Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_
Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_ Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_
Poster Topic: Spine Abstract number: 23560 SIMULTANEOUS CERVICAL AND LUMBAR SURGERY FOR TANDEM SPINAL STENOSIS IN ELDERLY PATIENTS Hiromichi MISAWA, Takahiro TSUTSUMIMOTO, Hiroshi OHTA, Mutsuki YUI, Isao YODA, Junichi MIZUTANI, Toshimasa FUTATSUGI Spine Center, Yodakubo Hospital, Nagawa Town (JAPAN) Introduction: Spinal stenosis is common in the elderly and sometimes involves the cervical and lumbar spine as tandem spinal stenosis (TSS). Safety and outcomes of simultaneous surgery for patients >70 years with symptomatic TSS were examined. Methods: Subjects comprised 17 patients with TSS (TSS group; mean age, 75.9 years) who underwent cervical laminoplasty. In the lumbar spine, laminectomy (n=10) and decompression with fusion (n=7) were performed. Operation time, blood loss, Japanese Orthopaedic Association (JOA) score, grasp strength, 10-s finger flexionextension test (10-s test), complications, hospitalization, use of analgesics, hemoglobin, CPK and CRP levels were examined. Comparisons were made with 17 controls treated using cervical laminoplasty alone. Results: Mean operation time was 84.3 min (cervical) and 87.4 min (lumbar) for the TSS group and 98.4 min for controls (ns). Mean blood loss was 240.4 g in the TSS group and 56.1 g in controls (p
Poster Topic: Spine Abstract number: 23713 THE INFLUENCE OF PSYCHOLOGICAL FACTORS ON PRE-OPERATIVE LEVELS OF PAIN INTENSITY, DISABILITY AND HRQOL IN LUMBAR SPINAL FUSION SURGERY PATIENTS. Allan ABBOTT 1 , Raija TYNI-LENNÉ 2 , Rune HEDLUND 3 1 Karolinska Institute, Stockholm (SWEDEN), 2 Karolinska University Hospital, Stockholm (SWEDEN), 3 Sahlgrenska Akademin, Gothenburg (SWEDEN) Objectives: To assess the influence of pain and psychological factors on disability and health related quality of life (HRQOL) in patients scheduled for lumbar fusion surgery. To test our hypothesis that relationships between pain intensity, mental health, fear of movement/(re) injury, disability and HRQOL are mediated by cognitive beliefs and appraisals. Design: Cross-sectional, correlational study. Participants: 107 patients scheduled for lumbar fusion surgery. Measures: Visual analogue scale for pain intensity, SF-36 mental health subscale, Tampa Scale for Kinesiophobia, Back Beliefs Questionnaire, Self-Efficacy Scale, Coping Strategy Questionnaire, Oswestry disability index, European Quality of Life Questionnaire. Results: The group effect of multiple mediators significantly influenced the relationships between pain intensity and mental health, fear of movement/(re)injury, functional disability and HRQOL. Pain catastrophizing significantly mediated between pain intensity and mental health, control over pain significantly mediated between mental health and functional disability, self-efficacy and pain outcome expectancy significantly mediated between mental health and HRQOL, self-efficacy significantly mediated between pain intensity, fear of movement/(re) jury and functional disability. The model explained a total of 27.7, 30.3, 52.2 and 41.9% of mental health, fear of movement/(re) injury, functional disability and HRQOL respectively. Conclusions: This study highlights the strong influence and mediation roles of psychological factors on pain, mental health, fear of movement/(re)injury, disability and HRQOL in patients scheduled for lumber fusion. Future research should focus on pre and post-operative screening and interventions based on psychological factors for potential improvement of lumber fusion surgery outcomes. 395
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Poster<br />
Topic: Spine<br />
Abstract number: 23713<br />
THE INFLUENCE OF PSYCHOLOGICAL FACTORS ON PRE-OPERATIVE<br />
LEVELS OF PAIN INTENSITY, DISABILITY AND HRQOL IN LUMBAR SPINAL<br />
FUSION SURGERY PATIENTS.<br />
Allan ABBOTT 1 , Raija TYNI-LENNÉ 2 , Rune HEDLUND 3<br />
1 Karolinska Institute, Stockholm (SWEDEN), 2 Karolinska University Hospital,<br />
Stockholm (SWEDEN), 3 Sahlgrenska Akademin, <strong>Gothenburg</strong> (SWEDEN)<br />
Objectives: To assess the influence of pain and psychological factors on disability<br />
and health related quality of life (HRQOL) in patients scheduled for lumbar fusion<br />
surgery. To test our hypothesis that relationships between pain intensity, mental<br />
health, fear of movement/(re) injury, disability and HRQOL are mediated by cognitive<br />
beliefs and appraisals. Design: Cross-sectional, correlational study. Participants: 107<br />
patients scheduled for lumbar fusion surgery. Measures: Visual analogue scale for<br />
pain intensity, SF-36 mental health subscale, Tampa Scale for Kinesiophobia, Back<br />
Beliefs Questionnaire, Self-Efficacy Scale, Coping Strategy Questionnaire, Oswestry<br />
disability index, European Quality of Life Questionnaire. Results: The group effect of<br />
multiple mediators significantly influenced the relationships between pain intensity<br />
and mental health, fear of movement/(re)injury, functional disability and HRQOL.<br />
Pain catastrophizing significantly mediated between pain intensity and mental health,<br />
control over pain significantly mediated between mental health and functional<br />
disability, self-efficacy and pain outcome expectancy significantly mediated between<br />
mental health and HRQOL, self-efficacy significantly mediated between pain<br />
intensity, fear of movement/(re) jury and functional disability. The model explained a<br />
total of 27.7, 30.3, 52.2 and 41.9% of mental health, fear of movement/(re) injury,<br />
functional disability and HRQOL respectively. Conclusions: This study highlights the<br />
strong influence and mediation roles of psychological factors on pain, mental health,<br />
fear of movement/(re)injury, disability and HRQOL in patients scheduled for lumber<br />
fusion. Future research should focus on pre and post-operative screening and<br />
interventions based on psychological factors for potential improvement of lumber<br />
fusion surgery outcomes.<br />
395
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