Predictors of an unfavorable outcome 1.5 and 12 years after a first, uncomplicated lumbar disc surgery
| Autor: | Silke Inschlag, Gabriele Amtmann, Nora Salomon, Karl-Ludwig Resch, Karin Pieber, Gerold Ebenbichler |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Lumbar vertebrae 03 medical and health sciences 0302 clinical medicine Rating scale Humans Medicine Orthopedics and Sports Medicine 030212 general & internal medicine Diskectomy Pain Measurement Sedentary lifestyle Lumbar Vertebrae Rehabilitation business.industry Middle Aged Prognosis Low back pain Outcome (probability) Surgery Patient Outcome Assessment medicine.anatomical_structure Female Neurosurgery Sedentary Behavior medicine.symptom business Low Back Pain 030217 neurology & neurosurgery Follow-Up Studies |
| Zdroj: | European Spine Journal. 25:3520-3527 |
| ISSN: | 1432-0932 0940-6719 |
| DOI: | 10.1007/s00586-016-4700-4 |
| Popis: | To identify predictors of both intermediate and long-term unfavorable outcomes after first time, uncomplicated lumbar disc surgery. Patients (n = 120) who had undergone lumbar disc surgery were followed up 1.5 and 12 years thereafter. Baseline assessments were carried out 5–8 days after surgery. Clinical outcome was assessed in both follow-ups using the Low Back Pain Rating Scale. Statistical analysis included binary logistic and linear regression. Unfavorable outcomes were found in 50.5 % (1.5 years) and 52.6 % (12 years) of patients available for follow-up examination. Low pre-operative physical activity and severe pain in the first week after surgery were predictive of an unfavorable post-operative outcome at both follow-ups. Identified predictors suggest that particular emphasis should put on comprehensive post-operative care at large and encouragement to adapt a physically active lifestyle in particular in rehabilitation concepts after first time uncomplicated lumbar disc surgery. |
| Databáze: | OpenAIRE |
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