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The Third Channel-Assisted Unilateral Biportal Endoscopic Technique for Lumbar Spinal Stenosis Combined with Contralateral Disc Herniation
Published on: November 17, 2023
Lumbar spinal stenosis patients are satisfied with short-term results of surgery - younger age, symptom severity,
Sanna Sinikallio1, Timo Aalto, Olavi Airaksinen
1Department of Rehabilitation, Kuopio University Hospital, Kupio, Finland. sanna.sinikallio@kuh.fi
Disability and Rehabilitation
|April 25, 2007
Summary
Patient satisfaction after lumbar spinal stenosis (LSS) surgery is linked to pre-operative well-being. Factors like younger age, symptom severity, disability, and depression influence dissatisfaction, highlighting the need for realistic information and depression screening.
Area of Science:
- Neurosurgery
- Orthopedics
- Rehabilitation Medicine
Background:
- Lumbar spinal stenosis (LSS) significantly impacts patients' quality of life.
- Surgical intervention is a common treatment for LSS, but patient satisfaction outcomes require further investigation.
Purpose of the Study:
- To evaluate patient satisfaction with surgical outcomes for lumbar spinal stenosis (LSS) at three months post-operation.
- To identify factors associated with patient satisfaction and dissatisfaction following LSS surgery.
Main Methods:
- Ninety-eight LSS patients completed validated questionnaires assessing physical functioning (Oswestry Disability Index, Stucki questionnaire), pain (Visual Analogue Scale, pain drawings), depression (Beck Depression Inventory), and psychological well-being (Life Satisfaction Scale, Toronto Alexithymia Scale, Sense of Coherence Scale) pre- and post-surgery.
- Patient satisfaction with the surgical outcome was measured using a dedicated scale.
Main Results:
- Significant improvements were observed in functional and pain-related variables post-surgery.
- Two-thirds (66%) of LSS patients reported clear satisfaction with their surgical outcome.
- Younger age, greater symptom severity, higher disability levels, and pre-existing depression were independently associated with lower patient satisfaction.
Conclusions:
- Patient satisfaction is a crucial and valid outcome measure for LSS surgery.
- Dissatisfaction is linked to deficits in physical, functional, and emotional well-being.
- Recommendations include providing realistic pre-operative patient information and screening for depression prior to surgery.
