Glassman S D, Minkow R E, Dimar J R, Puno R M, Raque G H, Johnson J R
Department of Orthopaedic Surgery, University of Louisville, and the Kenton D. Leatherman Spine Center, Kentucky, USA.
J Spinal Disord. 1998 Oct;11(5):383-8.
This study prospectively measured patient-reported quality-of-life outcome in patients undergoing fusion for recurrent symptoms after prior discectomy. Analysis of SF-36 data revealed statistically significant improvement in physical function, social function, and bodily pain 1 year postoperatively. Analysis of variance revealed significant interactions based on worker's compensation, litigation status, educational level, and age. The results support the conclusion that the SF-36 is a useful and applicable tool for measuring patient perception and quality-of-life parameters after spinal surgery. SF-36 outcomes demonstrated a reasonable level of success for lumbar fusion in revision spine surgery, with the most significant improvements noted in the categories of pain, physical function, and social function.
本研究前瞻性地测量了因先前椎间盘切除术复发症状而接受融合手术患者的患者报告的生活质量结果。对SF-36数据的分析显示，术后1年身体功能、社会功能和身体疼痛有统计学上的显著改善。方差分析显示，基于工伤赔偿、诉讼状态、教育水平和年龄存在显著交互作用。结果支持以下结论：SF-36是一种用于测量脊柱手术后患者感知和生活质量参数的有用且适用的工具。SF-36结果表明，翻修脊柱手术中的腰椎融合取得了合理的成功水平，在疼痛、身体功能和社会功能方面有最显著的改善。
