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01-09-2021 | Original Article

Risk factors for worsening sexual function after lumbar spine surgery and characteristics of non-responders to the questionnaire of sex life

Authors: Koji Nakajima, Hideki Nakamoto, Hiroyuki Nakarai, Kosei Nagata, So Kato, Toru Doi, Yoshitaka Matsubayashi, Yuki Taniguchi, Naohiro Kawamura, Akiro Higashikawa, Yujiro Takeshita, Masayoshi Fukushima, Takashi Ono, Nobuhiro Hara, Seiichi Azuma, Sakae Tanaka, Yasushi Oshima

Published in: European Spine Journal | Issue 9/2021

Abstract

Purpose

To precisely assess the Oswestry Disability Questionnaire (ODQ) and its total score (Oswestry Disability Index: ODI) and reveal characteristics of non-responders of the 8th item of ODQ (ODI-8) relating to sexual function. Furthermore, we evaluated risk factors for aggravation of postoperative sexual function.

Methods

We enrolled patients undergoing lumbar spine surgery at eight hospitals between April 2017 and November 2018. Patients’ background data and operative factors were collected. We also assessed pain or dysesthesia (lower back, buttock, leg, and plantar area) on a numerical rating scale, EuroQol 5 Dimension, core outcome measures index back, and ODI before and 1 year after surgery. Factor analysis was conducted for the ODQ. Non-responders of the ODI-8 were compared with full-responders using propensity score matching. Risk factors for worsening ODI-8 were evaluated by multivariate logistic regression analysis.

Results

Of the 2,610 patients enrolled, 601 (23.0%) answered all but the ODI-8 item; these patients were likely to show better preoperative clinical symptoms than full-responders, even after adjusting for age and gender using propensity scores. Age, spinal deformity, and the American Society of Anesthesiologists physical status (ASA-PS) 3/4 were significant risk factors for postoperative aggravation of the ODI-8. Factor analysis revealed that the ODQ was composed of dynamic and static activities; the ODI-8 was considered a dynamic activity.

Conclusion

Almost a fourth of the patients skipped the ODI-8. Age, the presence of spinal deformity, and worse ASA-PS were found to be risk factors for postoperative aggravation of sexual function.

Level of Evidence I

Diagnostic: individual cross-sectional studies with the consistently applied reference standard and blinding.

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Title: Risk factors for worsening sexual function after lumbar spine surgery and characteristics of non-responders to the questionnaire of sex life
Authors: Koji Nakajima
Hideki Nakamoto
Hiroyuki Nakarai
Kosei Nagata
So Kato
Toru Doi
Yoshitaka Matsubayashi
Yuki Taniguchi
Naohiro Kawamura
Akiro Higashikawa
Yujiro Takeshita
Masayoshi Fukushima
Takashi Ono
Nobuhiro Hara
Seiichi Azuma
Sakae Tanaka
Yasushi Oshima
Publication date: 01-09-2021
Publisher: Springer Berlin Heidelberg
Published in: European Spine Journal / Issue 9/2021
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-021-06867-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Risk factors for worsening sexual function after lumbar spine surgery and characteristics of non-responders to the questionnaire of sex life

Abstract

Purpose

Methods

Results

Conclusion

Level of Evidence I

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

Level of Evidence I

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