognized negative association 10,11. For more than a decade, since the publication of the standard text by Block et al,12 it has been known that, in the context of spinal surgery, reactive depression can be both a response to chronic pain and to the subsequent limitations that result from pain and limitation of movement and function, such as loss of employment, social life, and friends.…”

Section: Introductionmentioning

confidence: 99%

Depression, social factors, and pain perception before and after surgery for lumbar and cervical degenerative vertebral disc disease

Jabłońska¹,

Ślusarz²,

Królikowska³

et al. 2017

JPR

View full text Add to dashboard Cite

ObjectivesThe purpose of this study was to evaluate the effects of psychosocial factors on pain levels and depression, before and after surgical treatment, in patients with degenerative lumbar and cervical vertebral disc disease.Patients and methodsThe study included 188 patients (98 women, 90 men) who were confirmed to have cervical or lumbar degenerative disc disease on magnetic resonance imaging, and who underwent a single microdiscectomy procedure, with no postoperative surgical complications. All patients completed two questionnaires before and after surgery – the Beck Depression Inventory scale (I–IV) and the Visual Analog Scale for pain (0–10). On hospital admission, all patients completed a social and demographic questionnaire. The first pain and depression questionnaire evaluations were performed on the day of hospital admission (n=188); the second on the day of hospital discharge, 7 days after surgery (n=188); and the third was 6 months after surgery (n=140).ResultsPatient ages ranged from 22 to 72 years, and 140 patients had lumbar disc disease (mean age, 42.7±10.99 years) and 44 had cervical disc disease (mean age, 48.9±7.85 years). Before surgery, symptoms of depression were present in 47.3% of the patients (11.7% cervical; 35.6% lumbar), at first postoperative evaluation in 25.1% of patients (7% cervical; 18.1% lumbar), and 6 months following surgery in 31.1% of patients (7.5% cervical; 23.6% lumbar). Patients with cervical disc disease who were unemployed had the highest incidence of depression before and after surgery (p=0.037). Patients with lumbar disc disease who had a primary level of education or work involving standing had the highest incidence of depression before and after surgery (p=0.368).ConclusionThis study highlighted the association between social and demographic factors, pain perception, and depression that may persist despite surgical treatment for degenerative vertebral disc disease.

show abstract

Does spinal stenosis correlate with MRI findings and pain, psychologic factor and quality of life?

Cited by 17 publications

References 25 publications

Disability, emotional distress and well‐being among patients with lumbar spondylolisthesis

Disability, emotional distress and well‐being among patients with lumbar spondylolisthesis

Optimal Cut-Off Value of the Superior Articular Process Area as a Morphological Parameter to Predict Lumbar Foraminal Stenosis

Depression, social factors, and pain perception before and after surgery for lumbar and cervical degenerative vertebral disc disease

Contact Info

Product

Resources

About