Concomitant back pain as a predictor of outcome after single level lumbar micro-decompressive surgery - a study of 995 patients

Sethi, G; Aljawadi, A; Choudhry, MN; Fischer, B; Divecha, HM; Leach, J; Arnall, F; Verma, R; Yasin, N; Mohammad, S; Siddique, I

Abstract

To determine if preoperative leg pain and low back pain severity affected postoperative outcome. Prospectively collected Spine-Tango data was analysed for 995 consecutive patients who underwent a primary, single level, lumbar micro-decompression/microdiscectomy at a single tertiary spinal centre. At 3 months, 72% of patients were satisfied with the outcome of surgery. Pre-operative low back pain was a significant predictor of poor outcome (P < 0.01). Our study has shown that patients with a low back pain VAS of 6 or more have a significantly greater chance of a poor outcome following primary lumbar microdecompressive/microdiscectomy surgery. [Abstract copyright: Crown Copyright © 2019 Published by Elsevier B.V. on behalf of Professor P K Surendran Memorial Education Foundation. All rights reserved.]

• Journal Article Type: Article
• Acceptance Date: Aug 11, 2019
• Publication Date: Aug 14, 2019
• Deposit Date: Nov 18, 2019
• Journal: Journal of orthopaedics
• Print ISSN: 0972-978X
• Electronic ISSN: 0972-978X
• Publisher: Calicut Medical College
• Volume: 16
• Issue: 6
• Pages: 478-482
• DOI: https://doi.org/10.1016/j.jor.2019.08.013
• Keywords: Back pain, Lumbar disc herniation, Micro-discectomy, Outcome, Radicular pain
• Publisher URL: https://doi.org/10.1016/j.jor.2019.08.013
• Related Public URLs: https://www.sciencedirect.com/journal/journal-of-orthopaedics
• Additional Information: Additional Information : ** From PubMed via Jisc Publications Router **Journal IDs: pissn 0972-978X **Article IDs: pubmed: 31680735; pii: S0972-978X(19)30310-1; pmc: PMC6818365 **History: accepted 11-08-2019; submitted 18-06-2019