Long Term Effects on Quality of Life After Short Segment Pedicle Screw Fixation of Thoracolumbar Fractures in Pakistani Population

Objective: To assess the long term relation of quality of life after pedicle screw fixation (PSF) Introduction: Compare to other types of chronic pain, failed back surgery syndrome (FBSS) patients experience greater degree of pain and a lower health-related quality of life.Furthermore, our understanding to this relationship is limited. Material and Methods:A retrospective study of Pakistani patients that had PSF 4 to 5 years ago.There were called and interviewed using EQ-5D-5L and SF-36 questionnaire.Data was recorded and analyze through SPSS version 21.Results: 36 patients were enrolled, 13 were females and 22 were males, ranged between 21 to 89 years.44% patients reported to have health greater than 75%.Oswestry Disability Index scale showed that 0-20 score in 19/36 (53%) of the patients and 21-40 score in 11/36-30%.EQ-5D-5L showed index score of 0.56.For SF-36 questionnaire, pain was statistically significant with the PCS model (coefficient for PCS: 0.796 [all P < 0.001]) and also with the MCS model, score was (coefficient 0.782 [P < 0.001]) with pain.Discussion: Not many studies available on patients with FBSS and long term follow.Higher scores of ODI has been seen with chronic back pain, compare to other abnormalities.There has been statistical significant and notable association between patient's levels of pain, disability, and generic Health related Quality of life, has been proven by many studies.Limitations include low sample size, uneven age distribution. Conclusion:Establishing the relationship between disease-specific outcomes (such as pain and functional ability) and quality of life can aid with future research studies.