Table 4.
Factors predicting walking ability 6 weeks, 6 and 12 months following surgery – univariate analysis
| Pre-operative factors | 6 week following surgery | 6 months following surgery | 12 months following surgery | ||||||
|---|---|---|---|---|---|---|---|---|---|
| Coefficient | 95% CI of the coefficient | P-value | Coefficient | 95% CI of the coefficient | P-value | Coefficient | 95% CI of the coefficient | P-value | |
| Age categories | |||||||||
| < 60 | Ref | Ref | Ref | ||||||
| 60–64.5 | 0.02 | (− 0.01, 0.05) | 0.222 | 0.006 | (− 0.05, 0.06) | 0.803 | − 0.007 | (− 0.07, 0.06) | 0.786 |
| 65–69.5 | 0.03 | (− 0.03, 0.10) | 0.272 | − 0.01 | (− 0.06, 0.04) | 0.592 | − 0.03 | (− 0.12, 0.06) | 0.489 |
| 70–74.5 | 0.03 | (− 0.03, 0.09) | 0.287 | − 0.02 | (− 0.09, 0.04) | 0.372 | − 0.05 | (− 0.19, 0.08) | 0.343 |
| ≥ 75 | 0.05 | (− 0.04, 0.14) | 0.195 | − 0.006 | (− 0.07, 0.06) | 0.830 | − 0.04 | (− 0.22, 0.13) | 0.527 |
| Gender | |||||||||
| Female | Ref | Ref | Ref | ||||||
| Male | − 0.02 | (− 0.05, 0.01) | 0.165 | − 0.03 | (− 0.09, 0.02) | 0.177 | 0.01 | (− 0.05, 0.08) | 0.609 |
| BMI Categories (kg/m2) | |||||||||
| < 20 | Ref | Ref | Ref | ||||||
| 20–24.9 | − 0.01 | (− 0.12, 0.08) | 0.744 | − 0.02 | (− 0.09, 0.05) | 0.564 | 0.01 | (− 0.07, 0.09) | 0.792 |
| 25–29.9 | − 0.001 | (− 0.09, 0.09) | 0.994 | − 0.01 | (− 0.09, 0.07) | 0.783 | 0.02 | (− 0.06, 0.10) | 0.621 |
| 30–34.9 | 0.03 | (− 0.06, 0.13) | 0.508 | 0.02 | (− 0.05, 0.10) | 0.534 | 0.05 | (− 0.03, 0.12) | 0.209 |
| 35–39.9 | 0.07 | (− 0.03, 0.18) | 0.155 | 0.06 | (− 0.008, 0.14) | 0.084 | 0.09 | (− 0.01, 0.19) | 0.079 |
| ≥ 40 | 0.11 | (− 0.01, 0.23) | 0.123 | 0.07 | (− 0,04, 0.18) | 0.204 | 0.06 | (− 0.05, 0.19) | 0.253 |
| Maximum walking distance (meters) | − 0.0001 | (− 0.0002, 0.0001) | 0.230 | 0.00003 | (− 0.0003, 0.003) | 0.807 | 0.0008 | (− 0.003, 0.004) | 0.626 |
| Time stood (minutes) | 0.001 | (− 0.006, 0.009) | 0.716 | 0.005 | (− 0.001, 0.01) | 0.086 | 0.003 | (− 0.009, 0.01) | 0.522 |
|
Neurological deficit No |
|||||||||
| Yes | 0.02 | (− 0.04, 0.03) | 0.852 | 0.003 | (− 0.02, 0.03) | 0.775 | 0.02 | (− 0.03, 0.07) | 0.446 |
| Presence of comorbidity | |||||||||
| No | Ref | Ref | Ref | ||||||
| Yes | − 0.07 | (− 0.09, − 0.05) | 0.020 | 0.07 | (0.03, 0.10) | 0.007 | 0.07 | (0.02, 0.11) | 0.011 |
| Work status | |||||||||
| No | Ref | Ref | Ref | ||||||
| Yes | − 0.07 | (− 0.09, − 0.05) | 0.020 | 0.08 | (− 0.05, 0.21) | 0.150 | 0.13 | (− 0.05, 0.20) | 0.126 |
| Education | |||||||||
| Up to & including secondary | Ref | Ref | Ref | ||||||
| Higher education | 0.003 | (− 0.03, 0.03) | 0.818 | 0.005 | (− 0.04, 0.21) | 0.150 | − 0.04 | (− 0.01, 0.12) | 0.231 |
| Use of analgesia | |||||||||
| No | Ref | Ref | Ref | ||||||
| Yes | − 0.009 | (− 0.13, 0.11) | 0.847 | 0.008 | (− 0.17, 0.19) | 0.907 | − 0.13 | (− 0.23, 0.09) | 0.628 |
| Surgery type | |||||||||
| No discectomy | Ref | Ref | Ref | ||||||
| Discectomy | 0.06 | (0.01, 0.10) | 0.019 | 0.12 | (0.07, 0.17) | < 0.001 | 0.10 | (0.06, 0.15) | < 0.001 |
| Duration of symptoms (years) | 0.003 | (− 0.002, 0.009) | 0.166 | 0.003 | (− 0.001, 0.007) | 0.121 | 0.004 | (− 0.004, 0.007) | 0.243 |
| Zung depression score | 0.006 | (− 0.003, 0.003) | 0.424 | 0.0007 | (− 0.008, 0.009) | 0.826 | 0.004 | (− 0.01, 0.02) | 0.561 |
| Fear avoidance (work) | − 0.001 | (− 0.006, 0.003) | 0.434 | − 0.002 | (− 0.009, 0.004) | 0.298 | − 0.002 | (− 0.01, 0.009) | 0.638 |
| Fear avoidance (pain) | − 0.0.006 | (− 0.006, 0.005) | 0.766 | 0.003 | (− 0.002, 0.008) | 0.186 | 0.002 | (− 0.006, 0.01) | 0.521 |
| Back pain (NRS) | 0.004 | (− 0.0003, 0.009) | 0.065 | 0.006 | (− 0.004, 0.02) | 0.172 | 0.005 | (− 0.01, 0.02) | 0.488 |
| Leg pain (NRS) | − 0.01 | (− 0.02, − 0.009) | < 0.001 | − 0.01 | (− 0.02, − 0.003) | 0.015 | − 0.009 | (− 0.002, − 0.01) | 0.020 |
| Quality of life (EQ- 5D− 5L Health VAS) | 0.00002 | (− 0.001, 0.001) | 0.953 | − 0.0001 | (− 0.0005, 0.0002) | 0.343 | 0.0002 | (− 0.0008, 0.001) | 0.594 |
| Quality of life (EQ-5D-5L) | − 0.07 | (− 0.16, − 0.20) | 0.008 | − 0.09 | (− 0.17, − 0.009) | 0.034 | − 0.05 | (− 0.01, − 0.08) | 0.038 |
| Disability (ODI) | 0.006 | (0.005, 0.007) | < 0.001 | 0.008 | (0.005, 0.01) | 0.003 | 0.007 | (0.003, 0.01) | 0.006 |
Abbreviations: BMI: body mass index; CI: confidence interval; NRS: numerical rating scale; ODI: Oswestry Disability Index; VAS: visual analogue scale
Bold values represent p < 0.05