The causes of poor results of surgery in low back pain

Tilscher, H.; Hanna, Michael

doi:10.1007/978-94-009-2165-8_17

Cited by 2 publications

(3 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Full laminectomy was performed when there were either two herniated discs, or one herniated disc associated with some narrowness in the spinal canal. Dural tears have been associated with poor outcome [1,6,24]. However, in this study the eight patients with a dural tear did not seem to perform less well than the other patients one year postoperatively.…”

Section: Discussioncontrasting

confidence: 66%

See 1 more Smart Citation

Is the outcome of traditional lumbar disc surgery related to the size of the exposure?

Graver

Ljunggren²,

Magnæs

et al. 1996

Acta neurochir

View full text Add to dashboard Cite

The purpose of this study was to evaluate whether wide surgical exposures result in poorer outcome of lumbar disc surgery compared to smaller traditional exposures. The aim was also to assess if a dural tear has any impact on the postoperative clinical outcome. One hundred and twenty-two patients (56 women and 66 men, mean age 40.8 years) with herniated intervertebral lumbar disc and no previous back surgery, were included. Postoperatively they were grouped according to surgery as follows: surgery on one vs. two herniated discs (106 vs. 16 patients), partial vs. full laminectomy (93 vs. 29 patients), and the occurrence or not of a dural rent (8 vs. 114 patients). The outcome of surgery was evaluated one years postoperatively mainly by a composite clinical overall score (COS) and by its separate elements, which were: pain intensity in the lower-back or leg (VAS), neurological and clinical examination, functional capacity (Oswestry), and the need for analgesics. The results of the statistical regression analyses did not reveal significant differences in the postoperative outcome scores in the various groups of patients. The groups were comparable; no significant differences were seen in the pre-operative clinical overall scores.

show abstract

Section: Discussioncontrasting

confidence: 66%

“…The purpose of the present study was to determine if the clinical outcome of lumbar disc surgery is related to the extent of the exposures. Since the occurrence of dural tears also has been associated with poor outcome of lumbar disc surgery [1,6,24], this factor was also assessed.…”

Section: Introductionmentioning

confidence: 99%

Is the outcome of traditional lumbar disc surgery related to the size of the exposure?

Graver

Ljunggren²,

Magnæs

et al. 1996

Acta neurochir

View full text Add to dashboard Cite

show abstract

“…Bigos 1994 und Waddell 1999 empfehlen einen konservativen Therapieversuch von 4-6 Wochen Dauer, in internationalen Leitlinien wird die OP-Indikation häufig bei einer Beschwerdepersistenz von > 4 Wochen empfohlen (Tab. 1) [5,21,30]. Erfolgsdefinitionen und eindeutige Kriterien für einen therapeutischen Strategiewechsel sind nicht standardisiert.…”

Section: Introductionunclassified

Die verschleppte OP - Indikation beim lumbalen Bandscheibenvorfall

Hm¹

2005

Z Orthop Ihre Grenzgeb

View full text Add to dashboard Cite

In Germany, lumbar disc herniations require surgical treatment in about 50,000 patients/year. The clinical and socio-economical results are determined by the preoperative duration of symptoms and preoperative time out of work (highly predictive). Other parameters such as severity of neurological deficits, morphology of disc herniation, age, associated diseases, type of surgery, working conditions or litigation processes are only weak predictors of outcome. Postoperative improvement of clinical symptoms as well as professional reintegration is strongly determined by the time period between onset of symptoms and surgery. Surgery performed "too early" diminishes the chance for improvement by conservative therapy. If surgery is performed "too late" the risk of a bad result is high, and the reintegration of the patient into his preoperative social and professional activities may be prevented. The duration of conservative therapy including so-called semi-invasive procedures is critical in this sense. If a therapeutic success (= professional and social reintegration) cannot be achieved by conservative measures and if there is a clear morphological correlate (= disc herniations with corresponding clinical symptoms) of the clinical symptoms an early change of the strategy towards surgical therapy is recommended.

show abstract

The causes of poor results of surgery in low back pain

Cited by 2 publications

References 2 publications

Is the outcome of traditional lumbar disc surgery related to the size of the exposure?

Is the outcome of traditional lumbar disc surgery related to the size of the exposure?

Die verschleppte OP - Indikation beim lumbalen Bandscheibenvorfall

Contact Info

Product

Resources

About