Gender Differences in the Self-assessment of Quality of Life and Disability After Spinal Fusion for Chronic Low Back Pain at a Neurosurgical Center in Eastern Europe

Ungureanu, Gheorghe; Chitu, Alexandra; Iancu, Ioana; Kakucs, Cristian; Maior, Tiberiu; Florian, Ioan Ştefan

doi:10.14245/ns.1836076.038

Cited by 13 publications

(7 citation statements)

References 25 publications

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“…At the same follow-up female gender also resulted in an increased risk of readmission for pain or neurological symptoms ( 55 ). At a longer follow-up, 1 year, it was analyzed the influence that gender plays on HRQoL, disability, and the correlation between these two in patients undergoing spinal fusion for chronic low back pain ( 60 ). Results showed that male patients had higher disability scores at the preoperative evaluation but improved more than females in all domains of disability postoperatively.…”

Section: Resultsmentioning

confidence: 99%

“…At a longer follow-up, 1 year, it was analyzed the influence that gender plays on HRQoL, disability, and the correlation between these two in patients undergoing spinal fusion for chronic low back pain (60). Results showed that male patients had higher disability scores (60). At the same follow-up, it was also shown that gender differences influence the satisfaction rate of lumbar spinal stenosis surgery in elderly patients (≥65 years) with female patients that had less satisfactory results than male ones (57).…”

Section: Degenerative Spine Diseasesmentioning

confidence: 99%

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Sex and gender determinants following spinal fusion surgery: A systematic review of clinical data

et al. 2022

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In the last decade, numerous studies analyzed and described the surgical outcomes in male and female patients submitted to orthopedic surgery. Although this, the impact of sex/gender on spinal fusion surgery clinical outcomes is still poorly defined. This review systematically maps and synthesizes the scientific literature on sex/gender differences in postoperative outcomes for patients undergoing spinal fusion surgery. The search was performed in PubMed, Scopus, and Web of Science in the last 22 years. Clinical studies evaluating potential sex/gender differences in postoperative outcomes and/or complications, as primary or secondary aim, were included and analyzed. Out of the 1,885 records screened, 47 studies were included. These studies comprised a total of 1,158,555 patients (51.31% female; 48.69% male). About 77% of the analyzed studies reported sex/gender-related differences in postoperative outcomes. Most studies treated patients for lumbar degenerative diseases and more than 55% of them reported a worse postoperative outcome in female patients in terms of pain, disability, health-related quality of life questionnaires, and complications. Differently, a significant heterogeneity across studies on patients treated for cervical and sacral degenerative diseases as well as for spinal deformity and traumatic spinal fracture prevented the understanding of specific sex/gender differences after spinal fusion surgery. Despite this, the present review highlighted those female patients treated for lumbar degenerative spine diseases could require more clinical awareness during postoperative care. The understanding of how sex/gender differences can really affect clinical outcomes after spinal fusion surgeries is mandatory for all spinal pathological conditions to drive clinical research toward oriented and personalized protocols.

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Section: Resultsmentioning

confidence: 99%

Section: Degenerative Spine Diseasesmentioning

confidence: 99%

Sex and gender determinants following spinal fusion surgery: A systematic review of clinical data

et al. 2022

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“…A total of 100 patients (47 males and 53 females) participated in this cross-sectional survey which assessed the desirable and undesirable traits of their neurosurgeon according to their preferences. Patients' mean age range was from 40 to 49, and all of them were Koreans [7].…”

Section: Methodsmentioning

confidence: 99%

Patient’s Preference on Neurosurgeon’s Attire and Appearance: A Single Center Study in Korea Cross-Sectional Study

Mun

Kim

Ahn

et al. 2019

BioMed Research International

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Objective. This study was performed to assess neurosurgery patients’ preference for surgeon’s attire and appearance in the hospital. Methods. A total of 100 patients were investigated using a questionnaire comprising 13 questions. We first asked patients about neurosurgeon’s appearance including accessories, hair color, mustache, and beard. Then, based on their preferences, they were asked to rank a series of photographs which illustrated a variety of neurosurgeon attires worn by a doctor. Results. Professional attire with white coat was the most ideal for patients compared to any other attire (preference scale 5.28 ± 1.24), and there was a significant preference gap between wearing a white coat and not wearing a white coat (p <0.01). Patients expressed a preference for neurosurgeon’s shoes (30%) but the majority of the respondents answered that it does not matter which shoes their neurosurgeon wears (43%). Furthermore, the patients did not have any preferences regarding accessories, dyeing, and mustache or beard (58%, 67%, and 51%, respectively), and they did not have negative view towards doctor wearing accessories (71.7%) and growing mustache or beard (71.6%). Conclusion. The patients in this study preferred professional attire along with a white coat compared to any other form of outfit. This result is similar to those of many other studies conducted in other departments or other countries. However, patients did not have a strong negative view on accessories, dyeing, and facial hair. With regard to medical training, patients did not show a preference for their neurosurgeon’s educational background.

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“…However, several animal studies indicated that different forms of DBM act as a graft extender/enhancer and provide superior fusion rates than autograft only [19,30]. Similar controversial results regarding the success after DBM grafting in spinal fusion surgery were also obtained by various clinical studies [31][32][33][34][35][36][37]. On the other hand, autograft alone was shown to induce bone formation to a higher extent than DBM alone in dogs [30].…”

Section: Discussionmentioning

confidence: 78%

Experimental Comparison of Autograft and DBM Flex (Grafton) for Spinal Lumbar Fusion in Rabbits

Demirel

Turkoz

YİLMAZ

2021

Archives of Clinical and Experimental Medicine

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Aim: The choice of graft materials used for spinal fusion possesses a great importance due to their crucial roles in bone remodelling. Although autogenous bone grafts are the "gold standard" for spinal fusion surgeries, they can cause various complications. Aim of this study was to compare the efficacy of demineralized bone matrix (DBM) and autograft in lumbar spinal fusion in a rabbit model of spinal lumbar fusion (SLF). Methods: Twenty New Zealand rabbits were randomly divided into two groups and underwent SLF by using either iliac crest autologous bone graft (Autograft, n=10) or DBM Flex (Grafton, n=10). Eight-weeks after surgery, animals were sacrificed and spinal fusion was evaluated by computerized tomography (CT), manual palpation, macroscopic analyses, and histological assessments. Results: CT results revealed that autograft led to significantly higher fusion scores than DBM Flex (p=0.0004). Mobility was significantly lower in autograft group (p=0.0007). Significantly lower bone formation scores were observed in DBM Flex group compared to autograft group (p<0.0001). Histology of spine in the autograft group was significantly better than DBM Flex group (p=0.0002). Conclusion: Autograft was superior than DBM flex in SLF and these results indicate that autograft will continue to be the "gold standard" in SLF in the future.

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Gender Differences in the Self-assessment of Quality of Life and Disability After Spinal Fusion for Chronic Low Back Pain at a Neurosurgical Center in Eastern Europe

Cited by 13 publications

References 25 publications

Sex and gender determinants following spinal fusion surgery: A systematic review of clinical data

Sex and gender determinants following spinal fusion surgery: A systematic review of clinical data

Patient’s Preference on Neurosurgeon’s Attire and Appearance: A Single Center Study in Korea Cross-Sectional Study

Experimental Comparison of Autograft and DBM Flex (Grafton) for Spinal Lumbar Fusion in Rabbits

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