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Research ArticleArticles

Comparison of quality of life between men and women who underwent Transforaminal Percutaneous Endoscopic Discectomy for lumbar disc herniation

Stylianos Kapetanakis, Grigorios Gkasdaris, Tryfon Thomaidis, Georgios Charitoudis and Konstantinos Kazakos
International Journal of Spine Surgery January 2017, 11 (4) 28; DOI: https://doi.org/10.14444/4028
Stylianos Kapetanakis
European Interbalkan Medical Center
MD, PhD
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Grigorios Gkasdaris
European Interbalkan Medical Center
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Tryfon Thomaidis
European Interbalkan Medical Center
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Georgios Charitoudis
European Interbalkan Medical Center
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Konstantinos Kazakos
European Interbalkan Medical Center
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  • Article
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Article Figures & Data

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  • Fig. 1
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    Fig. 1

    Anteroposterior (right) and lateral (left) intraoperative fluoroscopic images of the guidewire placed at the level where the disc herniation is present.

  • Fig. 2
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    Fig. 2

    Intraoperative endoscopic visualization of the annular opening of the working channel.With the rongeur it is possible to remove the herniated disc material.

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    Fig. 3

    Preoperatively, at six months and one year postoperatively SF-36 scores, related to gender. PF: physical function, RP: role physical, BP: bodily pain, GH: general health, V: vitality, SF: social function, RE: roleemotional, MH: mental health.

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    Fig. 4

    SF-36 scores in total sample, preoperatively, at six months and one year postoperatively. PF: physical function, RP: role physical, BP: bodily pain, GH: general health, V: vitality, SF: social function, RE: roleemotional, MH: mental health.

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    Fig. 5

    Change in SF-36 scores at six months and one year compared to before surgery, related to gender. PF: physical function, RP: role physical, BP: bodily pain, GH: general health, V: vitality, SF: social function, RE: roleemotional, MH: mental health.

Tables

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    Table 1

    Demographic and baseline characteristics.

    CountAgeL3-L4L4-L5L5-S1
    N%MeanSDN%N%N%
    Total 7610056.4712.0662127.64052.61519.7
    Male 385056.5312.631128.92052.6718.4
    Female 385056.4211.641026.32052.6821.1
    t test p=0.970chi square p=0.944
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    Table 2

    Preoperative estimation of mean values of SF-36 for men and women.

    PF preopRP preopBP preopGH preop
    MeanSDMeanSDMeanSDMeanSD
    Total 47.387.20721.965.67231.435.3664.54.743
    Male 47.688.441226.16431.345.4564.374.978
    Female 47.085.81921.925.21631.535.3464.634.558
    t test p=0.717U Mann Whitney p=0.963t test p=0.882U Mann Whitney p=0.988
    V preopSF preopRE preopMH preop
    MeanSDMeanSDMeanSDMeanSD
    Total 46.35.14350.716.65950.877.0870.837.641
    Male 46.394.65950.766.28450.896.8870.797.868
    Female 46.215.64850.667.09950.847.3770.877.513
    t test p=0.877t test p=0,946t test p=0.974t test p=0.989
    • View popup
    Table 3

    Comparison of change of mean values for all chronological phases (two phases each time) for men and women.

    (mean +-sd)Preop to 6 weeksPreop to 3 MonthsPreop to 6 MonthsPreop to 12 MonthsSix Weeks to 3 Months
    PFmale16.9+-5.622.9+-5.832.6+-6.935.2+-5.96.0+-3.1
    female17.1+-4.425.8+-5.233.3+-5.335.9+-5.18.7+-3.0
    t testt testMann-Whitneyt testMann-Whitney
    p=0.87p=0.023p=0.52p=0.58p<0.001
    RP male35.29+-5.043.61+-5.8448.45+-5.7553.0+-6.338.32+-3.30
    female35.63+-3.344.0+-3.7948.66+-3.6653.11+-3.958.37+-2.48
    t testMann-WhitneyMann-WhitneyMann-WhitneyMann-Whitney
    0.7260.5080.9670.9750.998
    BP male16.03+-4.4221.55+-4.9131.18+-5.5246.32+-5.715.53+-2.03
    female16.0+-3.4321.16+-4.2330.71+-5.6546.16+-5.695.16+-1.63
    Mann-Whitneyt testt testt testMann-Whitney
    0.7150.7080.7130.9040.467
    GH male0.95+-1.662.42+-1.574.08+-2.374.74+-2.481.47+-2.53
    female1.00+-1.721.89+-2.093.55+-3.064.53+-2.650.89+-2.71
    Mann-WhitneyMann-WhitneyMann-WhitneyMann-WhitneyMann-Whitney
    0.8570.2340.7250.9620.411
    V male11.92+-3.4217.0+-4.5530.0+-5.8833.34+-6.025.08+-2.39
    female12.05+-2.5617.0+-3.6530.05+-5.2033.42+-5.604.95+-2.82
    Mann-WhitneyMann-Whitneyt testt testMann-Whitney
    0.5490.7820.9670.9530.745
    SF male13.26+-4.1315.32+-4.2829.24+-6.2233.32+-6.462.05+-1.97
    female13.26+-3.6815.34+-3.9229.32+-5.0833.34+-6.372.08+-1.68
    Mann-Whitneyt testt testt testt test
    0.9170.9780.9580.9860.95
    RE male17.16+-4.9925.68+-6.4136.24+-7.0639.21+-6.598.53+-3.74
    female17.18+-5.5225.66+-5.2336.26+-5.4439.26+-5.198.47+-3.93
    Mann-Whitneyt testt testt testt test
    0.8430.9840.9860.9690.953
    MH male1.74+-1.624.53+-2.147.21+-2.919.26+-3.382.79+-1.37
    female1.79+-2.004.42+-2.527.16+-3.159.21+-3.862.63+-1.42
    t testt testt testt testMann-Whitney
    0.9010.8450.9410.9510.673
    (mean +-sd) Preop to 6 weeks Preop to 3 Months Preop to 6 Months Preop to 12 Months Six Weeks to 3 Months
    PF male15.7+-4.518.3+-3.59.7+-4.312.3+-3.52.6+-3.1
    female16.2+-3.018.8+-3.27.5+-3.010.1+-3.52.6+-1.8
    Mann-WhitneyMann-WhitneyMann-Whitneyt testMann-Whitney
    p=0.40p=0.51p=0.025p=0.007p=0.91
    RP male3.16+-3.6917.71+-5.044.84+-1.899.39+-4.784.55+-4.43
    female13.03+-2.6017.47+-3.474.66+-1.539.25+-3.814.45+- 2.06
    t testt testMann-WhitneyMann-WhitneyMann-Whitney
    0.8580.2370.6460.2710.356
    BP male15.16+-3.6530.29+-4.759.63+-2.8424.76+-4.8015.13+-53.78
    female14.71+-3.5430.16+-4.519.55+-2.9525.0+-4.3415.45+-4.26
    Mann-Whitneyt testMann-Whitneyt testMann-Whitney
    0.6960.9020.9010.8220.65
    GH male3.13+-2.983.79+-3.121.66+-1.832.32+-1.870.66+-1.80
    female2.55+-3.323.53+-3.001.66+-1.912.32+-1.870.97+-1.93
    Mann-WhitneyMann-WhitneyMann-WhitneyMann-WhitneyMann-Whitney
    0.6010.8020.8910.4960.425
    V male18.08+-4.8921.42+-5.013.0+-4.0416.34+-4.283.34+-1.53
    female18.0+-4.7321.37+-5.2213.05+-3.9116.42+-4.373.37+-1.87
    t testt testMann-WhitneyMann-WhitneyMann-Whitney
    0.9430.9640.7380.9370.811
    SF male15.97+-5.8920.05+-5.8613.92+-5.4318.0+-5.414.08+-1.38
    female16.05+-4.1420.08+-5.2613.97+-3.5618.0+-4.834.03+-2.32
    Mann-Whitneyt testMann-WhitneyMann-WhitneyMann-Whitney
    0.9880.9840.9330.9540.603
    RE male19.08+-5.5922.05+-5.6410.55+-3.9513.53+-4.092.97+-1.78
    female19.08+-4.1822.08+-4.2710.61+-2.6113.61+-3.343.00+-2.02
    Mann-Whitneyt testMann-WhitneyMann-WhitneyMann-Whitney
    0.9170.9820.7730.9830.895
    MH male5.47+-2.337.53+-2.782.68+-1.314.74+-2.222.05+-1.52
    female5.37+-2.557.42+-3.142.74+-2.394.79+-3.162.05+-1.69
    Mann-WhitneyMann-WhitneyMann-WhitneyMann-WhitneyMann-Whitney
    0.8750.8750.5020.9620.958
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International Journal of Spine Surgery
Vol. 11, Issue 4
1 Jan 2017
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Comparison of quality of life between men and women who underwent Transforaminal Percutaneous Endoscopic Discectomy for lumbar disc herniation
Stylianos Kapetanakis, Grigorios Gkasdaris, Tryfon Thomaidis, Georgios Charitoudis, Konstantinos Kazakos
International Journal of Spine Surgery Jan 2017, 11 (4) 28; DOI: 10.14444/4028

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Comparison of quality of life between men and women who underwent Transforaminal Percutaneous Endoscopic Discectomy for lumbar disc herniation
Stylianos Kapetanakis, Grigorios Gkasdaris, Tryfon Thomaidis, Georgios Charitoudis, Konstantinos Kazakos
International Journal of Spine Surgery Jan 2017, 11 (4) 28; DOI: 10.14444/4028
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Keywords

  • lumbar disc herniation
  • transforaminal percutaneous endoscopic discectomy
  • minimally invasive spine surgery
  • gender
  • quality of life
  • sf-36

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