2010 Neurological Institute Outcomes - Cleveland Clinic

118
Spinal Disease
Degenerative Spondylolisthesis and Spinal Stenosis
Surgical Treatment
Lumbar degenerative spondylolisthesis is a slippage of one or more vertebral bodies relative to the adjacent vertebral body.
This slippage may cause back and leg pain from neurological compression (stenosis) that may impair walking, standing and
many aspects of daily function. Surgical treatment typically involves decompression and instrumented fusion.
Improvement in Quality of Life Following Laminectomy and Fusion for Spinal Stenosis (N = 37)
2010
Mean EQ-5D Score
1.0
0.8
0.6
0.4
0.2
0
Before After
Surgery
Quality of life improved following spinal
surgery for spinal stenosis.
Improvement in Depressive Symptoms Following Laminectomy and Fusion for Spinal Stenosis (N = 37)
2010
Mean PHQ-9 Score
Loss of normal function is often associated
10
with distress. This distress can be measured
8
6
on psychological tests and often manifests
as increased family strife, negative selfperception,
trouble sleeping and depression.
4
Following lumbar laminectomy and fusion for
2
symptomatic stenosis, distress associated
0
Before
Surgery
After
with functional impairments, as measured
by PHQ-9, decreased to levels near those
seen in the general population.
Outcomes 2010