Predictors of Patient-Reported Recovery From Motor or Sensory Deficits Two Years After Acute Symptomatic Lumbar Disk Herniation

Background: Canada has a universal health care system that is funded by the government while the United States utilizes a combined public and private payer system. The purpose of this study is to investigate whether there are differences in clinical outcomes between those surgically treated for lumbar disk herniation in Canada as compared to the United States. Methods: Surgical lumbar disk herniation patients enrolled in the Canadian Spine Outcome Research Network (CSORN) prospective registry. were compared with the surgical cohort enrolled in the Spine Patients Outcome Research Trial (SPORT) study. Spine-related patient reported outcomes (PROs) were compared at 3 months and 1 year. Results: The CSORN cohort consisted of 443 patients and the SPORT cohort was made up of 573 patients. Patients in the CSORN cohort were older (p<0.001), and were more likely to be employed (p=0.003). The CSORN cohort demonstrated significantly greater rates of satisfaction after surgery at 3 months (87.2% vs. 65.5%, p=0.003) and 1 year (85.6% vs. 69.0%, p<0.0001). The CSORN cohort was a significant independent predictor of patient satisfaction at 1 year. Conclusions: Patients undergoing surgical treatment for lumbar disc herniation in Canada reported higher rates of satisfaction at 3 months and 1 year post-operatively compared to the United States.

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Tubular Diskectomy vs Conventional Microdiskectomy for the Treatment of Lumbar Disk Herniation: 2-Year Results of a Double-Blind Randomized Controlled Trial

Yearbook of Neurology and Neurosurgery ◽

10.1016/j.yneu.2011.09.001 ◽

2012 ◽

Vol 2012 ◽

pp. 298-299

Author(s):

R. Riesenburger

Keyword(s):

Randomized Controlled Trial ◽

Controlled Trial ◽

Disk Herniation ◽

Lumbar Disk Herniation ◽

Double Blind ◽

Lumbar Disk ◽

Randomized Controlled

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Surgical vs Nonoperative Treatment for Lumbar Disk Herniation: The Spine Patient Outcomes Research Trial (SPORT) Observational Cohort

Yearbook of Pediatrics ◽

10.1016/s0084-3954(08)70453-6 ◽

2008 ◽

Vol 2008 ◽

pp. 332-334

Author(s):

J.A. Stockman

Keyword(s):

Patient Outcomes ◽

Outcomes Research ◽

Nonoperative Treatment ◽

Disk Herniation ◽

Lumbar Disk Herniation ◽

Lumbar Disk ◽

Observational Cohort

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Surgical vs Nonoperative Treatment for Lumbar Disk Herniation: The Spine Patient Outcomes Research Trial (SPORT) Observational Cohort

Yearbook of Orthopedics ◽

10.1016/s0276-1092(08)70236-0 ◽

2007 ◽

Vol 2007 ◽

pp. 244-247

Author(s):

P.M. Huddleston

Keyword(s):

Patient Outcomes ◽

Outcomes Research ◽

Nonoperative Treatment ◽

Disk Herniation ◽

Lumbar Disk Herniation ◽

Lumbar Disk ◽

Observational Cohort

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The Effect of Hydrotherapy on Pain Intensity and Functional Ability in Lumbar Disk Herniation (LDH) Patients that Undergo Non-operative Procedure Pre-experimental Study at Medical Rehabilitation Installation of RSUP dr. Mohammad Hoesin Palembang

SRIWIJAYA JOURNAL OF MEDICINE ◽

10.32539/sjm.v3i3.214 ◽

2020 ◽

Vol 3 (3) ◽

pp. 42-50

Author(s):

Theresa Rahmadhani ◽

Nyimas Fatimah ◽

Eka Febri Zulissetiana

Keyword(s):

Experimental Study ◽

Pain Intensity ◽

Functional Ability ◽

Operative Procedure ◽

Medical Rehabilitation ◽

Wilcoxon Test ◽

Low Back ◽

Disk Herniation ◽

Lumbar Disk Herniation ◽

Lumbar Disk

The effect of hydrotherapy on pain intensity and functional ability in lumbar disk herniation (LDH) patients thatundergo non-operative procedure; pre-experimental study at medical rehabilitation installation of RSUPdr. Mohammad Hoesin Palembang. Lumbar disk herniation (LDH) is the most common disease that becaused low backpain and functional disability. Some studies mentioned that hydrotherapy is an effective treatment for low back pain.Therefore, this study was conducted to determine the effect of hydrotherapy on reducing pain intensity and improvingfunctional ability in LDH patients. This study was a pre-experimental study with one group pretest-posttest design. Datawas collected by direct interviews to the patients using visual analogue scale (VAS) to measure pain intensity andModified Oswestry Low Back Pain Disability Questionnaire to assess functional ability before and after underwenthydrotherapy once a week for 4 weeks. The data then undergo Shapiro-Wilk normality test and continue with Paired t-Test or Wilcoxon test. From 30 subjects, it was found that there are effects of hydrotherapy on reducing pain intensity(p<0,001) and improving functional ability (p<0,001) in LDH patients that undergo non-operative procedure at theMedical Rehabilitation Installation of RSUP Dr. Mohammad Hoesin Palembang. There are effects of hydrotherapy onpain intensity and functional ability in LDH patients that undergo non-operative procedure.

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