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70. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)
Joint Meeting mit der Skandinavischen Gesellschaft für Neurochirurgie

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

12.05. - 15.05.2019, Würzburg

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There are significant psychological and clinical outcome differences between smokers and nonsmokers in patients undergoing elective spine surgery

Vergleich der unterschiedlichen psychopathologischen und klinischen Outcomes zwischen Rauchern und Nicht-Rauchern nach elektiven spinalen Eingriffen

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  • presenting/speaker Arthur Wagner - Klinikum rechts der Isar, Technische Universität München, Neurochirurgische Klinik, München, Deutschland
  • Youssef Shiban - Private Hochschule Göttingen, Göttingen, Deutschland
  • Nicole Lange - Klinikum rechts der Isar, Neurochirurgische Klinik, München, Deutschland
  • Ann-Kathrin Joerger - Klinikum rechts der Isar, Neurochirurgische Klinik, München, Deutschland
  • Bernhard Meyer - Klinikum rechts der Isar, Neurochirurgische Klinik, München, Deutschland
  • Ehab Shiban - Klinikum rechts der Isar, Neurochirurgische Klinik, München, Deutschland

Deutsche Gesellschaft für Neurochirurgie. 70. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), Joint Meeting mit der Skandinavischen Gesellschaft für Neurochirurgie. Würzburg, 12.-15.05.2019. Düsseldorf: German Medical Science GMS Publishing House; 2019. DocV067

doi: 10.3205/19dgnc082, urn:nbn:de:0183-19dgnc0829

Published: May 8, 2019

© 2019 Wagner 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: Previous results have shown that smoking is a major risk factor for perioperative morbidity and complications in spine surgery. However the differences in psychological comorbidities, and their influence on clinical outcome, between smokers and non-smokers has not been examined so far.

Methods: A prospective study of patients undergoing elective spine surgery from 2015 till 2017 was performed. Smoking habits, mental comorbidities (ADS-K, STAI-S, STAI-T and ASI-3 scores) and clinical outcome (SF36, ODI and pain VAS) were evaluated before and one year after surgery. Smoking habits were correlated with the mental and physical outcome measurements.

Results: 342 patients were included. 202 (59.1%) were female and the mean age was 62. 233 (68.1%) and 109 (31.9%) had thoracolumbar and cervical surgery, respectively. There were no differences in baseline characteristics between smokers and non-smokers with regards to clinical outcome. Mental status was worse in smokers. Non-smokers had superior clinical outcome both for cervical cases (ODI: 37.6 vs 42, P=0.013; VAS pain: 2.5 vs 4.2, P=0.009; PCS: 40.3 vs 22.1, P=0.002) and thoracolumbar cases (ODI: 34.62 vs 49, P=0.004; VAS pain: 2.9 vs 4.1, P=0.008; PCS: 41.6 vs 24.1, P=0.002). Also, Non-smokers had better mental status than smokers both in cervical cases (ADS-K: 12.2 vs 19.3, p=0.037; ASI-3:17.9 vs 29.7, p=0.047; STAI-S: 43.2 vs 49.5, p=0.047; STAI-T: 40.1 vs 48.4, p=0.041) and thoracolumbar cases (ADS-K: 9.4 vs 14.2, p=0.053; ASI-3: 12.8 vs 22.9, p=0.029; STAI-S: 33.6 vs 42.1, p=0.039; STAI-T: 39.3 vs 45.2, p=0.049).

Conclusion: Smoking correlates with worse mental and clinical outcome one year following surgery for degenerative disc disease.