Impact of Gender-Specific Physiological activities on Bone Density and Spinal Alignment Post-Spinal Stabilization Surgery Affecting Quality of Life

Abstract

Background: The rate of spinal stabilization surgery has increased in recent years among both males andfemales due to ineffective activities impacting their quality of life, work-disability, and social-disability.Aim: This study aimed to determine the impact of such activities on bone density and spinal alignmentafter spinal stabilization surgery within the context of Bursa, Turkey. Method: A sample of 450 patients,who had undergone spinal surgery, was included, 210 of which were females and 240 were males. Thesepatients had suffered from different ailments including spinal stenosis, degenerative spondylolisthesisand disc herniation. In order to attain the required outcomes, Core Outcome Measures Index (COMI) wasmeasured before and after (one year) operation. This test measured various positive and negative outcomespost-spinal stabilization surgery including improvement in degree of pain and back function, quality of life,degree of work-disability and social-disability, over a period of 12-months. Patients’ satisfaction level withtherapy was also measured using a 5-point Likert scale while parametric statistics provided the relationshipamong variables. Results: The results obtained show that females with all pathologies had worse COMIscores significantly (p < 0.05) as compared to males. However, no significant differences were observed afterthe operation within the context of gender (p > 0.05). However, 72% of females and 71% of males receivedminimal clinically important change (MCIC) score of 2.2 for COMI. Hence, gender showed insignificantrelationship with MCIC, since females did not show any significant satisfaction level as compared to malesconcerning their post-operative health outcomes. Conclusion: The study recommends to emphasize onimproving therapeutic and surgical measures aiming at attaining significant satisfaction levels after surgery.