| Long-term Clinical Outcomes in Patients Undergoing Lumbar Discectomy by Fenestration. | |
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MedLine Citation:
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PMID: 23321193 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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OBJECTIVE: To investigate the long-term outcome of discectomy and relevant factors associated with clinical outcome. METHODS: Patients who underwent lumbar discectomy by fenestration were evaluated retrospectively, using the Oswestry disability index (ODI; 0 - 20 minimal, 21 - 40 moderate, > 41 severe disability) and the Stauffer-Coventry criteria ('excellent', 'good', 'fair', 'poor') to measure clinical and radiographic outcomes. RESULTS: Sixty patients (mean follow-up, 214 months) were included in the analysis. At final follow-up, patients were rated as 'excellent' (n = 31), 'good' (n = 13), 'fair' (n = 5) and 'poor' (n = 11) using the Stauffer-Coventry criteria; the latter group included six patients who underwent reoperations. The mean ODI score was 11.2. The height of the operative intervertebral space was significantly inversely correlated with the follow-up ODI value. Heavy manual work, smoking and a long duration of aggressive preoperative symptoms were significantly associated with unsatisfactory outcomes. CONCLUSIONS: The long-term outcome of lumbar discectomy by fenestration was satisfactory in the majority of patients. Heavy manual work, smoking and the duration of aggressive preoperative symptoms were negative predictors of a good clinical outcome. |
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Authors:
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J Shi; Y Wang; F Zhou; H Zhang; H Yang |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of international medical research Volume: 40 ISSN: 1473-2300 ISO Abbreviation: J. Int. Med. Res. Publication Date: 2012 |
Date Detail:
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Created Date: 2013-01-16 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0346411 Medline TA: J Int Med Res Country: England |
Other Details:
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Languages: eng Pagination: 2355-61 Citation Subset: IM |
Affiliation:
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Department of Orthopaedics, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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