Assessment of quality of life after the DIAM TM spinal stabilization system

Abstract

Chantsoulis Marzena, Sipko Tomasz, Wójtowicz Dorota, Pawik Łukasz, Dębiec-Bąk Agnieszka, Wołoszyn Daria, Skrzek Anna. Assessment of quality of life after the DIAM^TM spinal stabilization system. Journal of Education, Health and Sport. 2016;6(10):279-288. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.162080

http://ojs.ukw.edu.pl/index.php/johs/article/view/3943

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© The Author (s) 2016;

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This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial

use, distribution and reproduction in any medium, provided the work is properly cited.

The authors declare that there is no conflict of interests regarding the publication of this paper.

Received: 02.10.2016. Revised 02.10.2016. Accepted: 20.10.2016.

Assessment of quality of life after the DIAM^TM spinal stabilization system

Marzena Chantsoulis^1,2, Tomasz Sipko¹, Dorota Wójtowicz¹, Łukasz Pawik^*1, Agnieszka Dębiec-Bąk¹, Daria Wołoszyn³, Anna Skrzek¹

¹ Academy of Physical Education, Wrocław, Poland

² 4^th Military Hospital, Wrocław, Poland

³Wroclaw Rehabilitation and Sports Medicine Center, Fryderyka Chopina 5, 51-609 Wrocław,

Marzena Chantsoulis,

4th Military Hospital with Policlinic, Neurosurgery Department, ul. Weigla 5, 50-981 Wroclaw, Poland

Academy of Physical Education, ul. I. Paderewskiego 35, 51-612 Wroclaw, Poland marzena.chantsoulis@awf.wroc.pl , +48 71 347 30 76.

Tomasz Sipko, Academy of Physical Education, Wrocław, Al. Paderewskiego 35, 51-612 Wrocław, tomasz.sipko@awf.wroc.pl , +48 71 347 30 84.

Dorota Wójtowicz, Academy of Physical Education, Wrocław, Al.  Paderewskiego 35, 51-612 Wrocław, dorota.wojtowicz@awf.wroc.pl , +48 71 347 30 76.

* Łukasz Pawik, Academy of Physical Education, Wrocław, Al. Ignacego Paderewskiego 35, 51-612 Wrocław, lukaszpawik@gmail.com , +48 71 347 30 76.

Agnieszka Dębiec-Bąk, Academy of Physical Education, Wrocław, Al. Ignacego Paderewskiego 35, 51-612 Wrocław, agnieszka.debiec-bak@awf.wroc.pl , +48 71 347 30 76.

Daria Wołoszyn, Wroclaw Rehabilitation and Sports Medicine Center, Fryderyka Chopina 5, 51-609 Wrocław, dkowalewska@gmail.com, +48 71 372 94 05.

Anna Skrzek, Academy of Physical Education, Wrocław, Al. Ignacego Paderewskiego 35, 51-612 Wrocław anna.skrzek@awf.wroc.pl , +48 71 347 30 76.

Assessment of quality of life after the DIAM^TM spinal stabilization system

Purpose. The Device for Intervertebral Assisted Motion (DIAM™) is a method that has been recently applied for the operative treatment of low back pain. The aim of this study was to assess the quality of life in patients with low back pain during the course of a single-level discopathy performed using the DIAM™ system, who previously had not undergone any surgical procedure within the lumbar spine.

Methods. The study group consisted of 23 selected patients (15 women and 8 men) with
a mean age of 47 years. All subjects underwent single-level fenestration with discectomy and DIAM™ system implantation. The level of pain and disability at rest and movement were evaluated at baseline (pre-surgery) and at 6 months after surgery. All patients underwent a post-operative rehabilitation programme. Patients were evaluated using a Visual Analogue Scale (VAS) –pain’s level at rest and movement, a modified Oswestry Disability Index (ODI) and the Melzack Pain Questionnaire (MPQ).

Results. Pain’s level reduction was observed in 78% of patients at rest and in 88% of patients at movement. 79% of patients presented an improvement in their ODI score, but disability still persisted in pain intensity and during lifting. All MPQ indicators also improved, but mostly in the psychological dimensions of pain.

Conclusions. It was found that during the 6 months following a single-level DIAM™ implantation a greater decrease in pain at rest than at movement was recorded.

Key words: quality of life, DIAM^TM, spinal stabilization