Abstract
From January to June 1994, we operated conventionally on 121 consecutive herniated lumbar disc patients as part of a prospective study. We analysed general data, case histories, neurological findings on admission and all data from imaging investigations and therapy. In addition, all patients received a questionnaire based on the Low Back Outcome Score. Most of the patients (93%) were followed-up for 1 year postoperatively in the same manner. On the Prolo Scale, we obtained a good result in 70%; 76% had a good Low Back Outcome Score. Predictive factors are different for different outcome scales. The preoperative duration of pain, the preoperative duration of paresis and smoking seem to be general predictive factors.
Key words: Functional-Economic, Outcome Rating Scale, Low Back Outcome Score, Lumbar disc surgery, Quality of life
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References
- 1.Abramowitz JN, Neff RS. Lumbar disc surgery: results of the prospective lumbar discectomy study of the joint section on disorders of the spine and peripheral nerves of the American Association of the Neurological Surgeons and the Congress of Neurological Surgeons. Neurosurgery. 1991;29:301–308. [PubMed] [Google Scholar]
- 2.Dauch WA, Fasse A, Brucher K, Bauer BL. Pradiktoren des Behandlungserfolges nach mikrochirurgischer Operation lumbaler Bandscheibenvorfälle. Zentralbl Neurochir. 1994;55:144–155. [PubMed] [Google Scholar]
- 3.Davis RA. A long-term outcome analysis of 984 surgically treated hemiated lumbar discs. J Neurosurg. 1994;80:415–421. doi: 10.3171/jns.1994.80.3.0415. [DOI] [PubMed] [Google Scholar]
- 4.Dunnett CW. New tables for multiple comparisons with a control. Biometrics. 1964;20:482–491. [Google Scholar]
- 5.Dvorak J, Gauchat MH, Valach L. The outcome of surgery for lumbar disc herniation. 1. A 4–17 years' follow-up with emphasis on somatic aspects. Spine. 1988;13:1418–1422. doi: 10.1097/00007632-198812000-00015. [DOI] [PubMed] [Google Scholar]
- 6.Dvorak J, Valach L, Fuhrimann P, Heim E. The outcome of surgery for lumbar disc herniation. 11. A 4–17 years' follow-up with emphasis on psychosocial aspects. Spine. 1988;13:1423–1427. doi: 10.1097/00007632-198812000-00016. [DOI] [PubMed] [Google Scholar]
- 7.Frymoyer JW, Gordon SL. Research perspectives in low-back pain. Report of 1988 workshop. Spine. 1989;14:1384. doi: 10.1097/00007632-198912000-00017. [DOI] [PubMed] [Google Scholar]
- 8.Games PA, Howell JF. Pairwise multiple comparison procedures with unequal n's and/or variances: A Monte Carlo study. J Ed Stat. 1976;1:113–125. [Google Scholar]
- 9.Greenough CG. Results of treatment of lumbar spine disorders. Effects of assessment techniques and confounding factors. Acta Orthop Scand [Suppl] 1993;251:126–129. doi: 10.3109/17453679309160142. [DOI] [PubMed] [Google Scholar]
- 10.Greenough CG, Fraser RD. Assessment of outcome in patients with low-back pain. Spine. 1992;17:36–41. doi: 10.1097/00007632-199201000-00006. [DOI] [PubMed] [Google Scholar]
- 11.Howe J, Frymoyer JW. The effects of questionnaire design on the determination of end results in lumbar spinal surgery. Spine. 1985;10:804–805. doi: 10.1097/00007632-198511000-00004. [DOI] [PubMed] [Google Scholar]
- 12.Hurme M, Alaranta H. Factors predicting the result of surgery for lumbar intervertebral disc herniation. Spine. 1987;12:933–938. doi: 10.1097/00007632-198711000-00016. [DOI] [PubMed] [Google Scholar]
- 13.Musson B. Patient-related factors predicting the outcome of decompressive surgery. Acta Orthop Scand [Suppl] 1993;251:69–70. doi: 10.3109/17453679309160123. [DOI] [PubMed] [Google Scholar]
- 14.Junge A, Dvorak J, Ahrens ST. Predictors of bad and good outcomes of lumbar disc surgery. Spine. 1995;20:460–468. doi: 10.1097/00007632-199502001-00009. [DOI] [PubMed] [Google Scholar]
- 15.Lewis PJ, Weir BK, Broad RW, Grace MG. Long-term prospective study of lumbosacral discectomy. J Neurosurg. 1987;67:49–53. doi: 10.3171/jns.1987.67.1.0049. [DOI] [PubMed] [Google Scholar]
- 16.Manniche C, Asmussen KH, Vinterberg H, Rose-Hansen EB, Kramhøft J, Jordan A. Analysis of preoperative prognostic factors in first-time surgery for lumbar disc herniation, including Finneson's and modified Spengler's score system. Dan Med Bull. 1994;41:110–115. [PubMed] [Google Scholar]
- 17.Nygaard ØP, Rommer B, Trumpy JH. Duration of symptoms as a predictor of outcome after lumbar disc surgery. Acta Neurochir (Wien) 1994;128:53–56. doi: 10.1007/BF01400653. [DOI] [PubMed] [Google Scholar]
- 18.Pappas CT, Harrington T, Sonntag VK. Outcome analysis in 654 surgically treated lumbar disc herniations. Neurosurgery. 1992;30:862–866. doi: 10.1227/00006123-199206000-00007. [DOI] [PubMed] [Google Scholar]
- 19.Prolo DJ, Oklund SA, Butcher M. Toward uniformity in evaluating results of lumbar spine operations A paradigm applied to posterior lumbar interbody fusions. Spine. 1986;11:601–606. doi: 10.1097/00007632-198607000-00012. [DOI] [PubMed] [Google Scholar]
- 20.Soerensen LV, Mors O. A twoyear prospective follow-up study of the outcome after surgery in patients with slipped lumbar disk operated upon for the first time. Acta Neurochir (Wien) 1989;96:94–99. doi: 10.1007/BF01456165. [DOI] [PubMed] [Google Scholar]
- 21.Weber H. Lumbar disc herniation. A controlled, prospective study with ten years of observation. Spine. 1983;8:131–140. [PubMed] [Google Scholar]
- 22.Weir BKA. Prospective study of 100 lumbosacral discectomies. J Neurosurg. 1979;50:283–289. doi: 10.3171/jns.1979.50.3.0283. [DOI] [PubMed] [Google Scholar]