Central European Journal of Medicine

, Volume 7, Issue 4, pp 557–563 | Cite as

Quality of life and sociodemographic data in patients after spine surgery

  • Karina Badura-Brzoza
  • Magdalena Piegza
  • Piotr Gorczyca
Research Article



To assess the quality of life and its correlation with sociodemographic data in patients after spine surgery and limb amputation relative to controls.


The SF-36 Health Status Questionnaire (questionnaire with eight domains and two subscales — Physical Component Summary scale (PCS) and Mental Component Summary scale (MCS)) was given to 52 patients after spine surgery because of chronic back pain and 41 patients after limb amputation. Thirty healthy people comprised the control group. In statistical analysis Kruskal-Wallis, U Mann-Whitney and Spearman tests were used.


In comparison to the control group, patients after spine surgery had worse results in all domains of SF-36, especially those who did not improve after surgery, were worse-educated, unemployed or taking more drugs. Patients after limb amputation achieved worse results in all domains of SF-36 and the PCS and the MCS score, in comparison to the control group. In seven domains of SF-36 there were no differences between patients after spine surgery and amputees, meanwhile in 1 domain (PF-physical functioning) patients after amputation had a worse score than those after spine operation.


Patients after spine surgery need multidisciplinary care because of low quality of life, especially those who are poor-educated, unemployed and use more drugs.


Quality of life Sociodemographic data Spine surgery 


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  1. [1]
    Tancred B., Tancred G., Implementation of exercise programmes for preventation and treatment of low back pain, Physiotherapy, 1996, 82,3, 168–173CrossRefGoogle Scholar
  2. [2]
    Nowakowski A., Bóle krzyża, In: Dega W., Senger A. (Eds), Ortopedia i Rehabilitacja. PZWL, Warszawa, 1983, (in Polish)Google Scholar
  3. [3]
    Hägg O., Fritzell P., Nordwall A., Characteristics of patients with chronic low back pain selected for surgery: a comparison with the general population, Spine, 2002, 27,11, 1223–1231PubMedCrossRefGoogle Scholar
  4. [4]
    Bergenudd H., Nilsson B., Back pain in middle age: Occupational work-load and psychological factors: An epidemiological survey, Spine, 1988, 13, 58–60PubMedCrossRefGoogle Scholar
  5. [5]
    Biering-Sörensen F., A prospective study of low back pain in general population: Occurrence, recurrence, and consequence, Scand. J. Rehab. Med., 1983, 15, 71–79Google Scholar
  6. [6]
    Papageoriou A.C., Croft P.R., Ferry S., Estimating the prevalence of low back pain in general population: Evidence from the South Manchester back pain survey, Spine, 1995, 20, 1889–1894CrossRefGoogle Scholar
  7. [7]
    Svensson H.O., Andersson G.B., Johansson S., A retrospective study of low back pain in 38 to 64-year-old woman, Spine, 1988, 13, 548–552PubMedCrossRefGoogle Scholar
  8. [8]
    Dziak A., Przyczyny uszkodzenia i patologii lędźwiowych krążków międzykręgowych. In: Dziak A (Eds), Bóle krzyża, PZWL, Warszawa, 1994, (in Polish)Google Scholar
  9. [9]
    Dziak A., Czopik J., Profilaktyka i leczenie zachowawcze bólów krzyża wywołanych przez choroby krążka międzykręgowego, Pol. Tyg. Lek., 1991, 4, 30–31 (in Polish)Google Scholar
  10. [10]
    Jarema M., Konieczyńska Z., Główczak M., Szaniawska A., Meder J., Jakubiak A., The evaluation of subjective quality of life in patients with schizophrenia or depression, Psychiatr. Pol., 1995, 29,5, 641–654( in Polish)PubMedGoogle Scholar
  11. [11]
    Fanuele J. C., Birkmeyer J., William A., Tosteson T., The impact of spinal problems on the health status of patients, Spine, 2000, 25, 1509–1514PubMedCrossRefGoogle Scholar
  12. [12]
    Gatchel R.J., Mayer T., Dersh J., Robinson R., Polatini P., The association of the SF-36 health status survey with 1-year socioeconomic outcomes in a chronically disabled spinal disorder population, Spine, 1999, 24,20, 2162–2170PubMedCrossRefGoogle Scholar
  13. [13]
    Grevitt M., Khazim R., Webb J., Mulholland R., Shepperd J., The short form-36 health survey questionnaire in spine surgery, J. Bone Joint Surg., 1997, 79-B, 48–42CrossRefGoogle Scholar
  14. [14]
    Ware J.E. Jr, SF-36 Health Survey Manual and Interpretation Guide, The Health Institute New England Medical Center Boston, 1993Google Scholar
  15. [15]
    Ware J.E. Jr, Kosinski M.A., SF-36 Physical and Mental Health Summary Scales: AGoogle Scholar
  16. [16]
    Manual for Users of Version 1, Second Edition, Lincoln, RI; QualityMetric, 2001Google Scholar
  17. [17]
    Yen-Chun Tsai R., Yang R., Bray R.S., Microscopic laminotomies for degenerativeGoogle Scholar
  18. [18]
    lumbar spinal stenosis, J. Spinal Disord., 1998, 115, 389–394Google Scholar
  19. [19]
    Janowski K., Steuden S., Kuryłowicz J., Factors accounting for psychosocial functioning in patients with low back pain, Eur. Spine J., 2010, 19,4, 613–623PubMedCrossRefGoogle Scholar
  20. [20]
    Topolska M., Sapuła R., Topolski A., Marczewski K., Evaluation of the effectiveness of short-term rehabilitation of women with chronic low back pain using the Oswestry and Roland-Morris Disability Scales, Ortop. Traumatol. Rehabil., 2011, 13,4, 353–360PubMedCrossRefGoogle Scholar
  21. [21]
    Andersson G.B.J., The epidemiology of spinal disorders. In: Frymoyer JW, (Eds), The Adult Spine-Principles and Practice, 2 nd ed., Philadelphia, Lippincortt-Raven Publishers, 1997Google Scholar
  22. [22]
    Lorish T., Tanable C., Waller F., London M., Lansky D., Correlation between health outcome and length of hospital stay in lumbar microdiscectomy, Spine, 1998, 23, 2195–2200PubMedCrossRefGoogle Scholar
  23. [23]
    Dahl B., Gehrchen P.M., Kiaer T., Blyme P., Tondevold E., Bendix T., Nonorganic pain drawings are associated with low psychological scores on the preoperative SF-36 questionnaire in patients with chronic low back pain, Eur. Spine, J., 2001, 10,3, 211–214CrossRefGoogle Scholar
  24. [24]
    Ernst M.E., Iyer S.S., Doucette W.R., Drug-related problems and quality of life in arthritis and low back pain, Value Health 2003, 6,1, 51–58PubMedCrossRefGoogle Scholar
  25. [25]
    Fillingim R.B., Doleys D.M., Edwards R.R., Lowery D., Clinical characteristics of chronic back pain as a function of gender and oral opioid use, Spine, 2003, 15,28,2, 143–150CrossRefGoogle Scholar
  26. [26]
    Glassman S., Minkow R., Dimar J., Puno R., Raque G., Johnson J., Effect of prior lumbar discectomy on outcome of lumbar fusion: a prospective analysis using the SF-36 measure. J. Spinal Disord., 1998, 11,5, 383–88PubMedCrossRefGoogle Scholar
  27. [27]
    Marshall M., Helmes E., Deathe B., A comparison of psychosocial functioning and personality in amputee and chronic pain population. Clin. J. Pain., 1992, 8,4, 351–357PubMedCrossRefGoogle Scholar
  28. [28]
    Bone M., Critchley P., Buggy D., Gabapentin in postamputation phantom limb pain: a randomized, double-blind, placebo-controlled, cross-over study, Reg. Anesth. Pain Med., 2002, 27,5, 481–486PubMedGoogle Scholar
  29. [29]
    Jensen M.P., Ehde D. M., Hoffman A., Patterson D. R., Czarniecki J. M., Robinson L. R., Cognitions, coping and social environment predict adjustment to phantom pain, Pain, 2002, 95, 133–142PubMedCrossRefGoogle Scholar
  30. [30]
    Lindsay J.E., Multiple pain complaints in amputees. J. R. Soc. Med., 1985, 78, 6, 225–237Google Scholar
  31. [31]
    O’Toole D.M., Goldberg R.T., Ryan B., functional changes in vascular amputee patients: evaluation by Barthel Index, PULSES profile and ESCROW scale. Arch. Phys. Med. Rehabil., 1985, 66,8, 508–511PubMedGoogle Scholar
  32. [32]
    Dahl B., Gehrchen P.M., Kiaer T., Blyme. P., Tondevold E., Bendix T., Nonorganic pain drawings are associated with low psychological scores on the preoperative SF-36 questionnaire in patients with chronic low back pain, Eur. Spine J., 2001, 10,3, 211–214PubMedCrossRefGoogle Scholar
  33. [33]
    Meikle B., Devlin M., Garfinkel S., Interruption to amputee rehabilitation, Arch. Phys. Med. Rehabil., 2002, 83, 1222–1228PubMedCrossRefGoogle Scholar

Copyright information

© Versita Warsaw and Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  • Karina Badura-Brzoza
    • 1
  • Magdalena Piegza
    • 1
  • Piotr Gorczyca
    • 1
  1. 1.Chair and Clinical Department of Psychiatry in Tarnowskie GóryMedical University of Silesia in KatowiceTarnowskie GóryPoland

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