Seven-year clinical follow-up after lumbar disc surgery: results and predictors of outcome
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...
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| Veröffentlicht in: | British journal of neurosurgery 1999, Vol.13 (2), p.178-184 |
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| creator | GRAVER, A. K. HAALAND, B. MAGNAES, M. LOEB, V. |
| description | 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. |
| doi_str_mv | 10.1080/02688699943952 |
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K. HAALAND, B. MAGNAES, M. LOEB, V.</creator><creatorcontrib>GRAVER, A. K. HAALAND, B. MAGNAES, M. LOEB, V.</creatorcontrib><description>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.</description><identifier>ISSN: 0268-8697</identifier><identifier>EISSN: 1360-046X</identifier><identifier>DOI: 10.1080/02688699943952</identifier><identifier>PMID: 10616588</identifier><language>eng</language><publisher>Abingdon: Informa UK Ltd</publisher><subject>Adaptation, Psychological ; Adolescent ; Adult ; Aged ; Analysis of Variance ; Biological and medical sciences ; Cerebrospinal fluid. Spinal cord. Spinal roots. Spinal nerves ; Clinical outcomes ; Cohort Studies ; Female ; Fibrinolysis;Long-term Outcome;Lumbar Disc Surgery;Psychological Traits ; Follow-Up Studies ; Health risk assessment ; Humans ; Intervertebral Disc Displacement - surgery ; Male ; Medical sciences ; Middle Aged ; Neurosurgery ; Postoperative Care ; Predictions ; Preoperative Care ; Psychology ; Spine ; Surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surveys and Questionnaires ; Treatment Outcome</subject><ispartof>British journal of neurosurgery, 1999, Vol.13 (2), p.178-184</ispartof><rights>1999 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 1999</rights><rights>1999 INIST-CNRS</rights><rights>Copyright Carfax Publishing Company Apr 1999</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c475t-3cba905d4696dc02a80d369937253b48af2f2e31de3f4dccb5e4939a8c628e633</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.tandfonline.com/doi/pdf/10.1080/02688699943952$$EPDF$$P50$$Ginformahealthcare$$H</linktopdf><linktohtml>$$Uhttps://www.tandfonline.com/doi/full/10.1080/02688699943952$$EHTML$$P50$$Ginformahealthcare$$H</linktohtml><link.rule.ids>314,776,780,4010,27900,27901,27902,59620,59726,60409,60515,61194,61229,61375,61410</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1803847$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10616588$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>GRAVER, A. K. HAALAND, B. MAGNAES, M. LOEB, V.</creatorcontrib><title>Seven-year clinical follow-up after lumbar disc surgery: results and predictors of outcome</title><title>British journal of neurosurgery</title><addtitle>Br J Neurosurg</addtitle><description>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.</description><subject>Adaptation, Psychological</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Analysis of Variance</subject><subject>Biological and medical sciences</subject><subject>Cerebrospinal fluid. Spinal cord. Spinal roots. Spinal nerves</subject><subject>Clinical outcomes</subject><subject>Cohort Studies</subject><subject>Female</subject><subject>Fibrinolysis;Long-term Outcome;Lumbar Disc Surgery;Psychological Traits</subject><subject>Follow-Up Studies</subject><subject>Health risk assessment</subject><subject>Humans</subject><subject>Intervertebral Disc Displacement - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neurosurgery</subject><subject>Postoperative Care</subject><subject>Predictions</subject><subject>Preoperative Care</subject><subject>Psychology</subject><subject>Spine</subject><subject>Surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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K. HAALAND, B. MAGNAES, M. LOEB, V.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c475t-3cba905d4696dc02a80d369937253b48af2f2e31de3f4dccb5e4939a8c628e633</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adaptation, Psychological</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Analysis of Variance</topic><topic>Biological and medical sciences</topic><topic>Cerebrospinal fluid. Spinal cord. Spinal roots. Spinal nerves</topic><topic>Clinical outcomes</topic><topic>Cohort Studies</topic><topic>Female</topic><topic>Fibrinolysis;Long-term Outcome;Lumbar Disc Surgery;Psychological Traits</topic><topic>Follow-Up Studies</topic><topic>Health risk assessment</topic><topic>Humans</topic><topic>Intervertebral Disc Displacement - surgery</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neurosurgery</topic><topic>Postoperative Care</topic><topic>Predictions</topic><topic>Preoperative Care</topic><topic>Psychology</topic><topic>Spine</topic><topic>Surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surveys and Questionnaires</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>GRAVER, A. K. HAALAND, B. MAGNAES, M. 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| ispartof | British journal of neurosurgery, 1999, Vol.13 (2), p.178-184 |
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| source | MEDLINE; Taylor & Francis Medical Library - CRKN; Taylor & Francis Journals Complete |
| subjects | Adaptation, Psychological Adolescent Adult Aged Analysis of Variance Biological and medical sciences Cerebrospinal fluid. Spinal cord. Spinal roots. Spinal nerves Clinical outcomes Cohort Studies Female Fibrinolysis Long-term Outcome Lumbar Disc Surgery Psychological Traits Follow-Up Studies Health risk assessment Humans Intervertebral Disc Displacement - surgery Male Medical sciences Middle Aged Neurosurgery Postoperative Care Predictions Preoperative Care Psychology Spine Surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surveys and Questionnaires Treatment Outcome |
| title | Seven-year clinical follow-up after lumbar disc surgery: results and predictors of outcome |
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