Evidence map›Paper›PMID 29796731›Full record

SynthesisEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2018

Sexual activity after spine surgery: a systematic review.

Azeem Tariq Malik, Nikhil Jain, Jeffery Kim, Safdar N Khan, Elizabeth Yu

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.9field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Evaluation of the effect of cervical and lumbar disc herniations on female sexual function: a comparative prospective study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024
    Article
  5. Article
  6. Article
  7. Genitourinary complications in orthopaedic surgery.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022
    Review
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Azeem Tariq MalikDepartment of Orthopaedics, The Ohio State University Wexner Medical Center, 725 Prior Hall, Columbus, OH, 43210, USA.
Nikhil JainDepartment of Orthopaedics, The Ohio State University Wexner Medical Center, 725 Prior Hall, Columbus, OH, 43210, USA.
Jeffery KimDepartment of Orthopaedics, The Ohio State University Wexner Medical Center, 725 Prior Hall, Columbus, OH, 43210, USA.
Safdar N KhanDepartment of Orthopaedics, The Ohio State University Wexner Medical Center, 725 Prior Hall, Columbus, OH, 43210, USA.
Elizabeth YuDepartment of Orthopaedics, The Ohio State University Wexner Medical Center, 725 Prior Hall, Columbus, OH, 43210, USA. Elizabeth.Yu@osumc.edu.
The Ohio State University Wexner Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSexual function is an important determinant of quality of life, and factors such as surgical approach, performance of fusion, neurological function and residual pain can affect it after spine surgery. Our aim was to perform a systematic review to collate evidence regarding the impact of spine surgery on sexual function.

methodsA systematic review of studies reporting measures of sexual function, and incidence of adverse sexual outcomes (retrograde ejaculation) after major spine surgery was done, regardless of spinal location. Pubmed (MEDLINE) and Google Scholar databases were queried using the following search words "Sex", "Sex life", "Sexual function", "Sexual activity", "retrograde ejaculation", "Spine", "Spine surgery", "Lumbar surgery", "Lumbar fusion", "cervical spine", "cervical fusion", "Spinal deformity", "scoliosis" and "Decompression". All articles published between 1997 and 2017 were retrieved from the database. A total of 81 studies were included in the final review.

resultsMajority of the studies were retrospective case series and were low quality (Level IV) in evidence. Anterior lumbar approaches were associated with a higher incidence of retrograde ejaculation, especially with the utilization of transperitoneal laparoscopic approach. There is inconclusive evidence on the preferred sexual position following fusion, and also on the impact of BMP-2 usage on retrograde ejaculation/sexual dysfunction.

conclusionDespite limited evidence from high-quality articles, there is a general trend towards improvement of sexual activity and function after spine surgery. Future studies incorporating specific assessments of sexual activity will be required to address this important determinant of quality of life so that appropriate pre-operative counselling can be done by providers. These slides can be retrieved under Electronic Supplementary Material.

Indexed as

Sexual BehaviorCervical VertebraeHumansLumbar VertebraeMaleOrthopedic ProceduresPostoperative ComplicationsQuality of LifeRetrospective StudiesScoliosisSexual Dysfunction, PhysiologicalSpinal FusionSpineRetrograde ejaculationSexual activitySexual dysfunctionSpine surgery

Identifiers

PMID29796731
OpenAlexW2803989610

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.