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Age-related Differences in Clinical Outcomes of Lumbar Discectomy
Introduction Lumbar discectomy is a common and effective treatment for symptomatic disk herniation. It has been suggested that lumbar discectomy in older patients may result in poorer clinical outcomes and lesser satisfaction. The purpose of this study was to assess age-related difference in patient...
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Published in: | Geriatric orthopaedic surgery & rehabilitation 2021, Vol.12, p.21514593211066732 |
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description | Introduction
Lumbar discectomy is a common and effective treatment for symptomatic disk herniation. It has been suggested that lumbar discectomy in older patients may result in poorer clinical outcomes and lesser satisfaction. The purpose of this study was to assess age-related difference in patient reported outcomes of patients undergoing lumbar discectomy for chronic low back and radicular pain.
Materials and methods
Patients with chronic lumbar radiculopathy without neurological deficit underwent non-urgent single level lumbar discectomy in our institution between 2014 and 2017. Pain level (using VAS score), Oswestry Disability Index, and SF-12 scores were retrospectively reviewed and compared between younger patients (60 years, group 2).
Results
Seventy-three patients, aged between 34–76 years participated in this study. VAS, ODI, and SF-12 scores improved significantly after the surgery for each group (P < .01). When comparing between the groups, no significant differences in the outcomes measured were found after the surgery in both early post-operative follow-up and late post-operative follow-up (P > .05).
Discussion
Elderly patients undergoing lumbar discectomy report a significant reduction in VAS, ODI, and SF-12 scores justifying the procedure.
Conclusion
Lumbar discectomy improved function and decreased pain level to similar extent in both younger and older patients suffering from radicular symptoms related to lumbar disc herniation. |
doi_str_mv | 10.1177/21514593211066732 |
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fullrecord | <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_2156abfc40ec42978e197e82ea8af2a1</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_21514593211066732</sage_id><doaj_id>oai_doaj_org_article_2156abfc40ec42978e197e82ea8af2a1</doaj_id><sourcerecordid>2618231644</sourcerecordid><originalsourceid>FETCH-LOGICAL-c532t-c698b1ff267a98c23278c5763699fbd5132177ab82b951d7a6c4ce2e10fdf433</originalsourceid><addsrcrecordid>eNp1kU9v1DAQxSMEolXpB-CCInHhkhKPHf-5IK0WaCut1Evv1sQZL1klcbETpH57HLaUFoQvtp7f_OyZVxRvWX3BmFIfgTVMNIYDY7WUisOL4nTVqlV8-eR8UpyndKjzEpLzRr0uTrgwBrRpTovNZk9VpAFn6srPvfcUaXKUyn4qt0M_9Q6H8maZXRizGHy5W8YWY7YmR24O4_2b4pXHIdH5w35W3H79cru9qnY3l9fbza5yDYe5ctLolnkPUqHRDjgo7RoluTTGt13DciNKYauhNQ3rFEonHAGx2ndecH5WXB-xXcCDvYv9iPHeBuztLyHEvcU4924gmzuX2HonanICjNLEjCINhBo9IMusT0fW3dKO1Dma5ojDM-jzm6n_Zvfhh9UKhNEr4MMDIIbvC6XZjus8hgEnCkuyIJkGzqQQ2fr-L-shLHHKk8ouMDXk5FYgO7pcDClF8o-fYbVd47b_xJ1r3j3t4rHid7jZcHE0JNzTn2f_T_wJwzSwfg</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2629027321</pqid></control><display><type>article</type><title>Age-related Differences in Clinical Outcomes of Lumbar Discectomy</title><source>Publicly Available Content Database (Proquest) (PQ_SDU_P3)</source><source>PubMed Central(OpenAccess)</source><source>Sage Journals GOLD Open Access 2024</source><creator>Behrbalk, Eyal ; Uri, Ofir ; Masarwa, Rawan ; Alfandari, Liad ; Fatal, Shifra ; Folman, Yoram</creator><creatorcontrib>Behrbalk, Eyal ; Uri, Ofir ; Masarwa, Rawan ; Alfandari, Liad ; Fatal, Shifra ; Folman, Yoram</creatorcontrib><description>Introduction
Lumbar discectomy is a common and effective treatment for symptomatic disk herniation. It has been suggested that lumbar discectomy in older patients may result in poorer clinical outcomes and lesser satisfaction. The purpose of this study was to assess age-related difference in patient reported outcomes of patients undergoing lumbar discectomy for chronic low back and radicular pain.
Materials and methods
Patients with chronic lumbar radiculopathy without neurological deficit underwent non-urgent single level lumbar discectomy in our institution between 2014 and 2017. Pain level (using VAS score), Oswestry Disability Index, and SF-12 scores were retrospectively reviewed and compared between younger patients (<60 years, group 1) and older patients (>60 years, group 2).
Results
Seventy-three patients, aged between 34–76 years participated in this study. VAS, ODI, and SF-12 scores improved significantly after the surgery for each group (P < .01). When comparing between the groups, no significant differences in the outcomes measured were found after the surgery in both early post-operative follow-up and late post-operative follow-up (P > .05).
Discussion
Elderly patients undergoing lumbar discectomy report a significant reduction in VAS, ODI, and SF-12 scores justifying the procedure.
Conclusion
Lumbar discectomy improved function and decreased pain level to similar extent in both younger and older patients suffering from radicular symptoms related to lumbar disc herniation.</description><identifier>ISSN: 2151-4593</identifier><identifier>ISSN: 2151-4585</identifier><identifier>EISSN: 2151-4593</identifier><identifier>DOI: 10.1177/21514593211066732</identifier><identifier>PMID: 34992895</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Clinical outcomes ; Original Manuscript ; Pain</subject><ispartof>Geriatric orthopaedic surgery & rehabilitation, 2021, Vol.12, p.21514593211066732</ispartof><rights>The Author(s) 2021</rights><rights>The Author(s) 2021.</rights><rights>The Author(s) 2021. This work is licensed under the Creative Commons Attribution – Non-Commercial License https://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2021 2021 SAGE Publications Inc unless otherwise noted. Manuscript content on this site is licensed under Creative Commons Licenses</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c532t-c698b1ff267a98c23278c5763699fbd5132177ab82b951d7a6c4ce2e10fdf433</citedby><cites>FETCH-LOGICAL-c532t-c698b1ff267a98c23278c5763699fbd5132177ab82b951d7a6c4ce2e10fdf433</cites><orcidid>0000-0002-9202-3693</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8724981/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2629027321?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,4024,21966,25753,27853,27923,27924,27925,37012,37013,44590,44945,45333,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34992895$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Behrbalk, Eyal</creatorcontrib><creatorcontrib>Uri, Ofir</creatorcontrib><creatorcontrib>Masarwa, Rawan</creatorcontrib><creatorcontrib>Alfandari, Liad</creatorcontrib><creatorcontrib>Fatal, Shifra</creatorcontrib><creatorcontrib>Folman, Yoram</creatorcontrib><title>Age-related Differences in Clinical Outcomes of Lumbar Discectomy</title><title>Geriatric orthopaedic surgery & rehabilitation</title><addtitle>Geriatr Orthop Surg Rehabil</addtitle><description>Introduction
Lumbar discectomy is a common and effective treatment for symptomatic disk herniation. It has been suggested that lumbar discectomy in older patients may result in poorer clinical outcomes and lesser satisfaction. The purpose of this study was to assess age-related difference in patient reported outcomes of patients undergoing lumbar discectomy for chronic low back and radicular pain.
Materials and methods
Patients with chronic lumbar radiculopathy without neurological deficit underwent non-urgent single level lumbar discectomy in our institution between 2014 and 2017. Pain level (using VAS score), Oswestry Disability Index, and SF-12 scores were retrospectively reviewed and compared between younger patients (<60 years, group 1) and older patients (>60 years, group 2).
Results
Seventy-three patients, aged between 34–76 years participated in this study. VAS, ODI, and SF-12 scores improved significantly after the surgery for each group (P < .01). When comparing between the groups, no significant differences in the outcomes measured were found after the surgery in both early post-operative follow-up and late post-operative follow-up (P > .05).
Discussion
Elderly patients undergoing lumbar discectomy report a significant reduction in VAS, ODI, and SF-12 scores justifying the procedure.
Conclusion
Lumbar discectomy improved function and decreased pain level to similar extent in both younger and older patients suffering from radicular symptoms related to lumbar disc herniation.</description><subject>Clinical outcomes</subject><subject>Original Manuscript</subject><subject>Pain</subject><issn>2151-4593</issn><issn>2151-4585</issn><issn>2151-4593</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNp1kU9v1DAQxSMEolXpB-CCInHhkhKPHf-5IK0WaCut1Evv1sQZL1klcbETpH57HLaUFoQvtp7f_OyZVxRvWX3BmFIfgTVMNIYDY7WUisOL4nTVqlV8-eR8UpyndKjzEpLzRr0uTrgwBrRpTovNZk9VpAFn6srPvfcUaXKUyn4qt0M_9Q6H8maZXRizGHy5W8YWY7YmR24O4_2b4pXHIdH5w35W3H79cru9qnY3l9fbza5yDYe5ctLolnkPUqHRDjgo7RoluTTGt13DciNKYauhNQ3rFEonHAGx2ndecH5WXB-xXcCDvYv9iPHeBuztLyHEvcU4924gmzuX2HonanICjNLEjCINhBo9IMusT0fW3dKO1Dma5ojDM-jzm6n_Zvfhh9UKhNEr4MMDIIbvC6XZjus8hgEnCkuyIJkGzqQQ2fr-L-shLHHKk8ouMDXk5FYgO7pcDClF8o-fYbVd47b_xJ1r3j3t4rHid7jZcHE0JNzTn2f_T_wJwzSwfg</recordid><startdate>2021</startdate><enddate>2021</enddate><creator>Behrbalk, Eyal</creator><creator>Uri, Ofir</creator><creator>Masarwa, Rawan</creator><creator>Alfandari, Liad</creator><creator>Fatal, Shifra</creator><creator>Folman, Yoram</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><general>SAGE Publishing</general><scope>AFRWT</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-9202-3693</orcidid></search><sort><creationdate>2021</creationdate><title>Age-related Differences in Clinical Outcomes of Lumbar Discectomy</title><author>Behrbalk, Eyal ; Uri, Ofir ; Masarwa, Rawan ; Alfandari, Liad ; Fatal, Shifra ; Folman, Yoram</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c532t-c698b1ff267a98c23278c5763699fbd5132177ab82b951d7a6c4ce2e10fdf433</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Clinical outcomes</topic><topic>Original Manuscript</topic><topic>Pain</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Behrbalk, Eyal</creatorcontrib><creatorcontrib>Uri, Ofir</creatorcontrib><creatorcontrib>Masarwa, Rawan</creatorcontrib><creatorcontrib>Alfandari, Liad</creatorcontrib><creatorcontrib>Fatal, Shifra</creatorcontrib><creatorcontrib>Folman, Yoram</creatorcontrib><collection>Sage Journals GOLD Open Access 2024</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Geriatric orthopaedic surgery & rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Behrbalk, Eyal</au><au>Uri, Ofir</au><au>Masarwa, Rawan</au><au>Alfandari, Liad</au><au>Fatal, Shifra</au><au>Folman, Yoram</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Age-related Differences in Clinical Outcomes of Lumbar Discectomy</atitle><jtitle>Geriatric orthopaedic surgery & rehabilitation</jtitle><addtitle>Geriatr Orthop Surg Rehabil</addtitle><date>2021</date><risdate>2021</risdate><volume>12</volume><spage>21514593211066732</spage><pages>21514593211066732-</pages><issn>2151-4593</issn><issn>2151-4585</issn><eissn>2151-4593</eissn><abstract>Introduction
Lumbar discectomy is a common and effective treatment for symptomatic disk herniation. It has been suggested that lumbar discectomy in older patients may result in poorer clinical outcomes and lesser satisfaction. The purpose of this study was to assess age-related difference in patient reported outcomes of patients undergoing lumbar discectomy for chronic low back and radicular pain.
Materials and methods
Patients with chronic lumbar radiculopathy without neurological deficit underwent non-urgent single level lumbar discectomy in our institution between 2014 and 2017. Pain level (using VAS score), Oswestry Disability Index, and SF-12 scores were retrospectively reviewed and compared between younger patients (<60 years, group 1) and older patients (>60 years, group 2).
Results
Seventy-three patients, aged between 34–76 years participated in this study. VAS, ODI, and SF-12 scores improved significantly after the surgery for each group (P < .01). When comparing between the groups, no significant differences in the outcomes measured were found after the surgery in both early post-operative follow-up and late post-operative follow-up (P > .05).
Discussion
Elderly patients undergoing lumbar discectomy report a significant reduction in VAS, ODI, and SF-12 scores justifying the procedure.
Conclusion
Lumbar discectomy improved function and decreased pain level to similar extent in both younger and older patients suffering from radicular symptoms related to lumbar disc herniation.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>34992895</pmid><doi>10.1177/21514593211066732</doi><orcidid>https://orcid.org/0000-0002-9202-3693</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Clinical outcomes Original Manuscript Pain |
title | Age-related Differences in Clinical Outcomes of Lumbar Discectomy |
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