Effect of Preoperative Parameters on Outcomes of Lumbar Microdiscectomy: A Retrospective Analysis.

Autor: Mehendiratta D; Spine Surgery Unit, Department of Orthopaedics, PD Hinduja Hospital & Medical Research Centre, Veer Savarkar Marg, Mahim, Mumbai, Maharashtra, India., Patel P; Spine Surgery Unit, Department of Orthopaedics, PD Hinduja Hospital & Medical Research Centre, Veer Savarkar Marg, Mahim, Mumbai, Maharashtra, India., Bhambhu V; Spine Surgery Unit, Department of Orthopaedics, PD Hinduja Hospital & Medical Research Centre, Veer Savarkar Marg, Mahim, Mumbai, Maharashtra, India., Chaudhary K; Spine Surgery Unit, Department of Orthopaedics, PD Hinduja Hospital & Medical Research Centre, Veer Savarkar Marg, Mahim, Mumbai, Maharashtra, India., Dalvie S; Spine Surgery Unit, Department of Orthopaedics, PD Hinduja Hospital & Medical Research Centre, Veer Savarkar Marg, Mahim, Mumbai, Maharashtra, India.
Jazyk: angličtina
Zdroj: Asian journal of neurosurgery [Asian J Neurosurg] 2022 Aug 24; Vol. 17 (2), pp. 248-254. Date of Electronic Publication: 2022 Aug 24 (Print Publication: 2022).
DOI: 10.1055/s-0042-1750839
Abstrakt: Objective  The objective of this study was to characterize the effect of preoperative variables on outcomes after minimally invasive lumbar microdiscectomy. Materials and Methods  This study was done from January 2019 to May 2020. This included medical records of all patients who were diagnosed with lumbar disc herniation and treated surgically by microdiscectomy. The medical records of such patients from January 2016 to January 2018 were included in this study. Postoperative outcomes were analyzed by Oswestry Disability Index (ODI), visual analog scale (VAS) leg, and VAS back scores, that were noted at preoperative, immediate postoperative, 6 months postoperative, and 1 year after operation. Difference in each outcomes score was calculated postoperatively with respect to the preoperative readings. Minimal clinically important difference was further calculated for each outcome score. Results  On analyzing the ODI, VAS leg, and VAS back scores across various age groups, genders, body mass indexes, addictions, comorbidities, preoperative epidural steroid injection and physiotherapy, and levels of disc herniation, and it was found that there was no statistically significant difference across these categories. However, the ODI scores (∼ ODI) at all time points showed greater difference in the younger age group, that is, 18 to 30 years, males, nonsmokers, those with symptom duration of less than 6 weeks, and with disc herniation at L3 to L4. Conclusion  The findings of this study will help to properly counsel patients with regard to the factors mentioned above so as to set realistic expectations, to help improve the outcomes, and for appropriate surgical decision making, that is, at which point should a surgical intervention be made.
Competing Interests: Conflicts of Interest None declared.
(Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ).)
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje