Assessment of the outcome of low back surgery

Waddell, Gordon; Reilly, Sheena; Torsney, Ben; Allan, D.B.; Morris, E. W.; Paola, MP Di; Bircher, Martin; Finlayson, D

doi:10.1302/0301-620x.70b5.2973465

Cited by 50 publications

(18 citation statements)

References 10 publications

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“…This is in agreement with the actual findings, as the association between intake of wine and good prognosis could be found in each of the three outcome measure components (pain, impairment, self-assessment) as well as in the sum of them (total rating score). Whatever the type of assessment performed, the reported outcome may tend to represent the patients' actual status rather than any change produced by surgery, thus making the interpretation of the results even more complex [26]. The total score ranges 3-7 (defined as "success" with n = 98) and 8-12 (defined as "failure" with n = 46) were chosen because they represent the two equal halfparts of the outcome measure, and the patients had to be divided in two groups that were not too uneven for the statistical analysis.…”

Section: Discussionmentioning

confidence: 99%

Lumbar disc herniation: favourable outcome associated with intake of wine

Rasmussen¹

1998

European Spine Journal

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IntroductionLumbar disc herniation is a common spinal disorder that in Denmark is operated upon in 0.7% of the general population (4200 operations annually per 5.1 million inhabitants) [1]. Although lumbar disc herniation is only a minor part of the low back pain complex, it has attracted considerable interest in the search for outcome predictors after first-time back surgery. The most common reason for surgery for lumbar disc herniation is the relief of pain [22]. The pain is often complex and requires a multifaceted approach. Relying solely on structural abnormalities is inadequate [2]. The single most striking factor behind a poor outcome of surgery was poor patient selection prior to the initial operative procedure [4]. Many attempts have been made to construct a lumbar disc surgery predictive score card taking into account clinical findings, psychological tests and lifestyle indicators [4,14,25].Studies have shown beneficial effects of wine on conditions as different as ischaemic heart disease, geriatric mental disorders, gallstone formation and oxidation of human low-density lipoprotein [5,16,18,20]. The intake of moderate amounts of alcoholic beverages was associated Abstract Recent research indicates that non-smoking and intake of alcoholic beverages, in particular wine, are associated with beneficial effects on several diseases, especially atherosclerosis. The aim of the study was to investigate whether smoking or the intake of different alcoholic beverages are associated with the outcome 2 1 ⁄ 2 years after first-time lumbar disc surgery. The design was a follow-up study, using a questionnaire including a rating scale. All 170 patients consecutively operated upon for a lumbar disc herniation over a 1-year period were clinically examined at the time of the operation and classified according to various social and demographic variables. The main outcome measure, 2 1 ⁄ 2 years after, was the total rating score, i.e. the sum of three equally weighted outcome measures: pain, impairment and self-assessment of the operation result. The questionnaires were completed by 148 patients (87%). The median age of patients was 41 years; 60 of them were women. Fifty-four per cent were smokers and 42% wine drinkers. Logistic regression analysis calculated a fourfold increase in the success rate for wine drinkers. This fourfold odds ratio was not significantly reduced by the following variables: age, sex, social class, household income, smoking habits, employment status or marital status. Smoking could not be shown to be an independent risk factor for the outcome. Intake of wine was found to be associated with a good prognosis after first-time lumbar disc surgery, and this association could not be attributed to the lifestyle characteristics studied.

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Section: Discussionmentioning

confidence: 99%

Lumbar disc herniation: favourable outcome associated with intake of wine

Rasmussen¹

1998

European Spine Journal

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“…25 Lost time from work has increased significantly over the past 30 years, while the incidence of low back pain has stayed the same. 24 Estimated total costs for low back pain are approximately $16 billion annually (compensable and noncompensable) in the United States. 24 The distribution of low back compensation costs is skewed: 25% of low back cases account for 95% of the costs.…”

Section: B Back Injuriesmentioning

confidence: 99%

Health hazard evaluation report: HETA-90-385-2173, U.S. Army Corps of Engineers, North Central Division, Chicago, Illinois.

1992

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The Rock Island District employs 860 workers in the winter season and 900 in the summer. The study included a walk-through survey of the Peoria Maintenance Facility, in Peoria, Illinois, and the Quincy Lock and Dam Facility, in Quincy, Illinois. The walkthrough also included a review of OSHA 200 logs, informal interviews with employees, and an ergonomic assessment of three jobs: one at the Peoria Maintenance Facility and two at the Quincy Lock and Dam Facility. Data gathered indicated that potential musculoskeletal disorders could result at the elbow, shoulder, back, and hip during manual material handling in the maintenance shop in Peoria, Illinois, at the Lock and Dam Facility among the lock persons, and during lock maintenance and repair. Job tasks that involve ergonomic risk factors for musculoskeletal injuries include manual handling and transport during roller repair operation, tying off of barge ropes while barges are "locking through," and grinding during repair of lock gates. In addition, hand and wrist disorders may result from exposure to vibration from a hand held power sander used to remove metal debris from the locks during maintenance and repair. Implementation of an ergonomics control program using the recommendations contained in this report will facilitate the development and dissemination of control methods to reduce and prevent musculoskeletal hazards for the facilities evaluated by NIOSH researchers. Because of the uniformity of the lock and dam system the recommendations contained in this report may be extended to all facilities under the control of the Army Corps of Engineers to reduce and prevent musculoskeletal hazards.On the basis of the information collected during this evaluation, NIOSH researchers determined that musculoskeletal hazards existed for the upper limbs and back. Recommendations for reducing and preventing such hazards at the facilities evaluated by NIOSH researchers are presented in Section VIII of this report. These recommendations may be extended to similar facilities under the control of the Army Corps of Engineers.

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“…25 Lost time from work has increased significantly over the past 30 years, while the incidence of low back pain has stayed the same. 26 Estimated total costs for low back pain is approximately 16 billion annually (compensable and noncompensable) in the United States. 24 The distribution of low back compensation costs is skewed: 25 percent of low back cases account for 95% of the costs.…”

Section: B Back Injuriesmentioning

confidence: 99%

Health hazard evaluation report: HETA-90-134-2064, Harley-Davidson, Inc., Milwaukee, Wisconsin.

1990

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Assessment of the outcome of low back surgery

Cited by 50 publications

References 10 publications

Lumbar disc herniation: favourable outcome associated with intake of wine

Lumbar disc herniation: favourable outcome associated with intake of wine

Health hazard evaluation report: HETA-90-385-2173, U.S. Army Corps of Engineers, North Central Division, Chicago, Illinois.

Health hazard evaluation report: HETA-90-134-2064, Harley-Davidson, Inc., Milwaukee, Wisconsin.

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