What question did this study set out to answer?

To assess functional outcomes, duty return, and satisfaction following lumbar microdiscectomy in a young, active population categorized by disc herniation type and lumbar level.

January 1, 2008Spine

The Outcomes of Lumbar Microdiscectomy in a Young, Active Population

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Authors

CDChristopher B. DewingNaval Medical Center San Diego MPMatthew T. ProvencherDenver VA Medical Center RRRobert H. RiffenburghSan Diego State University

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Implication

Prospective longitudinal study demonstrates high duty return after lumbar microdiscectomy in young active patients, indicating superior recovery with sequestered L5-S1 herniations.

Key Points

To assess functional outcomes, duty return, and satisfaction following lumbar microdiscectomy in a young, active population categorized by disc herniation type and lumbar level.
Prospectively evaluated 183 consecutive patients (mean age 27.0 years, range 19–46; 139 males, 44 females) undergoing single-level lumbar microdiscectomy by a single surgeon after failed conservative therapy.
Tracked patients for a mean of 26 months (range 12–38 months) using Visual Analog Scale (VAS) leg pain, Oswestry Disability Index (ODI), return to duty status, and revision surgery rates.
At final follow-up, 84% (154/183) of patients returned to unrestricted military duty, 85% were satisfied, mean VAS leg pain fell by 4.7 points (7.2 to 2.5), and mean ODI improved from 53.6 to 21.2.
Significantly superior VAS and ODI improvements occurred in patients with predominant leg pain over back pain (P < 0.001), sequestered herniations compared to extruded or contained discs (P < 0.001), and L5-S1 over L4-L5 herniations (P < 0.001).
Recurrent herniation occurred in 3% (6/183) of patients with 4 requiring repeat surgery, whereas active smoking was significantly associated with decreased return to full military duty (P = 0.037).

Cite This Study

Dewing et al. (2008) studied this question.

synapsesocial.com/papers/6a95b5148cd27757a8d03319 https://doi.org/10.1097/brs.0b013e31815e3a42

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Implication

Prospective longitudinal study demonstrates high duty return after lumbar microdiscectomy in young active patients, indicating superior recovery with sequestered L5-S1 herniations.

The Outcomes of Lumbar Microdiscectomy in a Young, Active Population

Discussion

Member takes

Implication

Key Points

Cite This Study

The Outcomes of Lumbar Microdiscectomy in a Young, Active Population

Discussion

Member takes

Implication

Key Points

Cite This Study

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