Functional and Economic Outcome Following Microdiscectomy for Lumbar Disc Herniation in 672 Patients

Schoeggl, Andreas; Reddy, M Naveen Kumar; Matula, Christian

doi:10.1097/00024720-200304000-00006

Cited by 28 publications

(14 citation statements)

References 18 publications

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“…Previous studies report that surgical selection criteria, surgical technique and post-operative rehabilitation directly affect outcomes (6,16,19,20,24,38). Pain may continue because of muscular atrophy, developing secondary to longstanding inactivity (5,21).…”

Section: Ogutluler Ozkara G Et Al: Physical Therapy After Lumbar Dismentioning

confidence: 99%

“…Different types of exercises were applied in different combinations and intensities; however, there is no single treatment protocol on which a consensus has been reached about the type, intensity or when to start exercise as well as whether home-or clinic-based exercise should be applied (2,6,14,19,20,24,27,37,38). The current study aimed to determine whether an early home-based exercise program would provide additional benefit to patients who underwent microdiscectomy for lumbar disc herniation.…”

Section: Ogutluler Ozkara G Et Al: Physical Therapy After Lumbar Dismentioning

confidence: 99%

See 1 more Smart Citation

Assesment of the effectiveness of physical thraphy and rehabilitation programme starts immediately after lumbar disc surgery

Ozkara

Özgen²,

Özkara³

et al. 2013

Turkish Neurosurgery

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AIM:The aim of this randomized study was to compare exercise program to control group regarding pain, back disability, behavioural outcomes, global health measures and back mobility who underwent microdiscectomy operation. MATErIAL and METHods:Thirty patients who underwent lumbar microdiscectomy were randomized into exercıse and control groups. After surgery, patients in the exercıse group undertook a 12-week home based exercise program, started immediately postsurgery and concentrated on improving strength and endurance of the back, abdominal muscles, lower extremities and mobility of the spine and hips. Outcome measures were: Oswestry Disability Index (ODI), Beck Depression scale, lumbar schober, Visual Analogue Scale (VAS), return to work (return-to-work status), generic functional status (SF-36).rEsuLTs: Treatment compliance was high in both groups. Surgery improved pain, disability, general health status, lumbar mobility and behavioural status. After the exercise program, the exercise group showed further improvements in these measures at 12 week after surgery. CoNCLusIoN:A 12-week postoperative exercise program starting immediately after surgery can improve pain, disability, and spinal function in patients who have undergone microdiscectomy.KEywords: Exercise therapy, Lumbosacral radicular syndrome, Microdiscectomy ÖZ AMAÇ: Çalışma, mikrodiskektomi ameliyatı sonrası egzersiz verilen grup ile verilmeyen kontrol grubunun ağrı, disabilite, duygu durumu, genel sağlık durumu ve bel mobilitesinin karşılaştırmasını amaçlamaktadır. yÖNTEM ve GErEÇLEr: 30 hasta çalışmaya alındı. Egzersiz grubuna ameliyat sonrası erken dönemde başlanılan, 12 hafta süren, ev tabanlı, bel, bacak, abdominal kasları kuvvetlendirici, enduransı arttırıcı ve bel mobilizasyonu artıran egzersiz tedavisi verildi. Ölçüm sonuçlarımız: Oswestry Disability Indeksi (ODI), Beck Depresyon Skalası, Lomber Schober, Visual Analogue Scale (VAS), işe dönüş zamanı, genel fonksiyonel durum (SF-36).BuLGuLAr: Her iki grupta da tedaviye iyi yanıt alındı. Cerrahi girişim ile ağrı, disablite, genel sağlık durumu, duygu durum ve bel mobilitesinde iyileşme gözlemlendi. Egzersiz programından sonra, egzersiz grubu, kontrol grubuna kıyasla 12 hafta sonra ağrı, disabilte ve genel sağlık durumunda anlamlı iyileşme gösterdi. soNuÇ: Operasyon sonrası erken dönemde başlanılan 12 haftalık egzersiz tedavisi, mikrodiskektomi geçiren hastalarda ağrının, disabiltenin azalması ve genel sağlık durumunun iyileşmesinde etkili olabilir.ANAHTAr sÖZCÜKLEr: Egzersiz tedavisi, Lumbosakral radiküler sendrom, Mikrodiskektomi

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Section: Ogutluler Ozkara G Et Al: Physical Therapy After Lumbar Dismentioning

confidence: 99%

Section: Ogutluler Ozkara G Et Al: Physical Therapy After Lumbar Dismentioning

confidence: 99%

Assesment of the effectiveness of physical thraphy and rehabilitation programme starts immediately after lumbar disc surgery

Ozkara

Özgen²,

Özkara³

et al. 2013

Turkish Neurosurgery

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“…1 Surgery of LDH has evolved from wide laminectomy and transdural resection of prolapsed disc in 1909 to standard laminotomy and technically demanding procedures like microdiscectomy, micro-endoscopic discectomy and percutaneous endoscopic discectomy at present era. 2 Conventional open discectomy and microdiscectomy are two commonly performed technique of lumbar disc herniation surgery in Nepal.…”

Section: Introductionmentioning

confidence: 99%

Study of Clinical Variables Affecting Long Term Outcome after Microdisectomy for Lumbar Disc Herniation

Shrestha

Dhoju

et al. 2017

Kathmandu Univ. Med. J.

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“…[2][3][4][5][6][7][8][9][10][11][12] Currently, many spine surgeons perform MLD on an outpatient basis. Yet, it is still often performed with a 1-night stay in the hospital.…”

mentioning

confidence: 99%

Success and Safety in Outpatient Microlumbar Discectomy

Best¹,

Sasso²

2006

Journal of Spinal Disorders &Amp; Techniques

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Currently, many spine surgeons perform microlumbar discectomies on an outpatient basis. Yet, it is often customary for patients to have a 1-night stay in the hospital. Many studies have shown the efficacy of microlumbar discectomy (MLD) and its preference among surgeons for the treatment of lumbar disc herniation. It has also been shown to be safe, successful, and cost-effective. However, a large comprehensive study of this magnitude, gauging safety, success, and patient satisfaction for these procedures on an outpatient basis has not yet been done. One thousand three hundred seventy-seven MLD procedures have been done from 1992 to 2001 by 1 surgeon. A retrospective chart review was done on all procedures. Patients were then contacted by either telephone or mail to complete an outcome questionnaire. Seven hundred thirteen patients (53.9%) completed the questionnaire. Follow-up questionnaires were not completed due to deaths, incorrect contact information, and refused responses. Out of all MLD procedures, 55 (4.0%) were done with a hospital stay-only 24 of these (1.7%) were originally intended outpatient procedures. Of those that were done on an outpatient basis, 8.6% had a complication, including 6.4% who had a recurrent disc herniation. When asked, 81.6% said they would undergo the procedure again as an outpatient. In 82.1% the surgery's outcome was good, very good, or excellent. MLD is a routine procedure that can be performed on an outpatient basis safely, successfully, and with high patient satisfaction.

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Functional and Economic Outcome Following Microdiscectomy for Lumbar Disc Herniation in 672 Patients

Cited by 28 publications

References 18 publications

Assesment of the effectiveness of physical thraphy and rehabilitation programme starts immediately after lumbar disc surgery

Assesment of the effectiveness of physical thraphy and rehabilitation programme starts immediately after lumbar disc surgery

Study of Clinical Variables Affecting Long Term Outcome after Microdisectomy for Lumbar Disc Herniation

Success and Safety in Outpatient Microlumbar Discectomy

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