TY - JOUR
T1 - Sexual function after cervical spine surgery
T2 - Independent predictors of functional impairment
AU - Keefe, Malla K.
AU - Zygourakis, Corinna
AU - Theologis, Alexander A.
AU - Canepa, Emma
AU - Shaw, Jeremy D.
AU - Goldman, Lauren H.
AU - Burch, Shane
AU - Berven, Sigurd
AU - Chou, Dean
AU - Tay, Bobby
AU - Mummaneni, Praveen
AU - Deviren, Vedat
AU - Ames, Christopher P.
PY - 2017/2/1
Y1 - 2017/2/1
N2 - Sexual function (SF) is an important component of patient-focused health related quality of life (HRQoL), but it has not been well studied in spine surgery. This study aims to assess SF after cervical spine surgery and identify predictors of SF. This single-center retrospective study evaluates SF of adults who underwent cervical spine surgery 2007–2012. Predictor variables included demographics, medical/surgical history, operative information, HRQoL measures (Neck Disability Index, SF-12), validated SF surveys [Female Sexual Function Index (FSFI) and Brief Sexual Function Inventory (BSFI) for males], and a study-specific SF questionnaire. 59 patients (31M, 28F; mean age = 56 ± 8.4) had significantly lower SF scores compared to age-matched peers: average BSFI = 2.26 ± 1.22 (vs. 06 ± 0.74), average FSFI = 13.05 ± 11.42 (<26.55 indicating sexual dysfunction). In men, lower mental SF-12 and higher NDI, back pain, and number of operated levels were associated with lower BSFI scores (all p < 0.05). In women, higher total number of medications and pain medications were associated with lower FSFI scores (both p < 0.05). 46% of patients reported difficulty performing a sexual position after surgery that they had previously enjoyed. 39% of men had difficulty on top during intercourse, and 32% of participants reported difficulty performing oral sex. 39% of patients reported worse SF, while only 5% reported an improvement in postoperative SF. Men and women who underwent cervical spine surgery had lower SF scores than age-matched peers, likely attributable to general mental health, regional neck disability, back pain, and medications. A large portion of patients reported subjectively worsened SF after surgery.
AB - Sexual function (SF) is an important component of patient-focused health related quality of life (HRQoL), but it has not been well studied in spine surgery. This study aims to assess SF after cervical spine surgery and identify predictors of SF. This single-center retrospective study evaluates SF of adults who underwent cervical spine surgery 2007–2012. Predictor variables included demographics, medical/surgical history, operative information, HRQoL measures (Neck Disability Index, SF-12), validated SF surveys [Female Sexual Function Index (FSFI) and Brief Sexual Function Inventory (BSFI) for males], and a study-specific SF questionnaire. 59 patients (31M, 28F; mean age = 56 ± 8.4) had significantly lower SF scores compared to age-matched peers: average BSFI = 2.26 ± 1.22 (vs. 06 ± 0.74), average FSFI = 13.05 ± 11.42 (<26.55 indicating sexual dysfunction). In men, lower mental SF-12 and higher NDI, back pain, and number of operated levels were associated with lower BSFI scores (all p < 0.05). In women, higher total number of medications and pain medications were associated with lower FSFI scores (both p < 0.05). 46% of patients reported difficulty performing a sexual position after surgery that they had previously enjoyed. 39% of men had difficulty on top during intercourse, and 32% of participants reported difficulty performing oral sex. 39% of patients reported worse SF, while only 5% reported an improvement in postoperative SF. Men and women who underwent cervical spine surgery had lower SF scores than age-matched peers, likely attributable to general mental health, regional neck disability, back pain, and medications. A large portion of patients reported subjectively worsened SF after surgery.
KW - Cervical spine surgery
KW - Sexual function
KW - Surgical treatment
UR - http://www.scopus.com/inward/record.url?scp=85006105705&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85006105705&partnerID=8YFLogxK
U2 - 10.1016/j.jocn.2016.10.017
DO - 10.1016/j.jocn.2016.10.017
M3 - Article
C2 - 27825608
AN - SCOPUS:85006105705
SN - 0967-5868
VL - 36
SP - 94
EP - 101
JO - Journal of Clinical Neuroscience
JF - Journal of Clinical Neuroscience
ER -