BACKGROUND: Surgery has not been proven to be a better treatment option than non-operative management for limb paresis due to lumbar disc herniation. For the patients it will still be a concern, whether they will regain full strength after the operation or not. METHODS: A prospective cohort study of 91 patients with preoperative paresis due to disc herniation with 1-year follow up was carried out. The primary outcome was muscle strength in affected limb, and the secondary outcome was self-reported symptoms on back and leg pain, disability, health related quality of life, general health and working capability. RESULTS: Seventy-five percent of patients had no paresis 1 year after the operation. The severity of the paresis was the only predictor for persistent paresis. Preoperative duration of the paresis did not influence the rate of full recovery. Non-recovery was associated with inferior outcomes and higher risk for reduced working capability. CONCLUSIONS: The majority of patients with paresis were fully recovered 1 year after microdiscectomy for lumbar disc herniation. If the paresis was severe at baseline, there was a four times higher risk for non-recovery. Patients who did not recover had significantly worse outcomes.
BACKGROUND: Surgery has not been proven to be a better treatment option than non-operative management for limb paresis due to lumbar disc herniation. For the patients it will still be a concern, whether they will regain full strength after the operation or not. METHODS: A prospective cohort study of 91 patients with preoperative paresis due to disc herniation with 1-year follow up was carried out. The primary outcome was muscle strength in affected limb, and the secondary outcome was self-reported symptoms on back and leg pain, disability, health related quality of life, general health and working capability. RESULTS: Seventy-five percent of patients had no paresis 1 year after the operation. The severity of the paresis was the only predictor for persistent paresis. Preoperative duration of the paresis did not influence the rate of full recovery. Non-recovery was associated with inferior outcomes and higher risk for reduced working capability. CONCLUSIONS: The majority of patients with paresis were fully recovered 1 year after microdiscectomy for lumbar disc herniation. If the paresis was severe at baseline, there was a four times higher risk for non-recovery. Patients who did not recover had significantly worse outcomes.
Authors: Katarina Silverplats; B Lind; B Zoëga; K Halldin; L Rutberg; M Gellerstedt; H Brisby Journal: Eur Spine J Date: 2010-05-29 Impact factor: 3.134
Authors: Genevieve Dubourg; Sylvie Rozenberg; Bruno Fautrel; Isabelle Valls-Bellec; Anne Bissery; Thierry Lang; Thierry Faillot; Bernard Duplan; Daniel Briançon; Françoise Levy-Weil; Gilles Morlock; Jacques Crouzet; Michel Gatfosse; Christine Bonnet; Eric Houvenagel; Stéphane Hary; Olivier Brocq; Serge Poiraudeau; Johann Beaudreuil; Catherine de Sauverzac; Stephanie Durieux; Marc-Henri Levade; Philippe Esposito; Daniel Maitrot; Philippe Goupille; Jean-Pierre Valat; Pierre Bourgeois Journal: Spine (Phila Pa 1976) Date: 2002-07-01 Impact factor: 3.468
Authors: Scott L Parker; Stephen K Mendenhall; Saniya S Godil; Priya Sivasubramanian; Kevin Cahill; John Ziewacz; Matthew J McGirt Journal: Clin Orthop Relat Res Date: 2015-06 Impact factor: 4.176