QUALITY OF LIFE ANALYSIS ON PATIENTS AFTER ARTHROPLASTY OR LUMBAR ARTHRODESIS

Silva, Gustavo Morais da; Rodrigues, Luciano Miller Reis; Lopes, Fernanda Amate; Cesar, André Evaristo Marcondes

doi:10.1590/S1808-185120222201262320

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Original Article, Degenerative • Coluna/Columna. 22 (1) • 2023 • https://doi.org/10.1590/S1808-185120222201262320 copy

QUALITY OF LIFE ANALYSIS ON PATIENTS AFTER ARTHROPLASTY OR LUMBAR ARTHRODESIS

ANÁLISE DA QUALIDADE DE VIDA EM PACIENTES PÓS ARTROPLASTIA OU ARTRODESE LOMBAR

ANÁLISIS DE LA CALIDAD DE VIDA EN PACIENTES TRAS UNA ARTROPLASTIA O ARTRODESIS LUMBAR

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To perform a retrospective analysis of patients with degenerative disc disease of the lumbar spine undergoing arthrodesis or lumbar arthroplasty in terms of functional capacity and quality of life.

Methods:

Retrospective observational study analyzing the medical records of patients undergoing arthrodesis or lumbar arthroplasty, followed-up at an outpatient clinic from 2018 to 2020. Patient characteristics were evaluated; the quality of life through the results of the Short Form 36 Health Survey Questionnaire (SF-36) and the functional capacity using the Oswestry Disability Index (ODI) in the pre-surgical and post-surgical periods (6 months, 1 and 2 years). The criterion to establish statistical significance was p≤0.05.

Results:

Sixty-one patients were evaluated. After the surgical interventions, the individuals migrated from the classification of invalid (61.4%-64.6%) to minimal/moderate disability (17.7%-25.6%). There was a decline in ODI scores over time of follow-up (p≤0.001) as well as in SF-36 values (p≤0.001) for all surgical techniques. In this regard, evaluating the difference in means revealed the better performance of lumbar arthroplasty (p≤0.001).

Conclusion:

The data suggest that lumbar arthroplasty offers greater benefits to patients regarding functional capacity and quality of life. Level of Evidence III; Retrospective, descriptive, observational study.

Keywords:
Low Back Pain; Chronic Pain; Quality of Life; Spinal Fusion; Arthroplasty, Replacement; Intervertebral Disc Degeneration

	Lumbar arthroplasty		ALIF		TLIF
Age	40 – 65 Mean = 56.7 Standard deviation = 8.7		28 – 79 Mean=49.8 Standard deviation = 13.5		27 – 78 Mean=47.9 Standard deviation = 12.1
	n	%	n	%	n	%
Sex
Male	05	35.7	16	72.7	13	52.0
Female	09	64.3	6	27.3	12	48.0
Education
Elementary School	00	-	07	31.8	04	16.0
High School	09	64.3	13	59.1	08	32.0
Higher Education	05	35.7	02	9.1	13	52.0

	Preoperative ODI values
	ALIF = 62.6		TLIF = 61.4		Lumbar arthroplasty = 64.6
Postoperative	Average	d	Average	d	Average	d
ODI 06 months	16.9	1.84	15.5	1.47	24.0	3.38
ODI 01 year	37.0	2.25	25.7	1.99	43.4	3.51
ODI 02 years	43.3	3.18	35.3	2.88	47.1	4.08

		Lumbar arthroplasty		ALIF		TLIF
SF-36		Average	p	Average	p	Average	p
CF pre	CF 6m	−32.1	< 0.001	−35.1	< 0.001	−20.4	< 0.001
	CF 1y	−37.9	< 0.001	−48.5	< 0.001	−27.7	< 0.001
	CF 2y	−41.4	< 0.001	−49.1	< 0.001	−33.4	< 0.001
LAF pre	LAF 6m	−63.5	< 0.001	−38.0	< 0.001	−27.8	< 0.001
	LAF 1y	−78.2	< 0.001	−72.0	< 0.001	−38.2	< 0.001
	LAF 2y	−85.7	< 0.001	−77.7	< 0.001	−55.7	< 0.001
DOR pre	DOR 6m	−29.8	< 0.001	−28.0	< 0.001	−18.6	< 0.001
	PAIN 1y	−50.9	< 0.001	−48.2	< 0.001	−32.3	< 0.001
	PAIN 2y	−57.1	< 0.001	−50.4	< 0.001	−43.1	< 0.001
EGS pre	EGS 6m	−37.1	< 0.001	−19.6	0.001	−20.7	< 0.001
	EGS 1y	−40.1	< 0.001	−36.6	< 0.001	−30.4	< 0.001
	EGS 2y	−42.8	< 0.001	−32.5	< 0.001	−36.7	< 0.001
VIT pre	VIT 6m	−26.9	< 0.001	−20.3	< 0.001	−17.2	< 0.001
	VIT 1y	−31.4	< 0.001	−32.0	< 0.001	−27.4	< 0.001
	VIT 2y	−27.3	< 0.001	−30.4	< 0.001	−35.4	< 0.001
AS pre	AS 6m	−31.4	< 0.001	−29.2	< 0.001	−22.0	< 0.001
	AS 1y	−49.4	< 0.001	−41.6	< 0.001	−36.3	< 0.001
	AS 2y	−54.0	< 0.001	−45.5	< 0.001	−44.9	< 0.001
LAE pre	LAE 6m	−47.6	< 0.001	−45.2	< 0.001	−19.1	< 0.001
	LAE 1y	−59.1	< 0.001	−53.4	< 0.001	−23.8	0.001
	LAE 2y	−57.8	< 0.001	−79.4	< 0.001	−38.8	< 0.001
SM pre	SM 6m	−22.1	< 0.001	−21.7	< 0.001	−19.3	< 0.001
	SM 1y	−27.7	< 0.001	−33.3	< 0.001	−30.7	< 0.001
	SM 2y	−31.0	< 0.001	−33.5	< 0.001	−35.1	< 0.001

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E-mail: coluna.columna@uol.com.br

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[1] Correspondence: Gustavo Morais da Silva. 100, Alexandre Levi, Bloco E, Apartamento 111 , Cambuci, SP, Brazil. 01520-000. drgustavo_unb@outlook.com