Thomas Cara Michelle, Levene Howard Benjamin
Department of Physical Medicine and Rehabilitation, Jackson Memorial Hospital, University of Miami, Miami, FL, USA.
Department of Neurosurgery, University of Miami, Miami, FL, USA.
Asian Spine J. 2019 Jun;13(3):515-518. doi: 10.31616/asj.2018.0106. Epub 2019 Jan 30.
Patients are faced with many questions surrounding the after effects of the various surgical procedures and their ability to return to preoperative activities. While patients often question whether surgery would provide alleviation of pain, weakness, and instability, they often have additional questions about sexual activity during their convalescence that are not always addressed. Although the literature shows postsurgical improvement in sexual activity in association with improved low back pain, reports vaguely address the variability in sexual activity recommendations based on anatomic location and type of spinal surgery. We conducted a PubMed search of the English language from 1990 to 2018 with the following keywords: sexual activity, postoperative, spinal fusion, spinal decompression, functional outcomes, laminectomy, rehabilitation, biomechanics, lumbar disc surgery, metabolic energy expenditure, coital position, and Oswestry Disability Index. Additional studies are needed that survey both patients and spine surgeons to examine current recommendations and to help formulate future guidelines.
患者面临许多关于各种外科手术后遗症以及他们恢复术前活动能力的问题。虽然患者常常质疑手术是否能缓解疼痛、虚弱和不稳定症状，但他们在康复期间关于性活动往往还有其他问题，而这些问题并不总是能得到解答。尽管文献表明，随着下腰痛症状的改善，术后性活动也会有所改善，但报告只是模糊地提及了基于脊柱手术的解剖位置和类型的性活动建议的差异。我们在PubMed上检索了1990年至2018年的英文文献，关键词如下：性活动、术后、脊柱融合术、脊柱减压术、功能结果、椎板切除术、康复、生物力学、腰椎间盘手术、代谢能量消耗、性交体位和奥斯威斯利残疾指数。还需要开展更多研究，对患者和脊柱外科医生进行调查，以审视当前的建议并帮助制定未来的指南。
