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Outcome of Spinal Fusion for Lumbar Degenerative Disease: A Cross-Sectional Study in Korea

Cited 7 time in Web of Science Cited 9 time in Scopus
Authors
Kong, Chang-Bae; Jeon, Do-Whan; Chang, Bong-Soon; Lee, Jae Hyup; Park, Jong-Beom; Suk, Kyung-Soo
Issue Date
2010-07-01
Publisher
LIPPINCOTT WILLIAMS & WILKINS
Citation
SPINE; Vol.35(15); 1489-1494
Keywords
lumbar degenerative diseasepatient`s satisfactionfusionpostoperative pain
Abstract
Study Design. Retrospective cross-sectional study. Objective. To evaluate the degree of postoperative pain and patients` satisfaction after lumbar fusion from a nationwide survey in Korea. Summary of Background Data. There have been few studies that investigated the factors related to patients` satisfaction after spinal fusion in lumbar degenerative disease (LDD). Methods. This study included 629 patients who underwent spinal fusion for LDD at clinics of designated members of the Korean Society of Spine Surgery. This survey was done in 123 hospitals with 171 spine surgeons. Questionnaires for patients included severity of present back pain and radicular pain ( visual analog scale score), Oswestry Disability Index (ODI), and subjective outcomes. Questionnaire for surgeons included preoperative diagnosis, level of fusion, operative method, and presumed patient`s pain. Results. The patients were 199 men and 430 women, with mean age of 62.3 years. The mean visual analog scale score of back pain and radicular pain was 5.0 +/- 2.6 and 4.4 +/- 3.0, respectively. The mean ODI was 44.3 +/- 19.4. ODI was significantly increased with older age, workers` compensation, and increased fusion extent. Correlated factors of dissatisfaction were severe back pain, higher ODI, multiple operation, and insufficient explanation about postoperative pain. There was a significant correlation between preoperative explanation about postoperative pain and degree of patient`s pain. Conclusion. Patients` satisfaction was not as high as expected after fusion for LDD. Therefore, the decision for performing a lumbar fusion in those patients must be done more carefully, and it should be explained more precisely that chronic pain may persist after spinal surgery.
ISSN
0362-2436
Language
English
URI
http://hdl.handle.net/10371/78470
DOI
https://doi.org/10.1097/BRS.0b013e3181c49fd0
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College of Medicine/School of Medicine (의과대학/대학원)Orthopedic Surgery (정형외과학전공)Journal Papers (저널논문_정형외과학전공)
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