Health-related quality of life in patients undergoing lumbar total disc replacement: A comparison with the general population

Clavel, Pablo; Ungureanu, Gheorghe; Catalá, Ignasi; Montes, Guillermo; Màlaga, Xavier; Ríos, Moisés

doi:10.1016/j.clineuro.2017.07.007

Cited by 8 publications

(4 citation statements)

References 43 publications

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“…Disability, although not significantly different, was higher in all aspects of male patients at the preoperative evaluation, which would suggest that disability evolved faster in men in a similar period. A previous study, performed in a different population and settings, in which one of the authors of the current report took part, also did not find any significant difference in the duration of symptoms between male and female patients and no difference in disability or HRQoL at the preoperative evaluation [ 16 ]. This suggests that baseline factors are highly variable in various settings and studies.…”

Section: Discussionmentioning

confidence: 59%

“…The reason for this difference is still unclear. When looking at published research, one could assume that influence could vary according to the type of surgical procedures [ 11 , 13 , 14 , 16 ]. Other reasons could be differences according to country, culture, surgeon-related factors or other elements, but this is an issue that is still to be determined.…”

Section: Discussionmentioning

confidence: 99%

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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

et al. 2018

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Background/AimsMechanical alterations of the spine, which can cause chronic low back pain (LBP), are a frequent indication for spinal fusion. Studies have shown differences between genders in patients’ evaluations of health-related quality of life (HRQoL) after spinal procedures, but results have been conflicting, and some authors have suggested that cultural variation could explain these discrepancies. The objectives of this study were to determine the influence that gender plays on HRQoL, disability, and the correlation between the 2 in people undergoing spinal fusion for chronic LBP at a neurosurgical centre in Eastern Europe. MethodsPatients undergoing fusion surgery at a single centre for LBP with a duration of more than 3 months were included. They were evaluated using the Short Form Health Survey version-2.0 (SF-36v2) and Oswestry Low Back Pain Disability Index (ODI) questionnaire preoperatively and 1 year after the surgical procedure to identify differences between genders and to evaluate correlations between disability and quality of life. ResultsWe included 31 female and 30 male patients. The male patients had higher disability scores at the preoperative evaluation, but improved more than females in all domains of disability at the postoperative evaluation. HRQoL improved similarly in both genders. The ODI score showed a strong or moderate correlation with 6 of the domains of the SF-36 in males, but with only 3 domains in females. Surgery had a positive impact on the mental status of more men than women at risk of depression. ConclusionThe type of benefit that surgery offers seems to be influenced by gender. While HRQoL improved in both genders, disability decreased significantly more in male patients. Male patients also showed a closer correlation between HRQoL and disability. We conclude that men and women place different importance on specific aspects of their overall quality of life.

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Section: Discussionmentioning

confidence: 59%

Section: Discussionmentioning

confidence: 99%

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

et al. 2018

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“…1 Previous literature has named LBP as the most common occupational disorder worldwide, with a global prevalence of 84% among workers and an incidence of 139 per 100,000 person-years among the general population in the United States. [2][3][4][5] For many years, surgical management (including decompression and fusion procedures) or conservative medical treatment were the only options for treating LBP due to DDD. However, the advent of lumbar total disc replacement (LTDR) provided spine surgeons with an alternative to rigid fusion to relieve pain with less motion restriction.…”

Section: Introductionmentioning

confidence: 99%

“…Although LTDR has proven to be a viable option, its utility remains controversial due to limited, albeit growing, clinical investigations. 2,6 A successful postoperative course following LTDR is largely dependent on the efficacy of the lumbar artificial disc that replaces the diseased intervertebral segment. Additionally, careful diagnostic evaluation to establish the pain generator is vital to successful replacement of the pathologic segment.…”

Section: Introductionmentioning

confidence: 99%

Long-Term Clinical Outcomes With the Activ-L Lumbar Arthroplasty System

et al. 2020

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Background: Low back pain (LBP) due to degenerative disc disease (DDD) is the most common occupational disorder worldwide. Lumbar total disc replacement (LTDR) has provided an alternative to rigid fusion to relieve pain with less motion restriction. We present clinical results with long-term follow-up from a single-center, single-surgeon series of patients treated with the Activ-L artificial disc. Methods: Thirty-three patients with symptomatic single-level DDD who failed nonsurgical therapy for a minimum of 6 months underwent single-level arthroplasty with the Activ-L system between 2007 and 2012. Demographic, preoperative, and postoperative data were collected prospectively. Clinical factors reviewed included occupational status, sensory deficits, functional status determined by Oswestry Disability Index (ODI), back pain, leg pain, pain medication consumption, and radiographic imaging. Results: Average age at surgery was 38.0 6 7.8 years, and the majority of patients were male (60.6%). Average follow-up was 2.

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Prevertebral Anchored Kevlar Band to Recover Intact Spine Movement Ranges in Lumbar Disc Arthroplasty

Vanaclocha,

Atienza

et al. 2024

Biomedical Materials & Devices

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Anterior longitudinal ligament and annulus fibrosus removal in total disc replacement induces excessive spinal mobility with zygapophyseal joint overload and osteoarthritic changes causing chronic back pain. To control disc arthroplasty-induced hypermobility with a Kevlar® band. A 3 × 3 cm Kevlar® band implanted in twelve human lumbar cadaveric spines substituted the anterior longitudinal ligament and annulus in disc arthroplasty. Biomechanical studies compared the intact spine, after discectomy, post-disc arthroplasty, and with the Kevlar® band inserted. The Kevlar® band recovered the extension and axial rotation movement ranges without regaining the intact status. Improvement was moderate in lateral bending. The Instantaneous Axis of Rotation improved the discectomy and total disc prosthesis conditions without recovering the initial state. The disc above the operated one also showed increased mobility, particularly in extension and axial rotation, improved by Kevlar® band insertion without recovering the intact spine values. The Kevlar® band improves excess mobility ranges induced by anterior longitudinal ligament and anterior annulus removal in disc arthroplasty in the operated and supra-adjacent discs without recovering the baseline status.

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Health-related quality of life in patients undergoing lumbar total disc replacement: A comparison with the general population

Cited by 8 publications

References 43 publications

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

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

Long-Term Clinical Outcomes With the Activ-L Lumbar Arthroplasty System

Prevertebral Anchored Kevlar Band to Recover Intact Spine Movement Ranges in Lumbar Disc Arthroplasty

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