| کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
|---|---|---|---|---|
| 4095852 | 1268548 | 2016 | 5 صفحه PDF | دانلود رایگان |
کلمات کلیدی
مقدمه
مواد و روش ها
بیماران
درمان
داده پایه و پرسشنامه ها یا مقیاس های خروجی
تجزیه و تحلیل آماری
نتایج
مباحثه
جدول ۱.داده جمعیت شناسی
جدول ۲.عوارض پس از جراحی مطابق با طبقه بندی Clavein-Dindo
جدول ۳.گروه های A-D و میانگین بهبود در VAS-LP ، و VAS-BP ، و ODI
شکل ۱. بهبود شاخص معلولیت Oswestry
شکل ۲. طول بستری در بیمارستان (روز) و طول پیگیری (سال)
BackgroundEarly surgical treatment for back and leg pain secondary to disc herniation has been associated with very good outcomes. However, there are conflicting data on the role of surgical treatment in case of prolonged radicular symptomatology.PurposeWe aimed to evaluate whether the duration of symptoms at presentation affects the subjective outcome.Study Design/SettingThis is a retrospective review of prospectively collected data from a single surgeon including micro-discectomies and lateral recess decompressions in patients younger than 60 years old using patient medical notes, radiology imaging, operation notes, and Patient Reported Outcome Measures (PROMS) including Oswestry Disability Index (ODI), visual analogue scale for back pain and leg pain (VAS-BP and VAS-LP). The final follow-up was carried out through postal questionnaire or telephone consultation.MethodsDemographic information, duration of symptoms, type and incidence of complications, length of hospital stay, and follow-up were analyzed. Data were categorized into four subgroups: symptoms 0≥6 months, 6 months≥1 year, 1 year≥2 years, and >2 years. A clinically significant result was an average improvement of 2 or more points in the VAS and of 20% and over in the ODI. The level of statistical significance was <0.05%.ResultsA total number of 107 patients who underwent 109 operations were included. The level of surgery was L5/S1 (50), L4/L5 (43), L3/L4 (3), L2/L3 (2), and two levels (11). The mean improvement was from 0 to ≤6 months (VAS-LP 5.21±2.81, VAS-BP 3.04±3.15, ODI 35.26±19.25), 6 months to ≤1 year (VAS-LP 4.73±2.61, VAS-BP 3.30±3.05, ODI 26.92±19.49), 1 year to ≤2 years (VAS-LP 3.78±3.68, VAS-BP 3.00±2.78, ODI 19.03±20.24), and >2 years (VAS-LP 4.77±3.61, VAS-BP 3.54±3.43, ODI 28.36±20.93). The length of hospital stay and complication rate was comparable between groups. Average follow-up was 15.69 months.ConclusionsOur study showed significant improvement in patients with symptoms beyond 1 as well as 2 years since onset, and surgery is a viable option in selected patients.
Journal: The Spine Journal - Volume 16, Issue 4, Supplement, April 2016, Pages S21–S25