ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2005
The risk of "getting worse" after lumbar microdiscectomy.
Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
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Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Physical prognostic factors predicting outcome following lumbar discectomy surgery: systematic review and narrative synthesis.BMC musculoskeletal disorders · 2018Pooled it
- Patients' views on an education booklet following spinal surgery.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2012Trial
- Function after spinal treatment, exercise and rehabilitation (FASTER): improving the functional outcome of spinal surgery.BMC musculoskeletal disorders · 2010Trial
- Full-Endoscopic Unilateral Laminotomy for Bilateral Decompression Under Surgeon-Directed Local Anesthesia in Older Patients with Lumbar Spinal Stenosis.Medicina (Kaunas, Lithuania) · 2026Article
- A Case Series of Selective Nerve Root Block - A Technique for Delaying Surgery in Patients with Lumbar Radiculopathy.Journal of orthopaedic case reports · 2024Article
- Quality of Life, Disability Level, and Pain Intensity among Patients after Lumbar Disc Surgery: An Observational Three-Month Follow-Up Study.Healthcare (Basel, Switzerland) · 2023Article
- Poor muscle health and low preoperative ODI are independent predictors for slower achievement of MCID after minimally invasive decompression.The spine journal : official journal of the North American Spine Society · 2023Article
- Patient and Surgeon Perceptions Regarding Microdiscectomy Surgery: A Cross-Sectional Analysis of Social Media Posts.International journal of spine surgery · 2023Article
- Review
- Assessment of quality of life, pain level and disability outcomes after lumbar discectomy.Scientific reports · 2023Article
- [Entrapment neuropathies: a contemporary approach to pathophysiology, clinical assessment, and management : German version].Schmerz (Berlin, Germany) · 2021Review
- Comparison of Functional Outcomes Between Lumbar Interbody Fusion Surgery and Discectomy in Massive Lumbar Disc Herniation: A Retrospective Analysis.Global spine journal · 2021Article
- Predictors of Treatment Success Following Limited Discectomy With Annular Closure for Lumbar Disc Herniation.International journal of spine surgery · 2020Article
- Article
- Predictors of Successful Outcomes of Selective Nerve Root Blocks for Acute Lumbar Disc Herniation.Global spine journal · 2019Article
- Trajectory of health-related quality of life and its determinants in patients who underwent lumbar spine surgery: a 1-year longitudinal study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2018Article
- Efficacy of Epidural Steroid Injection in Management of Lumbar Prolapsed Intervertebral Disc: A Comparison of Caudal, Transforaminal and Interlaminar Routes.Journal of clinical and diagnostic research : JCDR · 2016Article
- Is the Oswestry Disability Index a valid measure of response to sacroiliac joint treatment?Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2016Article
- Would loss to follow-up bias the outcome evaluation of patients operated for degenerative disorders of the lumbar spine?Acta orthopaedica · 2011Article
- Health-related quality of life in patients after lumbar disc surgery: a longitudinal observational study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2007Article
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5 authors.
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Abstract
A frequent concern among patients operated for lumbar disc herniation is the risk of "getting worse". To give an evidence-based estimate of the risk for worsening has been difficult, since previous studies have been more focused on unfavourable outcome in general, rather than on deterioration in particular. In this prospective study of 180 patients, we report the frequency of and the risk factors for getting worse after first time lumbar microdiscectomy. Follow-up time was 12 months. Primary outcome measure was the Oswestry disability index, assessing functional status and health-related quality of life. Of the patients 4% got worse. Independent risk factors of deterioration were a long duration of sick leave and a better functional status and quality of life prior to operation. We conclude that the risk of deterioration is small, but larger if the patient has been unable to work despite relatively small health problems. This study also demonstrates that changes in instrument scores should be reported, so that an accurate failure rate can be assessed.
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