Influence of Gender on Health-Related Quality of Life and Disability at 1 Year After Surgery for Thoracolumbar Burst Fractures

Maior, Tiberiu; Ungureanu, Gheorghe; Kakucs, Cristian; Berce, Cristian; Petrushev, Bobe; Florian, Ioan Ştefan

doi:10.1177/2192568217710854

Cited by 6 publications

(3 citation statements)

References 45 publications

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“…Of the 35 studies where sex/gender differences were present, n = 3 were on spine fractures after spinal fusion surgery. One study was on sacral fractures ( 54 ), and two studies were on thoracolumbar burst fractures ( 34 , 42 ). Salzmann et al observed, at a 6-month follow-up, that female gender (76.2%), advanced age (mean, 66.4 years), and obesity were risk factors for post-op sacral fractures ( 54 ).…”

Section: Resultsmentioning

confidence: 99%

“…Differently, Jang et al showed that the male gender was a risk factor for recollapse of thoracolumbar burst fractures ( 34 ). At 1-year follow-up, Maior et al reported that male patients have better outcomes than females after thoracolumbar burst fractures; an increased score in each item of the SF-36 in male than female patients was also observed ( 42 ).…”

Section: Resultsmentioning

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: Resultsmentioning

confidence: 99%

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

et al. 2022

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“…This could cause a different interpretation of a similar disability and degree of pain between the 2 genders. In a previous study investigating the issue of this correlation after surgery for thoracolumbar burst fractures, we found a higher association between disability and HRQoL in female patients [ 23 ]. In this study, ODI and PCS correlated significantly at 1 year after surgery.…”

Section: Discussionmentioning

confidence: 94%

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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Surgical treatment of traumatic fractures of the thoracic and lumbar spine: A systematic review

Vercoulen,

Niemeyer,

Peuker

et al. 2024

Brain and Spine

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Influence of Gender on Health-Related Quality of Life and Disability at 1 Year After Surgery for Thoracolumbar Burst Fractures

Cited by 6 publications

References 45 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

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

Surgical treatment of traumatic fractures of the thoracic and lumbar spine: A systematic review

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