scholarly journals Outcomes research and lumbar discectomy

2002 ◽  
Vol 13 (2) ◽  
pp. 1-4 ◽  
Author(s):  
Peter D. Angevine ◽  
Paul C. McCormick
Keyword(s):  
Outcome Measurement ◽  
Lumbar Disc ◽  
Lumbar Discectomy ◽  
Clinical Practices ◽  
Disc Disease ◽  
Lumbar Disc Disease ◽  
Novel Treatments ◽  
Basic Concepts ◽  
Spine Surgeon

Lumbar discectomy is generally performed to reduce pain or disability and thereby improve quality of life. Important surgery-related results, therefore, include the patients' perceptions of the effect of surgery on their health and ability to perform daily tasks. Spine surgeons should have an understanding of basic concepts of outcome measurement and be able to select appropriate questionnaires and incorporate them into their clinical practices and research. A brief review of the fundamental principles of outcome research is presented, and the recent lumbar discectomy literature concerning these ideas is summarized. Properly designed, conducted, and reported outcome studies of lumbar discectomy will assist the spine surgeon in selecting appropriate patients for surgery, educating them regarding expected results, and comparing this procedure with novel treatments for lumbar disc disease.

scholarly journals A Retrospective Observational Analysis on the Outcome of Microlumbar Discectomy among 70 Consecutive Cases in the Tertiary Care Spine Center in Nepal

2019 ◽  
Vol 16 (3) ◽  
pp. 34-39
Author(s):  
Binod Bhattarai ◽  
Shashi Bhushan Sah
Keyword(s):  
Wound Infection ◽  
Lumbar Disc ◽  
Tertiary Care ◽  
Lumbar Discectomy ◽  
Neurological Deficits ◽  
Disc Disease ◽  
Term Outcome ◽  
Lumbar Disc Disease ◽  
Long Term Outcome

Lumbar disc disease is a commonly encountered spine problem. There have been various modalities of treatment that have evolved over the years. The objective of our study is to analyze safety, efficacy, and complications following Micro-lumbar discectomy. All the cases admitted in our spine clinic with symptomatic lumbar disc and who underwent Micro-lumbar discectomy between February2013 to February 2018 were included in our study. Seventy cases were operated during this period. Total operative time, immediate and long term outcome with regards to pain and neurological deficits were tabulated and analyzed for each patient. Furthermore, short and long term complications including wound infection, discit is, instability and recurrence at the same level were also studied and compared with similar studies from the literature. None of our cases had complications related to wound infection, instability or post-operativediscitis. Immediate relief from the radicular pain experienced in the pre-operative period was seen in all patients (Visual analog scale) though benign tingling sensation persisted in a few of them that improved in a short span of time. Recurrence was seen in only one case. Micro-lumbar discectomy is a minimally invasive spine procedure conferring high benefits to the patients. While compared to other methods of intervention, it has a low risk of complications as well as chances of disc recurrences.

scholarly journals THE EFFECT OF THE TRACTION THERAPY ON PATIENTS WITH LUMBAR DISC DISEASE

2021 ◽  
Author(s):  
Mariyana Mihaylova ◽  
◽  
Keyword(s):  
Quality Of Life ◽  
Lumbar Disc ◽  
Treatment Protocol ◽  
Control Group ◽  
Physical Factors ◽  
Disc Disease ◽  
Lumbar Disc Disease ◽  
Treatment Protocols ◽  
Before And After

The goal of this research is to examine the efficiency of a set of physical factors with the inclusion of traction therapy in treating lumbar static and dynamic pain and the opportunities to influence the quality of life of patients with lumbar disc disease (LDD).100 patients with lumber disc disease participated in the clinical study. They were equally divided into a control group (CG), which has been treated with basic therapy (LFMF and IFC) and experimental group (EG) where traction therapy was part of the treatment protocol. For evaluating the effectiveness of the treatment was used quantitative assessment for static and dynamic pain and the quality of life before and after thetreatment. Results of both treatment protocols have statistically significant effect (p<0,001) in reducing low back pain and improving the quality of life. In comparison between the two groups, EG has a statistically significant (p<0,001) advantage over the CG. The inclusion of extension therapy in basic physical therapy gives excellent results, contributes to a more significant reduction ofpain and improves the quality of life of patients.

scholarly journals Guidelines for the use of discography for the diagnosis of painful degenerative lumbar disc disease

2002 ◽  
Vol 13 (2) ◽  
pp. 1-9 ◽  
Author(s):  
Daniel K. Resnick ◽  
David G. Malone ◽  
Timothy C. Ryken
Keyword(s):  
English Language ◽  
Lumbar Disc ◽  
Test Results ◽  
Disc Disease ◽  
Lumbar Disc Disease ◽  
Treatment Standard ◽  
Practice Parameters ◽  
Positive Results

Object Discography has been used as a diagnostic test in the evaluation of patients with recalcitrant low-back pain. Recently, its usefulness has been questioned because of the occurrence of false-positive results as well as the influence of psychological factors on test results. The purpose of this review is to establish the literature support for and against the use of discography. A search of the English-language literature published between 1966 and 2001 was performed. Papers were selected based on inclusion criteria described in the text, and the quality of information was graded using previously described methods. Conclusions The authors propose a set of practice parameters based on the literature. Although the data were not judged adequate for the determination of a treatment standard, parameters for the use of discography are provided at a guideline and option level.

scholarly journals PO 18162 - Clinical and functional outcomes of tibiotarsal arthrodesis in foot drop treatment

2019 ◽  
Vol 13 (Supl 1) ◽  
pp. S33
Author(s):  
Evandro Junior Christovan Ribeiro ◽  
Gunther Geraldo Dutra Ernesto Junior ◽  
Sérgio Damião Prata ◽  
Marco Antônio Rizzo
Keyword(s):  
Functional Outcomes ◽  
Lumbar Disc ◽  
Foot Drop ◽  
Functional Improvement ◽  
Foot And Ankle ◽  
Disc Disease ◽  
Lumbar Disc Disease ◽  
Peroneal Nerve Injury ◽  
The Mean

Objective: To evaluate the clinical and functional outcomes of the treatment of foot drop with joint degeneration through tibiotarsal arthrodesis. Methods: Nine patients with foot drop were retrospectively evaluated, including 2 with lumbar disc disease, 4 with sequelae of poliomyelitis, and 3 with peroneal nerve injury. All patients underwent tibiotarsal arthrodesis (open surgery), and functional improvement of the limb was analyzed during the postoperative period. The mean age of the patients was 45 years and 10 months, and 6 patients were men. Results: The outcomes were evaluated using the American Orthopedic Foot and Ankle Society (AOFAS) ankle-hindfoot scale translated into and adapted to Portuguese. In the postoperative assessment, 6 patients had mild or occasional pain, and 3 patients had no pain. The mean AOFAS ankle-hindfoot score was 36 points before surgery, ranging from 26 to 39, and 73 after surgery, ranging from 42 to 91. Conclusion: Tibiotarsal arthrodesis in patients with foot drop showed satisfactory outcomes, improvement in pain and gait and, consequently, improvement in quality of life.

Lumbar disc disease

2010 ◽  
pp. 830-835
Author(s):  
George Samandouras
Keyword(s):  
Surgical Treatment ◽  
Natural History ◽  
Clinical Features ◽  
Lumbar Disc ◽  
Disc Disease ◽  
Lumbar Disc Disease ◽  
Basic Concepts

Chapter 16.11 covers lumbar disc disease, including basic concepts and areas such as epidemiology, natural history vs. surgery, clinical features, imaging, and surgical treatment.

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