Impact of surgery on pain, disability, and quality of life of patients with degenerative lumbar disease: Brazilian data

Arq Neuropsiquiatr. 2019 Sep 5;77(8):536-541. doi: 10.1590/0004-282X20190070.

Abstract

Objective: To study the impact of surgery on pain, disability, quality of life, and patient satisfaction in a sample of patients with Degenerative Lumbar Disease (DLD).

Methods: Retrospective analysis of prospectively collected data. Comparison between pre and postoperative (6 - 12 months) ODI and SF-36, plus postoperative Patient Satisfaction Index.

Results: From a total of 216 patients included, improvement was observed in average scores of pain (201.2%), disability (39.7%), physical quality of life (42%), and mental quality of life (37.8%). Among these patients, 57.7% reached or surpassed the minimal clinically important difference (MCID) for ODI, 57.7% for the SF-36 pain component, 59.7% for the SF-36 physical component summary, and 50.5% achieved or surpassed the MCID for the SF-36 mental component summary.

Conclusions: Surgery produced a significantly positive impact on pain, disability, and quality of life of patients. Overall, 82.5% of the patients were satisfied.

MeSH terms

  • Adult
  • Aged
  • Brazil
  • Disability Evaluation*
  • Female
  • Humans
  • Intervertebral Disc Degeneration / physiopathology*
  • Intervertebral Disc Degeneration / surgery*
  • Lumbar Vertebrae / physiopathology*
  • Lumbar Vertebrae / surgery*
  • Male
  • Middle Aged
  • Pain Measurement
  • Patient Satisfaction
  • Quality of Life*
  • Retrospective Studies
  • Surveys and Questionnaires
  • Treatment Outcome