Document Detail

Long-term Clinical Outcomes in Patients Undergoing Lumbar Discectomy by Fenestration.
MedLine Citation:
PMID:  23321193     Owner:  NLM     Status:  In-Data-Review    
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.
J Shi; Y Wang; F Zhou; H Zhang; H Yang
Related Documents :
8633993 - As originally published in 1988: long-term results of mitral valve surgery in patients ...
3913183 - Mitral reconstruction.
10743863 - Treatment of intrabony defects with resorbable materials, non-resorbable materials and ...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of international medical research     Volume:  40     ISSN:  1473-2300     ISO Abbreviation:  J. Int. Med. Res.     Publication Date:  2012  
Date Detail:
Created Date:  2013-01-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0346411     Medline TA:  J Int Med Res     Country:  England    
Other Details:
Languages:  eng     Pagination:  2355-61     Citation Subset:  IM    
Department of Orthopaedics, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

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

Previous Document:  Intraoperative electron beam radiotherapy for primary treatment of stage IIb cervical cancer: a retr...
Next Document:  Effects of preoperative gabapentin on postoperative pain after radical retropubic prostatectomy.