Characterization of the Incidence and Risk Factors for the Development of Lumbar Radiculopathy

Schoenfeld, Andrew J.; Laughlin, Matthew D.; Bader, Julia; Bono, Christopher M.

doi:10.1097/bsd.0b013e3182146e55

Cited by 47 publications

(31 citation statements)

References 18 publications

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“…Distinct differences in tobacco and alcohol abuse as well as risk-taking behavior might also elevate the odds of postoperative death or the development of specific complications such as surgical site infection (SSI). Sexbased differences with respect to the incidence of specific spinal disorders have previously been described, including lumbar degenerative disc disease [49], lumbar radiculopathy [48], and cauda equina syndrome [45]. Furthermore, previous work [55] has identified that males are more likely than females to receive recommendations for spine surgery despite similar underlying disorders [55].…”

Section: Introductionmentioning

confidence: 99%

Does Patient Sex Affect the Rate of Mortality and Complications After Spine Surgery? A Systematic Review

Schoenfeld

Reamer

Wynkoop

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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Background Available studies disagree regarding the influence of patient sex on mortality and complications after spine surgery. We sought to conduct a systematic review and pool the results of existing research to better understand this issue. Questions/purposes We performed a systematic review to address two questions: (1) Does sex (male versus female) influence mortality after spine surgery? (2) Does sex impact the development of postoperative complications after spine surgery?Methods This systematic review was performed through a query of PubMed using a structured search algorithm. Additional queries of Embase, SCOPUS, Web of Science, and the tables of contents of orthopaedic and neurosurgical journals were also conducted using search terms such as ''sex factors'', ''male or female'', ''risk factors'', and ''spine surgery''. Selected papers were independently abstracted by three of the authors (AJS, ENR, EIW) and pooling was performed. Our literature search returned 720 studies, of which 99 underwent full review. Of these, 50 were selected for final abstraction. The Cochrane Q test was used to assess study heterogeneity; significant study heterogeneity was present and so a random-effects model was used. A Harbord test was used to evaluate for the presence of publication bias; this analysis found no statistically significant evidence of publication bias. Results Males were at increased odds of mortality after spine surgery (odds ratio [OR], 1.63; 95% confidence interval [CI], p \ 0.001). No differences between the sexes were identified for the odds of complications (OR, 1.04; 95% CI, 0.95-1.13; p = 0.42). Conclusions Our results determined that males were at elevated odds of mortality but not of complications after spine surgery. These results should be used to inform preoperative discussion and decision-making at the time of surgical consent. Future work should be directed at determining the underlying factors responsible for increased

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Section: Introductionmentioning

confidence: 99%

Does Patient Sex Affect the Rate of Mortality and Complications After Spine Surgery? A Systematic Review

Schoenfeld

Reamer

Wynkoop

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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“…2012 m. Scho en feld su ko lego mis pub li kuo ta me straips ny je tei gë, kad ga li ma ið skir ti mo di fi kuo ja mus ir ne mo di fi kuo ja mus ri zi kos veiks nius, ku rie ap ima de mo gra finius ro dik lius, gy ve ni mo bû dà, profe si nius, fi zi nius, psi cho lo gi nius ir psi cho so cia li nius veiks nius [6]. 2017 m. Kre sal su ben dra au to riais pa tei kë ið va dà, kad am þius, mo te rið ka ly tis, ið si la vi ni mo ly gis, nutu ki mas, rû ky mas, mie go su tri ki mai, il gas së di mas dar bas, pa si kar to jan èiø nuo la ti niø ju de siø se ka, il ga lai kë sta ti në lai ky se na taip pat sà ly go ja juos me ni nës ra di ku lo pa ti jos ið -si vys ty mà [7].…”

Section: áVadasunclassified

The effect of core stabilization exercises and shock wave therapy in patients with radiculopathy

Bubelis

2018

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© Neurologijos seminarai, 2018. Open Ac cess. This ar ti cle is dis trib uted un der the terms of the Cre ative Com mons At tri bu tion 4.0 Inter na tional Li cense CC-BY 4.0 (http://creativecommons.org/licenses/by/4.0/), which per mits un re stricted use, dis tri bu tion, and re produc tion in any me dium, pro vided you give ap pro pri ate credit to the orig i nal au thor(s) and the source, pro vide a link to the Cre ative Com mons li cense, and in di cate if changes were made. San trau ka. Áva das. Ra di ku lo pa ti ja -tai juos me ni nës stu bu ro da lies ner vø ðak ne liø pa þei dimas, ið si vys tan tis dël ner vi nës ðak ne lës spau di mo ir dir gi ni mo. Esant juos me ni nei ra di ku lopa ti jai, pa si reið kia daug ávai riø simp to mø, tarp ku riø daþ niau si: skaus mas apa ti në je nu ga ros da ly je ir skaus mo pli ti mas á apa ti nes ga lû nes, rau me nø sil pnu mas, pro prio re cep ci jos ir postu ra li nës kon tro lës su tri ki mai, ne igia mai vei kian tys as mens kas die ni nae veik là ir gy ve ni mo ko ky bae, kas le mia dar bin go am þiaus þmo niø dar bo na ðu mo su ma þë ji mà, ne ga lios vys ty mà si. Nu sta ty ta, kad ki ne zi te ra pi jos me tu tai ko mi fi zi niai pra ti mai ir fi zio te ra pi jos prie mo nës ga li su ma þin ti skaus mà, pa ge rin ti pu siau svy rà ir jos val dy mà.Ti ria mie ji ir ty ri mo me to dai. Ty ri me da ly va vo 40 as me nø (22 mo te rys ir 18 vy rø), kuriems diag no zuo ta juos me ni në ra di ku lo pa ti ja. Ti ria mie ji at si tik ti niu at ran kos bû du su skirsty ti á dvi gru pes po 20 ti ria mø jø kiek vie no je gru pë je, kur I gru pei tai ky tas stu bu ro sta bi li za vimo pra ti mø cik las, o II gru pei -stu bu ro sta bi li za vi mo pra ti mø ir smû gi nës ban gos te ra pi jos uþ si ë mi mø cik las. Skaus mui ver tin ti pa si rink ta vi zu a li në skaus mo ana lo gi jos ska lë (VAS) (angl. Vi sual An a logue Scale), di na mi niam sta bi lu mui ver tin ti -mo di fi kuo tas þvaigþ dës dina mi nio sta bi lu mo Y tes tas, lie mens rau me nø sta ti nei ið tver mei ver tin ti -du tes tai: pil vo raume nø sta ti nës jë gos ið tver mës ir nu ga ros rau me nø sta ti nës jë gos ið tver mës. Duo me nys ap doro ti at li kus ma te ma ti nae sta tis ti nae ana li zae.Re zul ta tai. Skaus mas po tai ky tø skir tin gø ki ne zi te ra pi jos pro gra mø su ma þë jo abie jo se ti ria mø jø gru pë se. I gru pës ti ria mie siems skaus mas su ma þë jo nuo 5,77 ± 1,88 ba lo iki 3,85 ± 1,25 ba lo, II gru pës ti ria mie siems skaus mas su ma þë jo nuo 5,40 ± 1,24 ba lo iki 2,55 ± 1,05 ba lo. Ver ti nant ti ria mø jø di na mi nio sta bi lu mo po ky èius po 4 sa vai èiø ki ne zi te rapi jos uþ si ë mi mø cik lo, nu sta ty tas di na mi nio sta bi lu mo pa ge rë ji mas abie jø gru piø ti ria miesiems, ta èiau di des ni po ky èiai fik suo ti II gru pës ti ria mie siems, ku riems tai ky tas stu bu ro stabi li za vi mo ir smû gi nës ban gos te ra pi jos uþ si ë mi mø cik las. Taip pat prieð ir po ki ne zi te ra pijos uþ si ë mi mø cik lo bu vo ap skai èiuo tas kom bi nuo to re zul ta to ko...

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“…The incidence of lumbar disc herniation is 1 to 2% in general population 1, 2 and 4.9 per 1,000 person-years in a young population. 3 There are many different options for lumbar herniated disk surgery, but open lumbar disc surgery using minimally invasive technique is still the most frequent and important intervention of spine even with the development of many surgical techniques. 4 Among the different options one is aggressive discectomy, which means removal of the offending herniated disc as well as curettage of the normal disc 5 and other is limited discectomy which means removal of the offending disc fragment alone with or without minimum invasion of the disc space 6, 7 but the overall unsatisfactory rate after discectomy is 3 to 20%.…”

Section: Introductionmentioning

confidence: 99%

Aggressive discectomy for single level lumbar disk herniation

Ahsan

Rana

Khan

et al. 2017

Bangabandhu Sheikh Mujib Medical University Journal

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<p class="Abstract">Aggressive open lumbar discectomy is the most commonly performed surgical procedure for patients with persistent low back and leg pain. In this retrospective study, 1,380 patients were evaluated for long-term results of aggressive discectomy for the single level lumbar disk herniation. Demographic data, surgical data, complications and reherniation rate were collected and clinical outcomes were assessed using visual analogue score (VAS), Oswestry disability index (ODI) and modified Mcnab criteria. The mean follow-up period was 28.8 months. According to the modified Mcnab criteria, the long-term results were excellent in 640 cases, good in 445 cases, fair in 255 cases, and poor in 40 cases. The mean VAS scores for back and radicular pains and ODI at the end of 2 years were 1.1 ± 1.0, 1.5 ± 0.5 and 6.6 ± 3.1% respectively. The complications were foot drop (n=7), dural tear (n=14), superficial wound infection (n=17), discitis (n=37) and reherniation (n=64). The dural tear and superficial wound infections resolved after treatment but 28 discitis patients were treated by conservatively and the remaining 9 underwent surgery. Among reherniation patients, 58 underwent revision discectomy and 4 underwent transforaminal lumbar interbody fusion and stabilization. Aggressive discectomy is an effective treatment of lumbar disk herniation and maintains a lower incidence of reherniation but leads to a collapse of disc height and in long run gives rise to intervertebral instability and accelerates spondylosis.</p>

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Characterization of the Incidence and Risk Factors for the Development of Lumbar Radiculopathy

Abstract: Level II, prognostic study.

Cited by 47 publications

References 18 publications

Does Patient Sex Affect the Rate of Mortality and Complications After Spine Surgery? A Systematic Review

Does Patient Sex Affect the Rate of Mortality and Complications After Spine Surgery? A Systematic Review

The effect of core stabilization exercises and shock wave therapy in patients with radiculopathy

Aggressive discectomy for single level lumbar disk herniation

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