Predictors of satisfaction after lumbar disc herniation surgery in elderly

Hareni, Niyaz; Strömqvist, Fredrik; Strömqvist, Björn; Rosengren, Björn; Karlsson, Magnus K.

doi:10.1186/s12891-019-2975-4

Cited by 13 publications

(7 citation statements)

References 23 publications

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“…To perform this multivariate logistic regression analysis, the options of very satisfied, satisfied and somewhat satisfied were categorized as 'satisfied', and those of somewhat dissatisfied, dissatisfied and very dissatisfied were categorized as 'dissatisfied'. In deciding the variables to be included in the model, factors that are known to affect patient satisfaction from previous research were chosen from all the variables collected like (details shown as references) sex, 30 age, 31 annual household income, 32 pain intensity, 33 catastrophizing, 34 neuropathic component of the pain, 35 HRQOL, 36 waiting time at the treatment facility, 37 types of physician's facility 38 and impression of treatment effect.…”

Section: Discussionmentioning

confidence: 99%

Internet survey on factors associated with care-seeking behaviours of people with chronic musculoskeletal pain in Japan

Sugai

Tsuji

Takahashi

et al. 2021

J Orthop Surg (Hong Kong)

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Purpose: Many people with chronic musculoskeletal pain (CMP) seek healthcare from conventional and complementary and alternative medicine. However, treatment/therapy is not always adequate, patients often change healthcare providers, and some patients are left untreated. This study clarified care-seeking behaviours and explored factors behind the behaviours in people with CMP. Methods: Using a Japanese cross-sectional online survey, participants aged ≥ 20 years with non-cancer/fracture CMP lasting for ≥ 6 months and presenting ≤1 month, interfering with daily living activities and/or work were enrolled. We summarized and analysed the characteristics and factors associated with choice of healthcare providers; information on socio-demographics, including employment; ability to use healthcare, including income; and need for healthcare, including pain intensity, using a logistic regression model. Results: Among the 9105 respondents, 24.5% consulted physicians, 18.3% complementary and alternative medicine practitioners, and 57.2% were untreated. More respondents who had moderate–severe pain visited physician, more regularly employed and with high income visited complementary and alternative medicine, and less respondents who had moderate–severe pain were untreated. These were found to be associated with the respective healthcare use versus untreated. Conclusions: People with severe conditions, higher income and regular employment, and less severe conditions have visited physicians, complementary and alternative medicine practitioners and none, respectively. By applying this result at each type of healthcare provider, it may be possible to treat patients more appropriately.

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Section: Discussionmentioning

confidence: 99%

Internet survey on factors associated with care-seeking behaviours of people with chronic musculoskeletal pain in Japan

Sugai

Tsuji

Takahashi

et al. 2021

J Orthop Surg (Hong Kong)

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“…e most fundamental reason for this symptom is the disease of the intervertebral disc. After degeneration, the nucleus pulposus is degenerated and frees the rear dural sac, nerve roots, and other tissues [1]. With the development of computer technology, the use of computer CT scanning, three-dimensional reconstruction, spine biomechanics segmentation and assignment analysis, mechanical loading, stress analysis, and displacement study of three-dimensional spine biomechanics methods makes the research of biomechanics enter the stage of in vitro simulation and gradually become current research hotspots [2].…”

Section: Introductionmentioning

confidence: 99%

Spinal Biomechanical Modelling in the Process of Lumbar Intervertebral Disc Herniation in Middle-Aged and Elderly

Zhang¹,

Zhao

Niu³

et al. 2021

Journal of Healthcare Engineering

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Lumbar disc herniation is one of the common clinical diseases of the lower lumbar spine in orthopedics. The purpose is to remove the herniated disc nucleus pulposus tissue, remove the compressed part of the disease, and relieve symptoms, such as nerve pain. In the past, biomechanics research mostly relied on in vitro measurements, but the complicated internal environment of the human body prevented us from further measurement and research. However, with the development of computer technology, the use of computer CT scanning, software three-dimensional reconstruction, and displacement study three-dimensional spine biomechanics method makes the research of biomechanics into in vitro simulation stage and has gradually become the focus of current research. The postoperative biomechanics was simulated and the comparison model was established at the same time. At the same time, we combined the clinical follow-up data and studied the clinical data for the treatment of postoperative recurrence of lumbar disc herniation. We compared and analyzed the initial operation method and the experimental results and obtained the prevention of recurrence. The results showed that when one inferior articular process was removed, the lumbar spine appeared unstable to rotate to the opposite side; when one inferior articular process was completely removed, the movement of the lumbar spine in all directions was unstable. Better research on the biomechanical properties of the spine will help the diagnosis and treatment of clinical lumbar disc herniation. Therefore, when performing posterior lumbar spine surgery, not only should the exposure of the surgical field and thorough decompression be considered, but also the biomechanical properties of the lumbar spine should be comprehensively evaluated.

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“…The intervertebral disc is subjected to complex loading conditions (Hareni et al, 2019). In fact, even simple axial compression creates complex load conditions on the intervertebral disc through the circumferential tensile stress of the anulus fibrosus, radial bulging of the anulus fibrosus, and the interaction between the nucleus pulposus and the surrounding anulus fibrosus (O'Connell et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

Effect of Fatigue Load on Internal Mechanical Properties of the Intervertebral Disc

Liu

Zhang

et al. 2020

Int. J. Morphol.

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Lumbar disc herniation is considered to be the main pathological factor for the common clinical disease of low back pain. Biomechanical factor is an important cause of lumbar disc herniation, so it is urgent to analyze the stress/strain behavior of intervertebral disc under different loading condition. Slow repetitive loading is considered to be an important factor of spine and disc injuries, and the effect of fatigue load on internal displacement in the intervertebral disc was investigated by applying the optimized digital image correlation technique in this study. The first finding was that fatigue load had a significant effect on the displacement distribution in the intervertebral disc under compression. Superficial AF exhibited the largest axial displacements before fatigue load, while it exhibited the smallest axial displacements after fatigue load. Inner AF exhibited slightly smaller radial displacements than outer AF before fatigue load, while it exhibited significantly greater radial displacements than outer AF displacements after fatigue load. The second finding was that fatigue load had a certain effect on the internal displacement distribution in the flexed intervertebral disc under compression. Middle AF exhibited the smallest axial displacements before fatigue load, while deep AF exhibited the smallest axial displacements after fatigue load. The radial displacement distribution did not change before and after fatigue load, as the radial displacement in outer AF was the smallest, while the radial displacement in inner AF was the largest. The third finding was that with the increase in fatigue time and amplitude, the Young's modulus of the intervertebral disc increased significantly. This study can provide the basis for clinical intervertebral disc disease prevention and treatment?and is important for mechanical function evaluation of artificial intervertebral disc as well.

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Predictors of satisfaction after lumbar disc herniation surgery in elderly

Cited by 13 publications

References 23 publications

Internet survey on factors associated with care-seeking behaviours of people with chronic musculoskeletal pain in Japan

Internet survey on factors associated with care-seeking behaviours of people with chronic musculoskeletal pain in Japan

Spinal Biomechanical Modelling in the Process of Lumbar Intervertebral Disc Herniation in Middle-Aged and Elderly

Effect of Fatigue Load on Internal Mechanical Properties of the Intervertebral Disc

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