• Int J Rehabil Res · Mar 2014

    Randomized Controlled Trial

    Life dissatisfaction burden is associated with a poor surgical outcome among lumbar spinal stenosis patients: a 5-year follow-up study.

    • Maarit Pakarinen, Heli Koivumaa-Honkanen, Sanna Sinikallio, Soili M Lehto, Timo Aalto, Olavi Airaksinen, and Heimo Viinamäki.
    • aDepartment of Psychiatry, Kuopio University Hospital and Institute of Clinical Medicine bInstitute of Public Health and Clinical Nutrition, University of Eastern Finland cDepartment of Rehabilitation, Kuopio University Hospital, Kuopio dSouth-Savonia Hospital District eKyyhkylä Rehabilitation Center, Mikkeli fSOSTERI, Savonlinna gSOTE, Iisalmi hLapland Hospital District, Rovaniemi iNorth Karelia Central Hospital, Joensuu, Finland.
    • Int J Rehabil Res. 2014 Mar 1;37(1):80-5.

    AbstractDissatisfaction with life has been found to be associated with somatic health and the short-term surgery outcome in lumbar spinal stenosis (LSS) patients. This study investigated the effects of the long-term life dissatisfaction burden on the surgery outcome in LSS patients with a 5-year follow-up. This was a prospective clinical study. Altogether, 102 patients who underwent decompressive surgery completed a set of questionnaires preoperatively, 3 and 6 months, and 1, 2 and 5 years after the surgery. The final study population at the 5-year follow-up included 67 patients. The mean age of the patients was 67 years and 35% of the patients were men. Life satisfaction was evaluated using a four-item Life Satisfaction Scale. The life dissatisfaction burden was the sum of all six life satisfaction scores recorded during the follow-up. The outcome of surgery was evaluated using the Oswestry Disability Index (ODI), pain evaluation (Visual Analogue Scale; VAS), overall satisfaction with the surgery and self-reported walking capacity. In linear regression, the long-term life dissatisfaction burden was associated with the 5-year ODI, even after adjusting for age, sex, marital status, preoperative ODI and the 5-year VAS. It was not associated with the 5-year VAS score. Monitoring the life satisfaction of surgically treated LSS patients may enable detection of those at risk of a poorer surgery outcome.

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