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The Duration of Symptoms Influences Outcomes After Lumbar Microdiscectomies: A Michigan Spine Surgery Improvement Collaborative – Lumbar Spinal Stenosis

A study published in Global Spine Journal investigated the impact of the duration of symptoms prior to lumbar microdiscectomy on pain, lifestyle, and return to work outcomes after surgery. The retrospective cohort study analyzed patients with lumbar radiculopathy who underwent microdiscectomy, grouping them based on the duration of symptoms before surgery. The results showed that patients with shorter symptom duration had lower postoperative leg pain scores and higher PROMIS PF and EQ-5D scores at 90 days, 1 year, and 2 years after surgery compared to those with longer symptom duration. Additionally, patients who underwent surgery within 3 months of symptom onset had the highest rates of return to work at 1 year after surgery

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

CONCLUSION: Patients with prolonged symptoms prior to surgical intervention experience smaller improvements in postoperative leg pain, PROMIS PF, and EQ-5D than those who undergo surgery earlier. Patients undergoing surgery within 3 months of symptom onset have the highest rates of return to work at 1 year after surgery.

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Global Spine J. 2023 Nov 2:21925682231210469. doi: 10.1177/21925682231210469. Online ahead of print.ABSTRACTSTUDY DESIGN: Retrospective Cohort.OBJECTIVE: We investigate whether duration of symptoms a patient experiences prior to lumbar microdiscectomy affects pain, lifestyle, and return to work metrics after surgery.METHODS: A retrospective review of patients with a diagnosis of lumbar radiculopathy undergoing microdiscectomy was conducted using a,

Global Spine J. 2023 Nov 2:21925682231210469. doi: 10.1177/21925682231210469. Online ahead of print.

ABSTRACT

STUDY DESIGN: Retrospective Cohort.

OBJECTIVE: We investigate whether duration of symptoms a patient experiences prior to lumbar microdiscectomy affects pain, lifestyle, and return to work metrics after surgery.

METHODS: A retrospective review of patients with a diagnosis of lumbar radiculopathy undergoing microdiscectomy was conducted using a statewide registry. Patients were grouped based on self-reported duration of symptoms prior to surgical intervention (Group 1: symptoms less than 3 months; Group 2: symptoms between 3 months and 1 year; and Group 3: symptoms greater than 1 year). Radicular pain scores, PROMIS PF Physical Function measure (PROMIS PF), EQ-5D scores, and return to work rates at 90 days, 1 year, and 2 years after surgery were compared using univariate and multivariate analysis.

RESULTS: There were 2408 patients who underwent microdiscectomy for lumbar disc herniation for radiculopathy with 532, 910, and 955 in Groups 1, 2, and 3, respectively. Postoperative leg pain was lower for Group 1 at 90 days, 1 year, and 2 years compared to Groups 2 and 3 (P < .05). Postoperative PROMIS PF and EQ-5D scores were higher for Group 1 at 90 days, 1 year, and 2 years compared to Groups 2 and 3 (P < .05).

CONCLUSION: Patients with prolonged symptoms prior to surgical intervention experience smaller improvements in postoperative leg pain, PROMIS PF, and EQ-5D than those who undergo surgery earlier. Patients undergoing surgery within 3 months of symptom onset have the highest rates of return to work at 1 year after surgery.

PMID:37918421 | DOI:10.1177/21925682231210469

The London Spine Unit : most specialised day surgery unit in UK

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The Duration of Symptoms Influences Outcomes After Lumbar Microdiscectomies: A Michigan Spine Surgery Improvement Collaborative

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Global Spine J. 2023 Nov 2:21925682231210469. doi: 10.1177/21925682231210469. Online ahead of print.ABSTRACTSTUDY DESIGN: Retrospective Cohort.OBJECTIVE: We investigate whether duration of symptoms a patient experiences prior to lumbar microdiscectomy affects pain, lifestyle, and return to work metrics after surgery.METHODS: A retrospective review of patients with a diagnosis of lumbar radiculopathy undergoing microdiscectomy was conducted using a

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