Severe sciatica: a 13-year follow-up of 342 patients.

Autor:	Nykvist, F., Hurme, M., Alaranta, H., Kaitsaari, M.
Předmět:	LUMBAR vertebrae surgery SPINAL surgery COMPARATIVE studies EMPLOYMENT INTERVERTEBRAL disk displacement LONGITUDINAL method RESEARCH methodology MEDICAL cooperation POSTOPERATIVE period RESEARCH RETIREMENT SATISFACTION SCIATICA SMOKING ACTIVITIES of daily living EVALUATION research DISEASE complications
Zdroj:	European Spine Journal; Dec1995, Vol. 4 Issue 6, p335-338, 4p
Abstrakt:	This study involved 342 patients hospitalized because of severe, persistent sciatica suggestive of a lumbar intervertebral disc herniation. After standard clinical evaluation, EMG and myelography, 220 patients underwent lumbar discectomy. The remaining 122 patients were treated conservatively. Follow-up examinations were arranged after 1, 5 and 13 years. The study focused on the rehabilitation outcome in general and differences in outcome between the two treatment groups. Several indicators showed a rather poor outcome for sciatica patients during the 13-year follow-up period. In the operated group 16% had been re-operated because of lumbar disc herniation. True recurrence of herniation (same level and side) occurred in 8%. In the conservatively treated group 14% had undergone spinal surgery. Nearly 70% of the patients still reported sciatica. Self-assessed levels of low back pain were "no change/worse" for 19% in the operated group and for 44% in the conservatively treated group. In both the study groups, nearly 40% of the subjects had retired on disability pensions. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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