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Does physical therapy impact clinical outcomes after lumbar decompression surgery? – Lumbar Spinal Stenosis

The article investigates the impact of physical therapy (PT) on patient outcomes after lumbar decompression surgery. The study aimed to determine if PT affects patient-reported outcomes (PROMs), as well as readmissions or reoperations post-surgery. The researchers analyzed data from patients over 18 years old who underwent lumbar decompression at their institution. They compared patient demographics, surgical characteristics, surgical outcomes (90-day readmissions and surgical readmissions), and PROMs between patients who attended PT and those who did not. The results showed that PT attendance did not significantly impact surgical reoperations or PROM improvement. Instead, factors such as comorbidity index and discharge to a skilled nursing facility independently predicted greater readmissions. Overall, the study concluded that PT after lumbar decompression surgery does not significantly affect clinical improvement or surgical outcomes

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most specialised spine hospital on Harley Street UK

Published article

CONCLUSIONS: Postoperative lumbar decompression PT attendance does not significantly affect clinical improvement, as measured by PROMs or surgical outcomes including all-cause 90 days readmissions and 90-day surgical readmissions.

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J Craniovertebr Junction Spine. 2023 Jul-Sep;14(3):230-235. doi: 10.4103/jcvjs.jcvjs_61_23. Epub 2023 Sep 18.ABSTRACTOBJECTIVES: The objectives of our study were to (1) determine if physical therapy (PT) impacts patient-reported outcomes (PROMs) after lumbar decompression surgery and (2) determine if PT impacts postsurgical readmissions or reoperations after lumbar decompression surgery.METHODS: Patients >18 years of age who underwent primary,

J Craniovertebr Junction Spine. 2023 Jul-Sep;14(3):230-235. doi: 10.4103/jcvjs.jcvjs_61_23. Epub 2023 Sep 18.

ABSTRACT

OBJECTIVES: The objectives of our study were to (1) determine if physical therapy (PT) impacts patient-reported outcomes (PROMs) after lumbar decompression surgery and (2) determine if PT impacts postsurgical readmissions or reoperations after lumbar decompression surgery.

METHODS: Patients >18 years of age who underwent primary one- or two-level lumbar decompression at our institution were identified. Patient demographics, surgical characteristics, surgical outcomes (all-cause 90 days readmissions and 90 days surgical readmissions), and patient-reported outcomes (PROMs) were compared between the groups. Multivariate linear regression was utilized to determine the individual predictors of 90 days readmissions and PROMs at the 1-year postoperative point. Alpha was set at P < 0.05.

RESULTS: Of the 1003 patients included, 421 attended PT postoperatively. On univariate analysis, PT attendance did not significantly impact 90-day surgical reoperations (P = 0.225). Although bivariate analysis suggests that attendance of PT is associated with worse improvement in physical function (P = 0.041), increased preoperative Visual Analogue Scale leg pain (0 = 0.004), and disability (P = 0.006), as measured by the Oswestry Disability Index, our multivariate analysis, which accounts for confounding variables found there was no difference in PROM improvement and PT was not an independent predictor of 90-day all-cause readmissions (P = 0.06). Instead, Charlson Comorbidity Index (P = 0.025) and discharge to a skilled nursing facility (P = 0.013) independently predicted greater 90-day all-cause readmissions.

CONCLUSIONS: Postoperative lumbar decompression PT attendance does not significantly affect clinical improvement, as measured by PROMs or surgical outcomes including all-cause 90 days readmissions and 90-day surgical readmissions.

PMID:37860023 | PMC:PMC10583794 | DOI:10.4103/jcvjs.jcvjs_61_23

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Does physical therapy impact clinical outcomes after lumbar decompression surgery?

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J Craniovertebr Junction Spine. 2023 Jul-Sep;14(3):230-235. doi: 10.4103/jcvjs.jcvjs_61_23. Epub 2023 Sep 18.ABSTRACTOBJECTIVES: The objectives of our study were to (1) determine if physical therapy (PT) impacts patient-reported outcomes (PROMs) after lumbar decompression surgery and (2) determine if PT impacts postsurgical readmissions or reoperations after lumbar decompression surgery.METHODS: Patients >18 years of age who underwent primary

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