Document Detail

Evaluation of outcome following lumbar discectomy.
MedLine Citation:
PMID:  8937389     Owner:  NLM     Status:  MEDLINE    
AIM: To assess the outcome of patients who underwent lumbar discectomy for sciatica as determined by return to work, residual functional disability and self reported pain measures. METHODS: Ninety seven patients who had undergone L4-5 or L5-S1 discectomies for sciatica were reviewed 20 months after surgery. Variables assessed were: gender; length of preoperative time off work and compensation claims for treatment. Outcome was determined by current earning capacity, residual pain level and the Oswestry disability questionnaire. RESULTS: The length of preoperative sick leave had a significant effect on all outcome measures of function, pain, ability to return to full time work and current compensation status. Those patients who had more than 6 months sick leave prior to operation were less likely to have a favourable outcome. CONCLUSION: While chronicity of symptoms does not negate the indications for discectomy, the results suggest that the duration of preoperative leave needs to be considered prior to operation.
L Taylor; G R Howie
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The New Zealand medical journal     Volume:  109     ISSN:  0028-8446     ISO Abbreviation:  N. Z. Med. J.     Publication Date:  1996 Oct 
Date Detail:
Created Date:  1996-12-12     Completed Date:  1996-12-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401067     Medline TA:  N Z Med J     Country:  NEW ZEALAND    
Other Details:
Languages:  eng     Pagination:  398-400     Citation Subset:  IM    
School of Physiotherapy, Auckland Institute of Technology.
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MeSH Terms
Analysis of Variance
Disability Evaluation
Lumbar Vertebrae
Pain Measurement
Sciatica / surgery*
Sick Leave
Treatment Outcome
Workers' Compensation

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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