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International Orthopaedics

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01-04-2019 | Original Paper

Treatment outcome of quality of life and clinical symptoms in patients with symptomatic lumbar degenerative disc diseases: which treatment modality is superior?

Authors: Lukman Olalekan Ajiboye, Mustapha Alimi, Suleiman Ayoola Gbadegesin, Muhammad Oboirien

Published in: International Orthopaedics | Issue 4/2019

Abstract

Objective

This was to assess the quality of life and clinical symptoms before and after treatment of patients with symptomatic lumbar degenerative disc disease (LDDD). It was also to determine the superior treatment for well-selected patients: conservative versus surgical treatment.

Study Design

Prospective interventional analytical study.

Methods

We studied 160 adult symptomatic patients aged 31–60 years with diagnosis of LDDD who were enrolled between May 2016 and November 2017. Their pre- and post-treatment clinical symptoms and signs and quality of life were studied using the Oswestry disability index (ODI). The data was analysed using SPSS version 24.

Results

One hundred fifty-three adult patients aged 31 to 60 years completed the study. The male-to-female ratio was 1:1.5 while the symptom duration ranged between one and 14 years. The treatment modalities were medical (46%), epidural steroid injection (26%) and operative treatment (28%). The responses to the treatment were worsened symptoms (10.5%), no improvement (13.1%), moderate/slight improvement (27.5%) and significant improvement (49%). There were statistically significant improvements (p value < 0.05) in clinical symptoms, sign and ODI at six months after treatment. Surgical treatment was superior to all other form of care.

Conclusion

This study showed significant improvement in outcome among the participants in different treatment modalities with surgical treatment being the superior. We recommend surgical treatment for well-selected adult patients with symptomatic LDDD and assessment of quality of life and clinical symptoms before and after treatment.

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Title: Treatment outcome of quality of life and clinical symptoms in patients with symptomatic lumbar degenerative disc diseases: which treatment modality is superior?
Authors: Lukman Olalekan Ajiboye
Mustapha Alimi
Suleiman Ayoola Gbadegesin
Muhammad Oboirien
Publication date: 01-04-2019
Publisher: Springer Berlin Heidelberg
Published in: International Orthopaedics / Issue 4/2019
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-018-4248-5

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Treatment outcome of quality of life and clinical symptoms in patients with symptomatic lumbar degenerative disc diseases: which treatment modality is superior?

Abstract

Objective

Study Design

Methods

Results

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Objective

Study Design

Methods

Results

Conclusion

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