A Comparison of the Quality of Sleep between Pre and Post-Surgery Cervical Herniated Nucleus Pulposus Patients Utilizing the Anterior Discectomy Method

Authors

  • Ridha Dharmajaya Neurosurgery Department, Universitas Sumatera Utara
  • Dina Keumala Sari Nutrition Department, Universitas Sumatera Utara
  • Ratna Akbari Ganie Clinical Pathology Department, Universitas Sumatera Utara

DOI:

https://doi.org/10.3889/oamjms.2017.209

Keywords:

quality of sleep, cervical herniated nucleus pulposus, anterior discectomy

Abstract

BACKGROUND: Herniated Nucleus Pulposus (HNP) is the prolapse of the intervertebral disk through a tear in the annulus fibrosus. This causes nerve root compression with clinical pain manifestation and affects the quality of sleep.

AIM: The aim of this study was find out the comparison in the quality of sleep between before (pre) and after (post) surgery cervical HNP patients.

METHODS: This study was a retrospective cohort study. Ninety patients were asked to complete the Pittsburgh Sleep Quality Index (PSQI) questionnaire. All data which has been computed were analysed with the McNemar test.

RESULT: The outcome reveals that from 90 patient`s cervical HNP, 81 (90%) were 40 years old age group and 66 (73.3%) of them were women. The result showed that 66 (73.3%) patients have a bad sleep quality before surgery. Surgery has increased the quality of sleep after surgery 66 (73.3%) patients had good sleep quality. There was a significant difference in the quality of sleep pre and post operation (p = 0.001).

CONCLUSION: There was a significant difference in the quality of sleep between pre and post operation cervical HNP patient utilising anterior discectomy methods.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

Author Biography

Ridha Dharmajaya, Neurosurgery Department, Universitas Sumatera Utara

Neurosurgery department

References

Chung SK, Kim YE, Wang KC. Biomechanical effect of constraint in lumbar total disc replacement: a study with finite element analysis. Spine. 2009; 34:1281–6. https://doi.org/10.1097/BRS.0b013e3181a4ec2d PMid:19455003

Madhok R, Kanter A. Extreme-lateral, minimally invasive, a transpsoas approach for the treatment of far-lateral lumbar disc herniation. J Neurosurg Spine. 2010; 12: 347-50.

Borendal Wodlin N, Nilsson L, Kjølhede P. Health-related quality of life and postoperative recovery in fast track hysterectomy. Acta Obstet Gynecol Scand. 2011; 90:362–8. https://doi.org/10.1111/j.1600-0412.2010.01058.x PMid:21306322

DeLucca JF, Cortes DH, Jacobs NT, Vresilovic EJ, Duncan RD, Elliot DM. Human cartilage endplate permeability varies with degeneration and intervertebral disc site. Journal of Biomechanics. 2016; 49: 550–7. https://doi.org/10.1016/j.jbiomech.2016.01.007 PMid:26874969 PMCid:PMC4779374

Krutko AV, Baykov ES, Sadovoy MA. Reoperation after microdiscectomy of lumbar herniation: Case report. Int J of Surg Case Rep. 2016; 24: 119–23. https://doi.org/10.1016/j.ijscr.2016.04.043 PMid:27236580 PMCid:PMC4887591

Hammer C, Heller J, Kepler C. Epidemiology and pathophysiology of cervical disc herniation. Semin Spine Surg. 2016; 28(2): 64-7.

Jordan J, Konstantiniou K, O'Dowd J. Herniated lumbar disc. BMJ Clin Evid. 2009; 1118. PMid:19445754

Bowles RD, Setton LA. Biomaterials for intervertebral disc regeneration and repair. Biomaterial. 2017; 129: 154-67.

Hu B, Wang J, Wu X, Chen Y, Yuan W, Chen H. Interleukin-17 upregulates vascular endothelial growth factor by activating the JAK/STAT pathway in nucleus pulposus cells. Join Bone Spine. 2017; 84: 327-34.

Mayer JE, Iatridis JC, Chan D, Qureshi SA, Gottesman O, Hecht AC. Genetic polymorphisms associated with intervertebral disc degeneration. Spine J. 2013; 13: 299-317.

Boden SD. Spinescope. Semin Spine Surg. 2013; 25: 295-300.

Sari DK, Damanik HA, Lipoeto NI, Lubis Z. Occurrence of Vitamin D Deficiency among Woman in North Sumatera, Indonesia. Malaysian J Nutr. 2014;20:63-70.

Sari DK, Tala ZZ, Lestari S, Hutagalung S, Ganie RA. Vitamin D Supplementation in Women with Vitamin D Receptor Gene Polymorphisms: A Randomized Controlled Trial. Asian J Clin Nutr. 2017; 9(2):89-96.

Kenneth C, Danny C, Jaro K, Yiquin C, Jeffrey JT, Shea-Ping Y, et al. Association of the Taq I Allele in Vitamin D Receptor With Degenerative Disc Disease and Disc Bulge in a Chinese Population. Spine. 2006; 31 (10): 1143-48.

Sari DK, Tala ZZ, Lestari S, Hutagalung S, Ganie RA. Vitamin D receptor gene polymorphism among Indonesian women in North Sumatera. Asian J Clin Nutr. 2017; 9(1):44-50.

Sari DK, Tala ZZ, Lestari S, Hutagalung S, Ganie RA. Lifestyle differences in rural and urban areas affected the level of vitamin D in women with single nucleotide polymorphism in North Sumatera. Asian J Clin Nutr. 2017; 9(2):57-63.

Yeung JT, Johnson JI, Karim AS. Cervical disc herniation presenting with neck pain and contralateral symptoms. J of Med Case Reports. 2012; 6: 166. https://doi.org/10.1186/1752-1947-6-166 PMid:22741922 PMCid:PMC3411405

Mart M, Rozenberg S, Duplan B, et al. Quality of sleep in patients with chronic low back pain. Eur Spine J. 2008;839-44.

Pirris S, Dhall S, Mummaneni P, Dhall S, Kanter AS. Minimally invasive approach to extraforaminal disc herniations at the lumbosacral junction using an operating microscope: case series and review of the literature. Neurosurg Focus. 2008; 25:E10. https://doi.org/10.3171/FOC/2008/25/8/E10 PMid:18673039

Manchikanti L, Singh V, Calodney AK, Helm S 2nd, Deer TR, Benyamin RM et al. Percutaneous lumbar mechanical disc decompression utilizing Dekompressor®: an update of current evidence. Pain Physician. 2013; 16 (2Suppl): SE1-24.

Galluci M, Limbuci M, Paonessa A, Splendiani A. Degenerative disease of the spine. Neuroima Neuroimag Clin N Am. 2007; 17: 87–103. https://doi.org/10.1016/j.nic.2007.01.002 PMid:17493541

Kelekis AD, Filippiadis DK, Martin JB, Brountzos E. Standards of practice: quality assurance guidelines for percutaneous treatments of intervertebral discs. Cardiovasc Intervent Radiol. 2010; 33(5): 909–13. https://doi.org/10.1007/s00270-010-9952-5 PMid:20676639

Kelekis A, Filippiadis D. Percutaneous therapy versus surgery in chronic back pain: how important is imaging in decision-making? Imaging Med. 2013; 5(2): 187–96. https://doi.org/10.2217/iim.13.15

Nguyen C, Sanchez K, Roren A, Palazzo C, Falcou L, Drape J, et al. Anatomical specificities of the degenerated cervical spine: a narrative review of clinical implications, with special focus on targeted spinal injections. Annals of Physic and Rehab Med. 2016; 59: 276–81. https://doi.org/10.1016/j.rehab.2015.12.006 PMid:26904960

Chi JH, Tay B, Stahl D, Lee R. Complex Deformities of the Cervical Spine. Neurosurg Clin N Am. 2007; 18: 295–304. https://doi.org/10.1016/j.nec.2007.01.003 PMid:17556131

Freedman MK, Overton EA, Saulino MF, Horlding MY, Kornbluth ID. Interventions in chronic pain management.Arch Phys Med Rehabil. 2008; 89 Suppl 1: S41-6.

Roy-Byrnne PP, Davidson KW, Kessler RC, Asmundson GJG, Goodwin RD, Kubzansky L. Anxiety disorders and comorbid medical illness. Gen Hosp Psy. 2008; 30: 208–25. https://doi.org/10.1016/j.genhosppsych.2007.12.006 PMid:18433653

Zarrabian MM, Johnson M, Kriellaars D. Relationship Between Sleep, Pain, and Disability in Patients With Spinal Pathology. Arch of Physic Med and Rehab. 2014; 95:1504-9.

Durand G, Girodon J, Debiais F. Medical management of failed back surgery syndrome in Europe: Evaluation modalities and treatment proposals. Neurochirurgie. 2015; 61: S57–S65. https://doi.org/10.1016/j.neuchi.2015.01.001 PMid:25676909

Asmundson GJ, Katz J. Understanding the co-occurrence of anxiety disorders and chronic pain: state-of-the-art. Depress Anxiety. 2009; 26 (10): 888-901.

Mollayeva T, Thurairajah P, Burton K, Mollayeva S, Shapiro CM, Colantonio A. The Pittsburgh sleep quality index as a screening tool for sleep dysfunction in clinical and non-clinical samples: A systematic review and meta-analysis. Sleep Med Rev. 2016; 25: 52-73.

Salame K, Lidar Z. Minimally invasive approach to far lateral lumbar disc herniation: technique and clinical results. Acta Neurochir (Wien. 2010; 152: 663−8.

Cole JS 4th, Jackson TR. Minimally invasive lumbar discectomy in obese patients. Neurosurgery. 2007; 61:539–44. https://doi.org/10.1227/01.NEU.0000290900.23190.C9 PMid:17881966

Kim JM, Lee SH, Ahn Y, et al. Recurrence after successful percutaneous endoscopic lumbar discectomy. Minim Invasive Neurosurg. 2007; 50: 82–5. https://doi.org/10.1055/s-2007-982504 PMid:17674293

Gill T. Epidemiology and health impact of obesity: an Asia Pacific perspective. Asia Pac J Clin Nutr. 2006; 15 (Suppl): 3-14.

Lemcke J, Al-Zain F, Meier U, Suess O. Polyetheretherketone (PEEK) Spacers for Anterior Cervical Fusion: A Retrospective Comparative Effectiveness Clinical Trial. Open Orthop J. 2011; 5:348-53.

Dimsdale JE, Norman D, DeJardin D, Wallace MS. The effect of opioids on sleep architecture. J Clin Sleep Med. 2007; 3:33–6. PMid:17557450

Kjølhede P, Langström P, Nillson P, Wodlin NB, Nillson L. The Impact of Quality of Sleep on Recovery from Fast-Track Abdominal Hysterectomy. J Clin Sleep Med. 2012; 8(4):395-402.

Schuh-Hofer S, Wodarski R, Pfau DB, Caspani O, Magerl W, Kennedy JD. One night of total sleep deprivation promotes a state of generalized hyperalgesia: a surrogate pain model to study the relationship of insomnia and pain. Pain. 2013;154(9):1613–21. https://doi.org/10.1016/j.pain.2013.04.046 PMid:23707287

Glenn JS, Yaker J, Guyer RD, Ohnmeiss DD. Anterior discectomy and total disc replacement for three patients with multiple recurrent lumbar disc herniations. The Spine J. 2011;11:e1–e6. https://doi.org/10.1016/j.spinee.2011.07.030 PMid:21907631

Marcus JD, James AR, Härtl R. Minimally Invasive Surgical Treatment Options for Lumbar Disc Herniations and Stenosis. Semin Spine Surg. 2011; 23:206.

Sari DK, Tala ZZ, Lestari S, Hutagalung S, Ganie RA. Body mass index but not 25(OH)D serum is associated with bone mineral density among Indonesian women in North Sumatera: a cross sectional study. Asian J Clin Nutr. 2017; 9(1):3743.

Amoretti N, Huwart L, Marcy PY, Foti P, Hauger O, Boileau P. CT- and fluoroscopy-guided percutaneous discectomy for lumbar radiculopathy related to disc herniation: a comparative prospective study comparing lateral to medial herniated discs. Skeletal Radiol. 2013; 42: 1:49–53. https://doi.org/10.1007/s00256-012-1422-5 PMid:22644540

Yar T. Spinal shrinkage as a measure of spinal loading in male Saudi University students and its relationship with body mass index. Saudi Med J. 2008; 29: 1453–7. PMid:18946572

Kaito T, Hosono N, Mukai Y, et al. Induction of early degeneration of the adjacent segment after posterior lumbar interbody fusion by excessive distraction of lumbar disc space. J Neurosurg Spine. 2010; 12:671–9. https://doi.org/10.3171/2009.12.SPINE08823 PMid:20515354

Botolin S, Puttlitz C, Baldini T, et al. Facet joint biomechanics at the treated and adjacent levels after total disc replacement. Spine. 2011; 36: E27–32. https://doi.org/10.1097/BRS.0b013e3181d2d071 PMid:20975623

Leahy M, Zigler JE, Ohnmeiss DD, et al. Comparison of results of total disc replacement in postdiscectomy patients versus patients with no previous lumbar surgery. Spine. 2008; 33:1690–3. https://doi.org/10.1097/BRS.0b013e31817bd2f0 PMid:18580740

Meredith DS, Huang RC, Nguyen J, Lyman S. Obesity increases the risk of recurrent herniated nucleus pulposus after lumbar microdiscectomy. The Spine J. 2010; 10:57580.

Gilleard W, Smith T. Effect of obesity on posture and hip joint moments during a standing task, and trunk forward flexion motion. Int J Obes. 2007; 31:267–71. https://doi.org/10.1038/sj.ijo.0803430 PMid:16801923

Olsen MA, Nepple JJ, Riew KD, Lenke LG, Bridwell KH, Mayfield J, Fraser VJ, et al. Risk factors for surgical site infection following orthopaedic spinal operations. J Bone Joint Surg Am. 2008; 90:62–9. https://doi.org/10.2106/JBJS.F.01515 PMid:18171958

Park P, Upadhyaya C, Garton HJ, Foley KT. The impact of minimally invasive spine surgery on perioperative complications in overweight or obese patients. Neurosurgery. 2008; 62:693–9. https://doi.org/10.1227/01.neu.0000317318.33365.f1 PMid:18425016

Cole JS 4th, Jackson TR. Minimally invasive lumbar discectomy in obese patients. Neurosurgery. 2007; 61:539–44. https://doi.org/10.1227/01.NEU.0000290900.23190.C9 PMid:17881966

Chouchou F, Khoury S, Chauny JM, Denis R, Lavigne GJ. Postoperative sleep disruptions: a potential catalyst of acute pain? Sleep Med Rev. 2014; 18(3):273–82. https://doi.org/10.1016/j.smrv.2013.07.002 PMid:24074687

Published

2017-12-10

How to Cite

1.
Dharmajaya R, Sari DK, Ganie RA. A Comparison of the Quality of Sleep between Pre and Post-Surgery Cervical Herniated Nucleus Pulposus Patients Utilizing the Anterior Discectomy Method. Open Access Maced J Med Sci [Internet]. 2017 Dec. 10 [cited 2021 Jul. 31];5(7):948-54. Available from: https://oamjms.eu/index.php/mjms/article/view/oamjms.2017.209

Issue

Section

B - Clinical Sciences

Most read articles by the same author(s)

1 2 > >>