Document Detail

Seven-year clinical follow-up after lumbar disc surgery: results and predictors of outcome.
MedLine Citation:
PMID:  10616588     Owner:  NLM     Status:  MEDLINE    
This study evaluates the 7-year outcome of lumbar disc surgery and the predictive value of pre- and perioperative risk factors. The 7-year follow-up rate of a sample of 122 patients was 93% (n = 114). Six per cent of the patients had undergone repeat surgery. Approximately 90% reported that they were satisfied with having undergone surgery. The clinical outcome was evaluated in 96 patients (54 men and 42 women) by means of patient-scores (VAS) of low back and leg pain, and a Clinical Overall Score (COS). In multivariate regression analyses, women were shown to have poorer outcome than men. Preoperative psychological distress and impaired fibrinolytic activity were predictors of poor 7-year outcome. Age, weight, smoking habits and physical fitness had no statistically significant prognostic value. Whether the patients were operated for one or two herniated discs, or whether surgery involved a full or partial laminectomy, did not influence the outcome significantly.
V Graver; A K Haaland; B Magnaes; M Loeb
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  British journal of neurosurgery     Volume:  13     ISSN:  0268-8697     ISO Abbreviation:  Br J Neurosurg     Publication Date:  1999 Apr 
Date Detail:
Created Date:  2000-01-24     Completed Date:  2000-01-24     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8800054     Medline TA:  Br J Neurosurg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  178-84     Citation Subset:  IM    
Department of Neurology, Ullevaal University Hospital, Oslo, Norway.
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MeSH Terms
Adaptation, Psychological
Analysis of Variance
Cohort Studies
Follow-Up Studies
Intervertebral Disk Displacement / surgery*
Middle Aged
Postoperative Care
Preoperative Care
Treatment Outcome

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

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