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European Journal of Orthopaedic Surgery & Traumatology

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01-02-2019 | Original Article • SPINE - MICROSURGERY

Clinical outcomes after lumbar spine microdiscectomy: a 5-year follow-up prospective study in 100 patients

Authors: Ioannis D. Gelalis, Evangelos I. Papanastasiou, Emilios E. Pakos, Avraam Ploumis, Dimitrios Papadopoulos, Maria Mantzari, Ioannis S. Gkiatas, Marios D. Vekris, Anastasios V. Korompilias

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 2/2019

Abstract

Background

To evaluate the effect of lumbar microdiscectomy (LM) in pain, disability and quality of life in a 5-year period and to identify potential demographic and clinical risk factors.

Methods

One hundred patients who underwent LM by the same surgeon participated in this prospective study. Clinical assessment was made with validated questionnaires preoperatively and up to 5 years postoperatively. Subsequently, associations between clinical outcomes and demographic data were recorded.

Results

In every assessment questionnaire, there was a significant improvement in the first postoperative month, which lasted up to 1 year post-discectomy. After that, improvement was statistically significant (p < 0.05) but without clinical importance. Women reported more pain preoperatively and 1 month after surgery. Urban residents also presented more pain preoperatively. Older patients had more pain, disability and worse quality of life 1–5 years postoperatively. Similarly, patients with lower education presented the worst scores in every questionnaire at the same time. Smokers reported less pain 1.5–4 postoperative years. Higher alcohol consumption and obesity were associated with lower levels of preoperative pain. However, obese patients had worse SF-36 and ODI scores after the 6th postoperative month. Patients with heavy jobs presented the worst preoperative ODI scores.

Conclusion

Significant clinical improvement was recorded from the first postoperative month to the first postoperative year; stabilization was noticed later on. Feminine gender, urban residency, older age, low level of education, obesity and heavy physical occupation were negative prognostic factors. Oddly smoking and alcohol were correlated with less pain.

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Title: Clinical outcomes after lumbar spine microdiscectomy: a 5-year follow-up prospective study in 100 patients
Authors: Ioannis D. Gelalis
Evangelos I. Papanastasiou
Emilios E. Pakos
Avraam Ploumis
Dimitrios Papadopoulos
Maria Mantzari
Ioannis S. Gkiatas
Marios D. Vekris
Anastasios V. Korompilias
Publication date: 01-02-2019
Publisher: Springer Paris
Published in: European Journal of Orthopaedic Surgery & Traumatology / Issue 2/2019
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-018-2359-8

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Clinical outcomes after lumbar spine microdiscectomy: a 5-year follow-up prospective study in 100 patients

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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