Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 2: Assessment of functional outcome following lumbar fusion

Abstract

<jats:p>Assessment of functional patient-reported outcome following lumbar spinal fusion continues to be essential for comparing the effectiveness of different treatments for patients presenting with degenerative disease of the lumbar spine. When assessing functional outcome in patients being treated with lumbar spinal fusion, a reliable, valid, and responsive outcomes instrument such as the Oswestry Disability Index should be used. The SF-36 and the SF-12 have emerged as dominant measures of general health-related quality of life. Research has established the minimum clinically important difference for major functional outcomes measures, and this should be considered when assessing clinical outcome. The results of recent studies suggest that a patient's pretreatment psychological state is a major independent variable that affects the ability to detect change in functional outcome.</jats:p>

Pain and disability after first-time spinal fusion for lumbar degenerative disorders: a systematic review and meta-analysis

“…Data were extracted on the following items: pain and disability outcomes, participants (setting and area), patient characteristics, duration of symptoms, surgical procedure(s), clinical care pathway, study design, sample size, eligibility criteria, and follow-up dates. Pain and disability outcome data were extracted at all available intervals and were measured with, for example, Visual Analogue Scale (VAS), Numeric Rating Scale (NRS), and Oswestry Disability Index (ODI) [35].…”

Percutaneous Delta Endoscopic Decompression versus Oblique Lateral Interbody Fusion for Lumbar Spinal Stenosis

“…The reduction of operation time, blood loss and operation-related complications in the PED group can also be found in comparisons of the literature related to discectomies [41,42]. The physical components of SF-36 has been proven to be an effective, responsive and reliable tool for assessing degenerative lumbar spine conditions [43]. The results showed similar outcomes in SF-36.…”

Comparison of Clinical Outcomes&nbsp;Between Stand-Alone Oblique Lumber&nbsp;Interbody Fusion&nbsp;and Posterior Lumbar Interbody Fusion for Treatment&nbsp;of Degenerative Lumbar Diseases

“…The occurrence of lumbar degenerative diseases is on the rise in the global society with the advancement of the society and the phenomenon of aging population of the society [21]. Obviously, as the incidence increases, it seriously affects the quality of life of patients and is a major source of chronic disability [22][23][24].Therefore, lumbar fusion is becoming increasingly common as an adjunct in the surgical treatment of lumbar degenerative diseases [25]. Interbody fusion is an effective treatment for a variety of spinal conditions, including degenerative disc disease, spinal stenosis, lumbar slippage, degenerative scoliosis, traumatic changes, infections, and tumors.…”