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Patients with no pr...
Patients with no preoperative back pain have the best outcome after lumbar disc herniation surgery
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- Sigmundsson, Freyr Gauti, 1972- (författare)
- Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Orthopedics, Örebro University Hospital, Örebro, Sweden
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- Joelson, Anders, 1970- (författare)
- Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Orthopedics, Örebro University Hospital, Örebro, Sweden
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- Strömqvist, Fredrik (författare)
- Lund University,Lunds universitet,Ortopedi - klinisk och molekylär osteoporosforskning,Forskargrupper vid Lunds universitet,Orthopedics - Clinical and Molecular Osteoporosis Research,Lund University Research Groups
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(creator_code:org_t)
- 2021-10-27
- 2022
- Engelska.
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Ingår i: European spine journal. - : Springer. - 0940-6719 .- 1432-0932. ; 31:2, s. 408-413
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Abstract
Ämnesord
Stäng
- PURPOSE: Most patients with lumbar disc herniations requiring surgery have concomitant back pain. The purpose of the current study was to evaluate the outcome of surgery for lumbar disc herniations in patients with no preoperative back pain (NBP) compared to those reporting low back pain (LBP).METHODS: 15,418 patients surgically treated due to LDH with primary discectomy from 1998 until 2020 were included in the study. Self-reported low back pain assessed with a numerical rating scale (NRS) was used to dichotomize the patients in two groups, patients without preoperative back pain (NBP, NRS = 0, n = 1333, 9%) and patients with preoperative low back pain (LBP, NRS > 0, n = 14,085, 91%). Patient reported outcome measures (PROMs) collected preoperatively and one-year postoperatively were used to evaluate differences in outcomes between the groups.RESULTS: At the one-year follow-up, 89% of the patients in the NBP group were completely pain free or much better compared with 76% in the LBP group. Significant improvement regarding leg pain was seen in all measured PROMs in both groups oneyear after surgery. In the NBP group, 13% reported clinically significant back pain (NRS difference greater than Minimally Clinical Important Difference (MICD)) at the one-year follow-up.CONCLUSIONS: Patients without preoperative back pain are good candidates for LDH surgery. 13% of patients without preoperative back pain develop clinically significant back pain one-year after surgery.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Ortopedi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Orthopaedics (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Nyckelord
- Back pain
- Discectomy
- Leg pain
- Lumbar disc herniation
- Outcome
- Back pain
- Discectomy
- Leg pain
- Lumbar disc herniation
- Outcome
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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