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68. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)
7. Joint Meeting mit der Britischen Gesellschaft für Neurochirurgie (SBNS)

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

14. - 17. Mai 2017, Magdeburg

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Predictors of clinical outcome in cervical arthrodesis: Evaluation of physical, mental and social factors

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  • Ehab Shiban - Klinikum rechts der Isar TU München, München, Deutschland
  • Shiban Youssef - Experimentelle Psychologie, Universität Regensburg, Regensburg, Deutschland
  • Thiel Jeff - Klinikum rechts der Isar TU München, München, Deutschland
  • Bruckbauer Florian - Klinikum rechts der Isar TU München, München, Deutschland
  • Florian Ringel - Universitätsklinik Mainz , Klinikum rechts der Isar TU München, München, Deutschland
  • Jens Lehmberg - Klinikum rechts der Isar TU München, München, Deutschland
  • Bernhard Meyer - Klinikum rechts der Isar, Technische Universität München, Neurochirurgische Klinik und Poliklinik, München, Deutschland

Deutsche Gesellschaft für Neurochirurgie. Society of British Neurological Surgeons. 68. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), 7. Joint Meeting mit der Society of British Neurological Surgeons (SBNS). Magdeburg, 14.-17.05.2017. Düsseldorf: German Medical Science GMS Publishing House; 2017. DocMO.09.01

doi: 10.3205/17dgnc049, urn:nbn:de:0183-17dgnc0494

Veröffentlicht: 9. Juni 2017

© 2017 Shiban et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Objective: The influence of psychological and social factors has only recently been acknowledged to impact clinical outcome following spine surgery. Some studies demonstrated that preoperative affective disorders predicts poor outcome after spinal surgery. We aimed to identify potential risk factor for unfavourable outcome following cervical spine surgery for degenerative disc disease.

Methods: In a prospective observational study the authors determined quantitative measurements of pain (visual analog scale [VAS]), health related quality of life ( HRQL: SF-36 and EuroQOL-5D), disease-specific disability (ODI), metal status (anxiety [STAI-T, STAI-S and ASI-3] and Depression [ASD-K]) and social status (Berliner Social Support Scale [BSSS] and education level). Uni- and multivariate analyses were performed to assess associations between the various preoperative factors and the health related quality of life (HRQL) at 12 months follow up.

Results: 51 patients met all inclusion criteria. 34 patients were male (66.7%); mean age was 58.6 years. Most patients were married or in a steady relationship (78.4%). Preoperatively high values in education (r=0.293; p=0.07), SF-36 PCS (r=0.405; p=0.022) and low scores of depression (ASD-K: r=-0.363; p=0.011) and anxiety (ASI-3: r=-0.354; p=0.013) and ODI (r=-0.343; p=0.038) correlated with better HRQL at 1 year postoperatively.

Conclusion: Clinical outcome one year after surgery is influenced by pre-operative physical, mental and social status. A screening instrument allowing the identification of such patients is feasible.