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

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Title in English	Quality of life in the patients treated for degenerative lumbar spinal stenosis: a three-year follow-up study
Authors	NĚMEC Filip RYBA Luděk REPKO Martin CHALOUPKA Richard
Year of publication	2010
Type	Article in Periodical
Magazine / Source	Acta Chirurgiae orthopaedicae Traumatologiae čechoslovaca
MU Faculty or unit	Faculty of Medicine
Citation
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.