Does the duration of symptoms influence outcome in patients with sciatica undergoing micro-discectomy and decompressions?

Pitsika, Marina; Thomas, Eleanor; Shaheen, Sabeena; Sharma, Himanshu

doi:10.1016/j.spinee.2015.12.097

Cited by 14 publications

(14 citation statements)

References 13 publications

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“…Previous literature as well as the present study shows that surgery for LDH is an effective treatment regardless of symptom duration [15]. Like previous studies, the current study population are patients in their forties with a slight majority of men [10,17,20].…”

Section: Accepted Manuscriptsupporting

confidence: 52%

“…In 2015, Pitsika et al [15] found statistically significant improvement in ODI regardless of preoperative duration, and advocated that surgery is indicated even after 1-2 years of symptoms.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

“…Depending on the outcome measure used, 10-40% of patients report unsatisfactory results after lumbar disc surgery [10][11][12]. Many previous cohort studies have reported inferior results and adverse effects of prolonged preoperative symptoms [13][14][15][16]. Contrary to these, some randomized controlled trials (RCT) report no inferiority in outcome of patients with prolonged symptoms [10,17,18].…”

Section: Introductionmentioning

confidence: 99%

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Increasing reoperation rates and inferior outcome with prolonged symptom duration in lumbar disc herniation surgery — a prospective cohort study

et al. 2019

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Section: Accepted Manuscriptsupporting

confidence: 52%

Section: Accepted Manuscriptmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Increasing reoperation rates and inferior outcome with prolonged symptom duration in lumbar disc herniation surgery — a prospective cohort study

et al. 2019

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“…There are many factors can affect the clinical and functional outcomes after lumbar microdiscectomy as duration of symptoms before surgery. Although, there is no agreement among the previous studies about the certainty of the effect of preoperative duration of symptoms on patients' clinical and functional outcomes after microdiscectomy and absence of randomized controlled trial regarding this issue [8][9][10][11][12][13][14][15][16][17][18].…”

Section: Introductionmentioning

confidence: 98%

Effect of Duration of Symptoms on the Clinical and Functional Outcomes of Lumbar Microdiscectomy: A Randomized Controlled Trial

Hamawandi¹

2020

Preprint

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Background Microdiscectomy is the gold standard surgical procedure for symptomatic lumbar disc herniation. The aim of this study is to determine whether the preoperative duration of symptoms can affect the postoperative clinical and functional outcomes after microdiscectomy for symptomatic lumbar disc herniation. Method A single blind, randomized controlled trial was performed by single spine surgeon on patients with symptomatic lumbar disc herniation. 122 patients, who had eligibility criteria, were divided randomly by computer system into 3 groups (A, B and C) who were operated at six weeks, three months and six months from the onset of symptoms respectively. 97 patients were analyzed at the end of this study for outcome measures. Primary outcome measures are Oswestry disability index, Roland-Morris Questionnaire and Visual analogue scale for back pain and leg pain. Secondary outcome measures are post-operative complications, length of hospital stay and time of return to daily activities.Results Better results among study’s groups were in sequence of group A, group B then group C. There was significant difference in Oswestry disability index score until three years of follow up (P-value <0.001). Improvement in Roland-Morris Questionnaire among the groups was significant at three months post-operatively (P-value <0.001). Visual analogue scale for back pain was better significantly at 2 weeks post-operatively (P-value=0.002) while Visual analogue scale for leg pain was better significantly at 3 months postoperatively (P-value=0.003). There was no significant difference among study’s groups regarding other outcome measures.Conclusion Preoperative duration of symptoms in patients with lumbar disc herniation can affect the clinical and functional outcomes after microdiscectomy. The shorter duration of symptoms the better postoperative outcomes are. This effect of duration of symptoms on postoperative outcomes is more significant in early postoperative period.Trial registration NCT, NCT04538027. Registered 1 September 2020 -Retrospectively registered, https://www.clinicaltrials.gov/NCT04538027

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“…Pitsika et al demuestran una mejoría significativa tras uno y dos años de la intervención quirúrgica. Sin embargo recalcan la importancia de la selección estricta de los pacientes candidatos a la cirugía, teniendo en cuenta factores personales, psicosociales y laborales, etc, y planteando la indicación quirúrgica de forma individualizada 134. Las principales técnicas indicadas son la discectomía abierta o la microdiscectomía; esta última representa el "gold standard" en la actualidad, dado que obtiene unos resultados similares a los de la discectomía acortando el tiempo de recuperación y reduciendo los costes.…”

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Estudio de la neuropatía periférica mediante el test cuantitativo sensorial en pacientes con radiculopatía secundaria a hernia discal lumbar

Sáiz¹

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Does the duration of symptoms influence outcome in patients with sciatica undergoing micro-discectomy and decompressions?

Cited by 14 publications

References 13 publications

Increasing reoperation rates and inferior outcome with prolonged symptom duration in lumbar disc herniation surgery — a prospective cohort study

Increasing reoperation rates and inferior outcome with prolonged symptom duration in lumbar disc herniation surgery — a prospective cohort study

Effect of Duration of Symptoms on the Clinical and Functional Outcomes of Lumbar Microdiscectomy: A Randomized Controlled Trial

Estudio de la neuropatía periférica mediante el test cuantitativo sensorial en pacientes con radiculopatía secundaria a hernia discal lumbar

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