ArticleScientific reports2021
Diabetes is associated with greater leg pain and worse patient-reported outcomes at 1 year after lumbar spine surgery.
Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 23 citations in OpenAlex.
- Article
- Clinical and imaging impact of diabetes mellitus on elderly patients with lumbar spinal stenosis: a retrospective propensity score-matched study with ≥5-year follow-up.Frontiers in medicine · 2026Article
- Diabetes and Diabetic Neuropathy Significantly Increase Short- and Long-Term Complications Following Single-Level Posterolateral Lumbar Fusion: A Propensity- Matched Cohort Study.Orthopedic reviews · 2026Article
- Advancing lumbar disc herniation treatment: a prospective study on the efficacy and safety of percutaneous endoscopic lumbar discectomy under local anesthesia, across symptom severity.Journal of orthopaedic surgery and research · 2025Observational
- Postoperative footdrop following total hip arthroplasty: Epidemiology, risk factors, and associated complications.Journal of orthopaedics · 2025Article
- Diabetes increases risk of lumbar spinal fusion complications: association with altered structure of newly formed bone at the fusion site.JBMR plus · 2024Article
- Association Between Preoperative Neuropathic Pain and Patient Reported Outcome Measures After Cervical Spinal Cord Decompression Surgery.Global spine journal · 2024Article
- Impact of the COVID-19 pandemic on surgical volume and outcomes in spine surgery: a multicentre retrospective study in Tokyo.BMJ open · 2023Article
- Impact of body mass index on outcomes after lumbar spine surgery.Scientific reports · 2023Article
- Effect of diabetes on patient-reported outcome measures at one year after laminoplasty for cervical spondylotic myelopathy.Scientific reports · 2022Article
- Improvement of peripheral neuropathy in a patient with antineutrophil cytoplasmic antibody-negative eosinophilic granulomatosis with polyangiitis by additional mepolizumab.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2022Article
- Liposomal bupivacaine in posterior spine surgery: A piece of the puzzle for postoperative pain.Journal of orthopaedicsArticle
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Authors and funding
22 authors at 9 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Although patients with diabetes reportedly have more back pain and worse patient-reported outcomes than those without diabetes after lumbar spine surgery, the impact of diabetes on postoperative recovery in pain or numbness in other regions is not well characterized. In this study, the authors aimed to elucidate the impact of diabetes on postoperative recovery in pain/numbness in four areas (back, buttock, leg, and sole) after lumbar spine surgery. The authors retrospectively reviewed 993 patients (152 with diabetes and 841 without) who underwent decompression and/or fixation within three levels of the lumbar spine at eight hospitals during April 2017-June 2018. Preoperative Numerical Rating Scale (NRS) scores in all four areas, Oswestry Disability Index (ODI), and Euro quality of life 5-dimension (EQ-5D) were comparable between the groups. The diabetic group showed worse ODI/EQ-5D and greater NRS scores for leg pain 1 year after surgery than the non-diabetic group. Although other postoperative NRS scores tended to be higher in the diabetic group, the between-group differences were not significant. Diabetic neuropathy caused by microvascular changes may induce irreversible nerve damage especially in leg area. Providers can use this information when counseling patients with diabetes about the expected outcomes of spine surgery.
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