Alan and Jacqueline Stuart Spine Research Center, Department of Neurosurgery, Lahey Clinic, Burlington, and Tufts University School of Medicine, Boston, Massachusetts;
J Neurosurg Spine. 2014 Jul;21(1):7-13. doi: 10.3171/2014.4.SPINE14258.
Assessment of functional patient-reported outcome following lumbar spinal fusion continues to be essential for comparing the effectiveness of different treatments for patients presenting with degenerative disease of the lumbar spine. When assessing functional outcome in patients being treated with lumbar spinal fusion, a reliable, valid, and responsive outcomes instrument such as the Oswestry Disability Index should be used. The SF-36 and the SF-12 have emerged as dominant measures of general health-related quality of life. Research has established the minimum clinically important difference for major functional outcomes measures, and this should be considered when assessing clinical outcome. The results of recent studies suggest that a patient's pretreatment psychological state is a major independent variable that affects the ability to detect change in functional outcome.
评估腰椎融合术后患者的功能报告结局仍然是比较不同治疗方法对腰椎退行性疾病患者有效性的关键。当评估接受腰椎融合术治疗的患者的功能结局时，应该使用可靠、有效和敏感的结果工具，如 Oswestry 功能障碍指数。SF-36 和 SF-12 已成为一般健康相关生活质量的主要衡量指标。研究已经确定了主要功能结局测量的最小临床重要差异，在评估临床结局时应考虑这一点。最近的研究结果表明，患者术前的心理状态是影响检测功能结局变化能力的一个主要独立变量。
