Short term prognostic factors in lumbar disc surgery: The low back prognostic score is of predictive value

Woertgen, Chris and Gliese, M. and Rothoerl, Ralf Dirk and Holzschuh, M. and Schlaier, J. and Ullrich, O. W. and Brawanski, A. (1998) Short term prognostic factors in lumbar disc surgery: The low back prognostic score is of predictive value. ZENTRALBLATT FUR NEUROCHIRURGIE, 59 (1). pp. 4-13. ISSN 0044-4251,

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Abstract

In order to determine prognostic factors of lumbar disc surgery, we examined 107 patients who were conventionally operated on in a prospective, consecutive study. We analysed general data, the case history, the neurological examination at admission and all data from imaging examinations and therapy. In addition, all patients received a questionnaire based on the Low Back Outcome Score [9, 10]. The patients were re-examined after 2-8 months (103 days mean). According to their ratings on a pain grading scale, the patients were divided into a group with favorable and another with unfavorable results. These groups were analysed in relation to the patients' initial condition. At follow up, 88% of the patients had either completely recovered Low Back Outcome Score (LBOS), 64.5% went well. Used to evaluate the initial condition of the patients on admission the LBOS was able to predict favorable outcome in 68% and unfavorable outcome in 50%. To improve the prognostic value, we combined significant questions of the LBOS with the pain grading scale and significant prognostic factors to form a new prognostic score (Low Back Prognostic Score. With this new score we were able to predict a favorable outcome in 84% of our patients, and an unfavorable outcome in 71%. The Low Back Prognostic score seems to provide a sensitive method for predicting a favorable or unfavorable outcome for patients schedulded to undergo lumbar disc surgery.

Item Type: Article
Uncontrolled Keywords: INTERVERTEBRAL-DISK; CIGARETTE-SMOKING; OUTCOME ANALYSIS; HERNIATION; SPINE; PAIN; DISCECTOMY; VOLVO; lumbar spine surgery; intervertebral disc displacement; risk factors
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Neurochirurgie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 31 Oct 2023 14:43
Last Modified: 31 Oct 2023 14:43
URI: https://pred.uni-regensburg.de/id/eprint/50324

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