Preoperative motor deficit in lumbar disc herniation and its influence on quality of life

Falavigna, Asdrúbal; Righesso, Orlando; Teles, Alisson Roberto; Bossardi, Julia Bertholdo; Silva, Pedro Guarise da

doi:10.1590/s1808-18512014130400473

Cited by 4 publications

(5 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In this study, we observed that pre-operative neurological deficit was present in 66.67% of the patients. Our results were in concordance with the results obtained by Falavigna et al, who reported the presence of neurological deficit in 66.1% of the patients with lumbar spine herniation [16]. It was observed that 6.66% of the patients had isolated motor defects, and 23.33% of the patients had mixed motor and sensory impairments.…”

Section: Discussionsupporting

confidence: 93%

A Prospective Study on the Role of Neurophysiological Studies in Predicting Functional Outcome After Lumbar Discectomy

et al. 2020

View full text Add to dashboard Cite

Background and Aim: Lumbar intervertebral discs are complex anatomical structures essential for the mobility of intervertebral joints. There is general consensus for some indications for surgery, including acute or progressive neurological deficit(s), cauda equine syndrome, or refractory pain unresponsive to conservative treatments. However, controversy exists regarding the optimal management of cases with the disparity between radiological and clinical findings, which includes a great proportion of patients. This study examines whether neurophysiological studies can be used to identify subgroups with improved post-operative outcomes. Methods and Materials/Patients: This prospective cohort study was conducted on 60 patients with clinical and imaging evidence in favor of Lumbar Disc Herniation (LDH). The pre-operative radiological assessment was the lateral X-rays in flexion and extension positions, and lumbar spine Magnetic Resonance Imaging (MRI). Pre-operative clinical assessment was done by the Oswestry Low Back Pain Disability Questionnaire and Visual Analog Scale (VAS). Neurophysiological studies were done at least one month after the onset of radiculopathy. Surgery was performed at the level suggested by neuroimaging. In all patients, we found an abnormal disc, which was removed along with any loose disc material. The patients were followed up for 1 year with intervals of 3 months for post-operative assessments. Results: In the two study arms with abnormal or normal pre-operative electrodiagnostic studies, a significant decrease was observed in the percentages of visual analog scale reduction (73.69% and 95.59%, respectively) and Oswestry disability score (65.3% and 76.2%, respectively) at the month 12 post-operative (P=0.993 to 0.002 and P=0.200 to 0.037, respectively). Conclusion: Neurophysiological studies could be regarded as helpful adjuncts to distinguish a subgroup of patients with LDH, who may experience a favorable outcome after surgical intervention.

show abstract

Section: Discussionsupporting

confidence: 93%

A Prospective Study on the Role of Neurophysiological Studies in Predicting Functional Outcome After Lumbar Discectomy

et al. 2020

View full text Add to dashboard Cite

show abstract

“…The mean ODI for patients with motor deficits (7 patients, approximately 16%) was 64.5 ± 12.6, whereas the mean ODI for patients without deficits (36 patients, approximately 83.66%) was 45.4 ± 16.6, with a statistically significant difference (p = 0.007) between the groups. These findings agree with the case series described by Falavigna et al 26 whose aim was to assess whether the presence of motor deficits influenced post-operative outcomes in patients with herniated lumbar discs. In this situation, the authors found a slight variance in the mean ODI score between the groups, which was statistically significant but did not meet the minimal clinically significant difference (10 points) recognized for this measure.…”

Section: Discussionsupporting

confidence: 91%

Acute Radiating Low Back Pain Impact on Routine and Function of the Brazilian Population: A Cross-Sectional Study

PORCEBAN,

FRANÇA FILHO,

UETA

et al. 2023

Acta ortop. bras.

View full text Add to dashboard Cite

Acute radiating low back pain is a frequently occurring clinical condition among the population, and it represents a significant portion of urgent care in public health services. Objective: Consider the clinical characteristics, demographics, as well as the intensity of the pain, discomfort, and dysfunction of patients who show a clinical diagnosis that is compatible with acute radicular pain, new or reoccurring after an asymptomatic period. Methods: Patients that display a clinical diagnosis that is compatible with acute sciatic nerve pain, with the beginning of it starting within three months, without previous history of a similar occurrence, were seen in an orthopedic health clinic from July 2020 to January 2021. Results: A total of 42 patients were seen with a compatible diagnosis, which represents 1.4% of all medical visits. To the best of our knowledge, no studies have considered the clinical and demographic characteristics of patients with acute radicular pain in the Brazilian population. This study has found a mean value on the disfunction index that is greater than what is suggested by the current literature. Conclusion: About 30% of individuals showed functional involvement that was considered crippling, which presented a stronger association with individuals with the presence of motor deficits, intensity of radiating pain, and professional inactivity. Level of Evidence IV, Cross-Sectional Study.

show abstract

“…Spinal disc herniation usually affects people who are professionally active in the fourth and fifth decade of life, with an average age of slightly more than 40 years of age [2][3][4][5][6]. This was confirmed by the results of own study.…”

Section: Discussionmentioning

confidence: 66%

“…The origin of this disease is the rupture of fibrous ring and displacement of the nucleus pulposus in the direction of a tear in the ring [2]. It concerns mainly people aged 35-50 years [2][3][4][5][6], which means among the economically active population which has significant social and economic implications [1,7].…”

Section: Introductionmentioning

confidence: 99%

The Quality of Life in Patients After Surgical Treatment of a Lumbar Disc Herniation — a Preliminary Study

Rosińczuk

Pytel

Miksiewicz

et al. 2017

PNIN

View full text Add to dashboard Cite

Introduction. Herniated intervertebral disc is a disease that is one of the main causes of sciatica and severe, sharp back pain and usually concerns adults aged 35 to 50 years. Aim. To evaluate the effect of surgical treatment on the quality of life in patients hospitalized and subjected to surgery due to a disk herniation in the lumbar spine. Material and Methods. The study included 50 patients treated surgically for disc herniation in the lumbar region. The diagnostic survey method was applied for the purposes of this study with the use of the author's questionnaire, the Oswestry Disability Index (ODI), the SF-36 questionnaire and VAS scale. The statistical analysis of the material has been performed using the Student t-test, Shapiro-Wilk test, Wilcoxon test and Spearman and Pearson correlation test. Results. The analysis of the study material showed that before surgery all respondents experienced pain sensations of varying degree in the lumbar region, and after surgery 52% of patients experienced no pain in this region. The analysis of data obtained through the ODI showed that before surgery, the majority of respondents belonged to the group 3, while after the procedure they were in group 1. Conclusions. 1) Spinal disk disease and related pain had a negative impact on social and sexual life of patients. 2) After surgery, patients experienced significantly less pain. 3) It was observed that in patients operated for a lumbar disc herniation, the degree of disability was reduced and the quality of life increased after surgery. (JNNN 2017;6(1):4-10)

show abstract

Preoperative motor deficit in lumbar disc herniation and its influence on quality of life

Cited by 4 publications

References 24 publications

A Prospective Study on the Role of Neurophysiological Studies in Predicting Functional Outcome After Lumbar Discectomy

A Prospective Study on the Role of Neurophysiological Studies in Predicting Functional Outcome After Lumbar Discectomy

Acute Radiating Low Back Pain Impact on Routine and Function of the Brazilian Population: A Cross-Sectional Study

The Quality of Life in Patients After Surgical Treatment of a Lumbar Disc Herniation — a Preliminary Study

Contact Info

Product

Resources

About