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European Spine Journal

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15.07.2016 | Original Article

Predictors of an unfavorable outcome 1.5 and 12 years after a first, uncomplicated lumbar disc surgery

verfasst von: Karin Pieber, Nora Salomon, Silke Inschlag, Gabriele Amtmann, Karl-Ludwig Resch, Gerold Ebenbichler

Erschienen in: European Spine Journal | Ausgabe 11/2016

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Abstract

Purpose

To identify predictors of both intermediate and long-term unfavorable outcomes after first time, uncomplicated lumbar disc surgery.

Methods

Patients (n = 120) who had undergone lumbar disc surgery were followed up 1.5 and 12 years thereafter. Baseline assessments were carried out 5–8 days after surgery. Clinical outcome was assessed in both follow-ups using the Low Back Pain Rating Scale. Statistical analysis included binary logistic and linear regression.

Results

Unfavorable outcomes were found in 50.5 % (1.5 years) and 52.6 % (12 years) of patients available for follow-up examination. Low pre-operative physical activity and severe pain in the first week after surgery were predictive of an unfavorable post-operative outcome at both follow-ups.

Conclusions

Identified predictors suggest that particular emphasis should put on comprehensive post-operative care at large and encouragement to adapt a physically active lifestyle in particular in rehabilitation concepts after first time uncomplicated lumbar disc surgery.

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Titel: Predictors of an unfavorable outcome 1.5 and 12 years after a first, uncomplicated lumbar disc surgery
verfasst von: Karin Pieber
Nora Salomon
Silke Inschlag
Gabriele Amtmann
Karl-Ludwig Resch
Gerold Ebenbichler
Publikationsdatum: 15.07.2016
Verlag: Springer Berlin Heidelberg
Erschienen in: European Spine Journal / Ausgabe 11/2016
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-016-4700-4

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Springer Medizin

Predictors of an unfavorable outcome 1.5 and 12 years after a first, uncomplicated lumbar disc surgery

Abstract

Purpose

Methods

Results

Conclusions

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Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

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