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71. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)
9. Joint Meeting mit der Japanischen Gesellschaft für Neurochirurgie

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

21.06. - 24.06.2020

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Long-term quality of life in patients with pyogenic spondylodiscitis

Untersuchung der Lebensqualität bei Patienten mit Spondylodiszitis

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  • Tammam Abboud - Universitätsmedizin Göttingen, Neurochirurgie, Göttingen, Deutschland
  • presenting/speaker Magdalena Krolikowska Flouri - Universitätsmedizin Göttingen, Neurochirurgie, Göttingen, Deutschland
  • Awad Alaid - Universitätsmedizin Göttingen, Neurochirurgie, Göttingen, Deutschland
  • Veit Rohde - Universitätsmedizin Göttingen, Neurochirurgie, Göttingen, Deutschland
  • Bawarjan Schatlo - Universitätsmedizin Göttingen, Neurochirurgie, Göttingen, Deutschland

Deutsche Gesellschaft für Neurochirurgie. 71. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), 9. Joint Meeting mit der Japanischen Gesellschaft für Neurochirurgie. sine loco [digital], 21.-24.06.2020. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocV077

doi: 10.3205/20dgnc082, urn:nbn:de:0183-20dgnc0826

Published: June 26, 2020

© 2020 Abboud 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: Spondylodiscitis is a serious disease that usually affects a fragile patient population with multiple comorbidities and can lead to a severe limitation of quality of life. The aim of this study was to assessdifferent domains of quality of life among patients who underwent surgical treatment for pyogenic spondylodiscitis.

Methods: Data of 218 patients, who were treated for spondylodiscitis at our institution between January 2008 and July 2017 were reviewed retrospectively. A survey was conducted using following questionnaires; Oswestry disability index (ODI), Short-form McGill pain questionnaire, work Ability Index short form and short form (36) health survey, which were sent to patients. We investigated the correlation between the assessed variables and clinical data including patient age, comorbidity score at admission, number of operated levels, corpectomy and length of hospital stay.

Results: At follow-up, 100 patients had died, 74 patients were lost to follow-up or refused to participate in the study. 44 patients responded to the survey and had a mean age of 73 years. The average percentage of permanent pain-related disability on ODI was 45,78±8,21% with the highest rates seen in lifting (55.16%), standing (47.56%) and sex life (47.5%) and the lowest in sleeping (25%). On Short-form McGill pain questionnaire the average sensory pain index was calculated to be 20% (6.5/33), the average affective pain index was 21% (2.48/12) and overall patient pain appraisal (zero is pain free and 5 is agonizing pain) averaged to be 2.3. Most patients (72,09%) had a work ability index of "bad". Patients scored best in general mental health (60.13%) followed by social functioning (51.79%) and worst in role limitation due to physical health (13%). Affective pain index correlated with involvement of lumbar segment, p=0.035. Role limitations due to physical health correlated with corpectomy, p=0.023 and general health correlated with Charlson comorbidity score, p=0.018.

Conclusion: Patients with spondylodiscitis are prone to a long-term limitation in all domains of quality of life especially in physical health and work ability. Involvement of lumbar spine and corpectomy might be predictors of worse outcome.