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71. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)
9. Joint Meeting mit der Japanischen Gesellschaft für Neurochirurgie

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

21.06. - 24.06.2020

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Quality of life after microsurgical decompression in lumbar spinal canal stenosis – a long-term follow-up study

Lebensqualität nach mikrochirurgischer Dekompression bei Patienten mit lumbaler Spinalkanalstenose – eine Langzeitstudie

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  • presenting/speaker Bui Hong Van Lisa Nguyen - Universitätsklinikum Frankfurt am Main, Klinik für Neurochirurgie, Frankfurt am Main, Deutschland
  • Markus Bruder - Universitätsklinikum Frankfurt am Main, Klinik für Neurochirurgie, Frankfurt am Main, Deutschland
  • Gerhard Marquardt - Universitätsklinikum Frankfurt am Main, Klinik für Neurochirurgie, Frankfurt am Main, Deutschland
  • Volker Seifert - Universitätsklinikum Frankfurt am Main, Klinik für Neurochirurgie, Frankfurt am Main, Deutschland
  • Bedjan Behmanesh - Universitätsklinikum Frankfurt am Main, Klinik für Neurochirurgie, Frankfurt am Main, Deutschland
  • presenting/speaker Matthias Setzer - Universitätsklinikum Frankfurt am Main, Klinik für Neurochirurgie, Frankfurt am Main, Deutschland

Deutsche Gesellschaft für Neurochirurgie. 71. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), 9. Joint Meeting mit der Japanischen Gesellschaft für Neurochirurgie. sine loco [digital], 21.-24.06.2020. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocV049

doi: 10.3205/20dgnc053, urn:nbn:de:0183-20dgnc0535

Published: June 26, 2020

© 2020 Nguyen et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Objective: The aim of this prospective study was to evaluate the long-term quality of life of patients after microsurgical decompression for lumbar spinal stenosis (LSS).

Methods: 272 patients with LSS presenting with neurogenic claudication, back and leg pain and neurological symptoms underwent microsurgical decompression. Demographic and clinical characteristics were evaluated Long-term quality of life was assessed using the 36-Item Short Form Health Survey (SF-36) scales and summary scores with a follow-up of 3-8 years.

Results: Patients with higher BMI, longer operative time and longer hospitalization had significantly worse physical health component summary scores (PCS) whereas women showed significantly worse mental health component summary scores than men. Those preoperatively showing a spondylolisthesis °I had a reoperation rate of 2.4%, compared to 1.3% in those without . Furthermore, women had higher rates of spondylolisthesis and lower mental health summary scores than men.

Conclusion: Female gender is significantly associated with the presence of spondylolisthesis and worse mental health summary scores, whereas higher BMI is significantly associated with worse physical health in long-term quality of life. Overall patients of this study achieved good and satisfactory PCS, comparable to mean PCS scores of similar populations.