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The Association Between Early Postoperative Leg Pain Intensity and Disability at 1-Year and 2-Year Follow-Up After First-Time Lumbar Discectomy
- Source :
- Ziegler, D S, Jensen, R K, Storm, L, Carreon, L & Andersen, M Ø 2021, ' The Association Between Early Postoperative Leg Pain Intensity and Disability at 1-Year and 2-Year Follow-Up After First-Time Lumbar Discectomy ', Global Spine Journal, vol. 11, no. 1, pp. 81-88 . https://doi.org/10.1177/2192568219893296, Global Spine Journal
- Publication Year :
- 2021
-
Abstract
- Study Design: Longitudinal cohort study. Objectives: To investigate whether a cutoff point in leg pain intensity measured preoperatively or at early follow-up could identify patients at risk of poor outcomes in terms of disability at 1-year and 2-year follow-up after first-time lumbar discectomy, and to identify the characteristics associated with early postoperative leg pain intensity. Methods: From 2010 to 2013, 556 patients underwent lumbar discectomy. Leg pain intensity was measured preoperatively and at early postoperative follow-up and dichotomized according to an established cutoff point on a 0 to 100 visual analogue scale (mild Results: Moderate/severe leg pain intensity at early follow-up showed a statistically significant association with higher ODI at 1-year and 2-year follow-up compared to mild leg pain intensity (median [interquartile range]: 24 [26] and 26 [26] versus 12 [18] and 10 [20], respectively). Patients reporting moderate/severe leg pain intensity were more often smokers, were more prone to receive social benefits, and were more prone to have chronic back pain. The preoperative measurement of leg pain intensity showed inferior associations. Conclusion: The proposed cutoff point in leg pain intensity at early follow-up can identify patients at risk of disability at both 1-year and 2-year follow-up after first-time discectomy. Future research should be undertaken to investigate whether patients with moderate/severe leg pain intensity at early postoperative follow-up could benefit from additional or more intensive postoperative interventions.
- Subjects :
- medicine.medical_specialty
Lumbar discectomy
medicine.medical_treatment
functional limitations
cutoff point
lumbar disc herniation
discectomy
Discectomy
medicine
Orthopedics and Sports Medicine
Longitudinal cohort
radiculopathy
business.industry
Leg pain
Original Articles
leg pain intensity
Surgery
Intensity (physics)
clinical practice
Clinical Practice
disability
Neurology (clinical)
Cutoff point
Lumbar disc herniation
business
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Ziegler, D S, Jensen, R K, Storm, L, Carreon, L & Andersen, M Ø 2021, ' The Association Between Early Postoperative Leg Pain Intensity and Disability at 1-Year and 2-Year Follow-Up After First-Time Lumbar Discectomy ', Global Spine Journal, vol. 11, no. 1, pp. 81-88 . https://doi.org/10.1177/2192568219893296, Global Spine Journal
- Accession number :
- edsair.doi.dedup.....c1baa379eea6aa58eb25bf44e7aa26d9