Transforaminal Lumbar Endoscopic Discectomy: A Novel Alternative for Management of Lumbar Disc Herniation in Patients With Rheumatoid Arthritis?
Objective Lumbar disc herniation (LDH) represents an increasingly encountered condition in patients with rheumatoid arthritis (RA). The aim of the present study is to assess the progress of health-related quality of life following transforaminal endoscopic lumbar discectomy (TELD) for LDH in patient...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korean Spinal Neurosurgery Society
2024-12-01
|
| Series: | Neurospine |
| Subjects: | |
| Online Access: | http://e-neurospine.org/upload/pdf/ns-2448634-317.pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849739580621717504 |
|---|---|
| author | Stylianos Kapetanakis Constantinos Chaniotakis Paschalis Tsioulas Nikolaos Gkantsinikoudis |
| author_facet | Stylianos Kapetanakis Constantinos Chaniotakis Paschalis Tsioulas Nikolaos Gkantsinikoudis |
| author_sort | Stylianos Kapetanakis |
| collection | DOAJ |
| description | Objective Lumbar disc herniation (LDH) represents an increasingly encountered condition in patients with rheumatoid arthritis (RA). The aim of the present study is to assess the progress of health-related quality of life following transforaminal endoscopic lumbar discectomy (TELD) for LDH in patients suffering from RA. Methods Seventy-four patients, scheduled to undergo elective TELD for LDH, were prospectively enrolled in the study. Group A included 36 otherwise healthy individuals and group B 38 patients complementarily diagnosed with RA according to the 2010 ACR/EULAR (American College of Rheumatology/European League Against Rheumatism) criteria. The Medical Outcomes Study 36-item Short Form health survey (SF-36) was selected for the outcome assessment at baseline and postoperatively, at selected intervals at 6 weeks, 3, 6, and 12 months postoperatively. Results Group A presented statistically significantly higher scores in all SF-36 domains and all selected intervals (p<0.001), except for mental health parameter. All aspects of SF-36 questionnaire significantly improved postoperatively (p<0.001) and in each group independently. Nevertheless, the absolute improvement between consecutive time intervals did not differ significantly between the 2 groups. Conclusion Patients diagnosed with RA who undergo TELD for LDH demonstrate statistically significant improvement in their health status, as measured by SF-36 questionnaire, one year after the procedure. This improvement is comparable with normal individuals. |
| format | Article |
| id | doaj-art-e2fc9cbdf7d448e4af7220c006401737 |
| institution | DOAJ |
| issn | 2586-6583 2586-6591 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Korean Spinal Neurosurgery Society |
| record_format | Article |
| series | Neurospine |
| spelling | doaj-art-e2fc9cbdf7d448e4af7220c0064017372025-08-20T03:06:14ZengKorean Spinal Neurosurgery SocietyNeurospine2586-65832586-65912024-12-012141210121810.14245/ns.2448634.3171634Transforaminal Lumbar Endoscopic Discectomy: A Novel Alternative for Management of Lumbar Disc Herniation in Patients With Rheumatoid Arthritis?Stylianos Kapetanakis0Constantinos Chaniotakis1Paschalis Tsioulas2Nikolaos Gkantsinikoudis3 Spine Department and Deformities, Interbalkan European Medical Center, Thessaloniki, Greece Spine Department and Deformities, Interbalkan European Medical Center, Thessaloniki, Greece 2nd Orthopaedic Department, Papageorgiou General Hospital, Thessaloniki, Greece Spine Department and Deformities, Interbalkan European Medical Center, Thessaloniki, GreeceObjective Lumbar disc herniation (LDH) represents an increasingly encountered condition in patients with rheumatoid arthritis (RA). The aim of the present study is to assess the progress of health-related quality of life following transforaminal endoscopic lumbar discectomy (TELD) for LDH in patients suffering from RA. Methods Seventy-four patients, scheduled to undergo elective TELD for LDH, were prospectively enrolled in the study. Group A included 36 otherwise healthy individuals and group B 38 patients complementarily diagnosed with RA according to the 2010 ACR/EULAR (American College of Rheumatology/European League Against Rheumatism) criteria. The Medical Outcomes Study 36-item Short Form health survey (SF-36) was selected for the outcome assessment at baseline and postoperatively, at selected intervals at 6 weeks, 3, 6, and 12 months postoperatively. Results Group A presented statistically significantly higher scores in all SF-36 domains and all selected intervals (p<0.001), except for mental health parameter. All aspects of SF-36 questionnaire significantly improved postoperatively (p<0.001) and in each group independently. Nevertheless, the absolute improvement between consecutive time intervals did not differ significantly between the 2 groups. Conclusion Patients diagnosed with RA who undergo TELD for LDH demonstrate statistically significant improvement in their health status, as measured by SF-36 questionnaire, one year after the procedure. This improvement is comparable with normal individuals.http://e-neurospine.org/upload/pdf/ns-2448634-317.pdflumbar disc herniationrheumatoid arthritisminimally invasive spine surgerytransforaminal endoscopic lumbar discectomyquality of life |
| spellingShingle | Stylianos Kapetanakis Constantinos Chaniotakis Paschalis Tsioulas Nikolaos Gkantsinikoudis Transforaminal Lumbar Endoscopic Discectomy: A Novel Alternative for Management of Lumbar Disc Herniation in Patients With Rheumatoid Arthritis? Neurospine lumbar disc herniation rheumatoid arthritis minimally invasive spine surgery transforaminal endoscopic lumbar discectomy quality of life |
| title | Transforaminal Lumbar Endoscopic Discectomy: A Novel Alternative for Management of Lumbar Disc Herniation in Patients With Rheumatoid Arthritis? |
| title_full | Transforaminal Lumbar Endoscopic Discectomy: A Novel Alternative for Management of Lumbar Disc Herniation in Patients With Rheumatoid Arthritis? |
| title_fullStr | Transforaminal Lumbar Endoscopic Discectomy: A Novel Alternative for Management of Lumbar Disc Herniation in Patients With Rheumatoid Arthritis? |
| title_full_unstemmed | Transforaminal Lumbar Endoscopic Discectomy: A Novel Alternative for Management of Lumbar Disc Herniation in Patients With Rheumatoid Arthritis? |
| title_short | Transforaminal Lumbar Endoscopic Discectomy: A Novel Alternative for Management of Lumbar Disc Herniation in Patients With Rheumatoid Arthritis? |
| title_sort | transforaminal lumbar endoscopic discectomy a novel alternative for management of lumbar disc herniation in patients with rheumatoid arthritis |
| topic | lumbar disc herniation rheumatoid arthritis minimally invasive spine surgery transforaminal endoscopic lumbar discectomy quality of life |
| url | http://e-neurospine.org/upload/pdf/ns-2448634-317.pdf |
| work_keys_str_mv | AT stylianoskapetanakis transforaminallumbarendoscopicdiscectomyanovelalternativeformanagementoflumbardischerniationinpatientswithrheumatoidarthritis AT constantinoschaniotakis transforaminallumbarendoscopicdiscectomyanovelalternativeformanagementoflumbardischerniationinpatientswithrheumatoidarthritis AT paschalistsioulas transforaminallumbarendoscopicdiscectomyanovelalternativeformanagementoflumbardischerniationinpatientswithrheumatoidarthritis AT nikolaosgkantsinikoudis transforaminallumbarendoscopicdiscectomyanovelalternativeformanagementoflumbardischerniationinpatientswithrheumatoidarthritis |