Publication details

Kvalita života u pacientů po operaci degenerativní spinální stenózy bederní páteře po 3 letech sledování

Title in English Quality of life in the patients treated for degenerative lumbar spinal stenosis: a three-year follow-up study


Year of publication 2010
Type Article in Periodical
Magazine / Source Acta Chirurgiae orthopaedicae Traumatologiae čechoslovaca
MU Faculty or unit

Faculty of Medicine

Field Traumatology and orthopaedic surgery
Keywords spinal stenosis; spinal surgery; Oswestry disability index; SF-36 health survey; VAS
Description Between October 2005 and 2008 answers to Oswestry (ODI), quality of life (SF-36) and VAS questionnaires were obtained from 117 patients (65 women, 52 men,average age of 62 years) indicated for lumbar spine surgery due to spinal stenosis. The L4-5 segment was the most frequently treated level, monosegmental decompression with fusion was the technique used most often. In the first qroup (69 patients) simple decompression and posterolateral fusion using autografts was used. In the second group (21 patients) decompression and instrumented posterior fusion with autografts was used. In the third group (27 patients) decompression and posterior dynamic stabilisation using the Dynesys system was used. The questionnaires were evaluated again at 6, 12, 24 and 36 months at follow-up. In all three groups the ODI significantly improved from the average preoperative value of 53 to 39 postoperatively. The SF-36 questionnaire also showed significant improvement. The VAS-based assessment of life satisfaction, back and leg pain did not provide such convincing results.

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