Sexual Dysfunction Secondary to Lumbar Stiffness in Adult Spinal Deformity Patients before and after Long-Segment Spinal Fusion.

Document Type

Article

Publication Date

4-17-2020

Publication Title

World Neurosurg

Abstract

OBJECT: Sexual function is an important factor which contributes to quality of life. ASD patients may have sexual limitations due to lumbar spinal stiffness which may be affected by long-segment fusion.

METHODS: This study utilized a multi-center, prospectively defined, consecutive cohort of ASD patients. The primary outcome in this study was the LSDI question 10: "Choose the statement that best describes the effect of low back stiffness on your ability to engage in sexual intercourse".

RESULTS: In total, 368 patients were included in this study, including 76 males and 292 females of which 80.7% (n=293) underwent 9 or more level fusion and 74.4% (n=270) had pelvic fixation. Baseline LSDI sexual function scores averaged 1.7 (SD 1.3), which improved to 1.3 (SD 1.2) at 2-year follow-up (p = 0.0008). After adjusting for confounding factors, worse LSDI sexual function score was strongly associated with worse ODI, SRS total, and SF-36 PCS and MCS scores at both baseline and 2-year follow-up (p

CONCLUSIONS: This study found that sexual dysfunction scores due to lumbar stiffness significantly improved following surgery for ASD. Additionally, lumbar stiffness related sexual dysfunction is strongly related to overall outcome measured by ODI and SRS total score, highlighting the importance of sexual health on overall outcome in ASD patients.

Clinical Institute

Neurosciences (Brain & Spine)

Clinical Institute

Orthopedics & Sports Medicine

Department

Neurosciences

Department

Orthopedics

Department

Surgery

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