Behmanesh Bedjan, Wempe Helen, Kilinc Fatma, Dubinski Daniel, Won Sae-Yeon, Czabanka Marcus, Setzer Matthias, Schuss Patrick, Schneider Matthias, Freiman Thomas, Gessler Florian
Department of Neurosurgery, University Medicine of Rostock, Schillingallee 35, 18057 Rostock, Germany.
Department of Neurosurgery, Goethe University Hospital, 60528 Frankfurt am Main, Germany.
J Clin Med. 2024 Sep 23;13(18):5636. doi: 10.3390/jcm13185636.
Return to work after spinal surgery is a crucial factor in the recovery process. It can contribute not only to physical rehabilitation but also to psychological well-being. This study aims to evaluate the rate of return to work following elective lumbar spine surgery and identify predictors that predict failure of return to work. Adult patients who underwent anterior lumbar interbody fusion at two medical centers were retrospectively identified. A standardized telephone interview was conducted for the final analysis to assess the clinical outcomes of these patients. Out of a total of 159 patients, 104 were of working age at the time of the elective surgery. Data were missing for 35 patients, who were thus excluded from the analysis. All patients had a minimum follow-up period of one year. After surgery, 75% of the patients returned to work within a median time of 3 months. Quality of life, back pain, leg pain, and ODI scores, as well as self-reported satisfaction, were significantly better in patients who returned to work ( < 0.05). Tobacco use and previous musculoskeletal surgery were significant predictive factors of failure to return to work. None of the patients who were unemployed prior to surgery returned to work. Our study reveals that 75% of patients returned to work within three months after surgery. The most significant predictor of failure to return to work is being unemployed before surgery. Additionally, preoperative education about postoperative behavior and physical activity could potentially increase the rate.
脊柱手术后重返工作岗位是恢复过程中的一个关键因素。它不仅有助于身体康复，还对心理健康有益。本研究旨在评估择期腰椎手术后的重返工作岗位率，并确定预测重返工作岗位失败的因素。对在两个医疗中心接受前路腰椎椎间融合术的成年患者进行了回顾性识别。为进行最终分析，进行了标准化电话访谈以评估这些患者的临床结果。在总共159名患者中，104名在择期手术时处于工作年龄。35名患者数据缺失，因此被排除在分析之外。所有患者的最短随访期为一年。术后，75%的患者在3个月的中位时间内重返工作岗位。重返工作岗位的患者在生活质量、背痛、腿痛和ODI评分以及自我报告的满意度方面明显更好（<0.05）。吸烟和既往肌肉骨骼手术是未能重返工作岗位的重要预测因素。术前失业的患者无一重返工作岗位。我们的研究表明，75%的患者在术后三个月内重返工作岗位。未能重返工作岗位的最显著预测因素是术前失业。此外，术前关于术后行为和体育活动的教育可能会提高重返工作岗位的比率。
