Abstract:
STUDY DESIGN:Forty-one patients undergoing lumbar laminectomy for radiculopathy resulting from herniated discs assessed their health status using a generic health outcome instrument (Medical Outcomes Study Short Form 36) before surgery and at an average of 2 years after surgery. OBJECTIVES:To assess whether lumbar laminectomy for herniated nucleus pulposus is a useful intervention when patients evaluate their own perception of health. SUMMARY OF BACKGROUND DATA:The medical Outcomes Study Short Form 36 has been used in multiple studies assessing various medical conditions. It is brief, generic, and reliable. Although surgical treatment for radiculopathy by lumbar laminectomy has been shown to be successful using specific criteria for patient selection and an algorithmic approach, the authors are not aware of any study using a patient-based health outcome assessment to evaluate the results of this type of surgery. METHODS:Forty-one patients (82% completed follow-up evaluation; average follow-up period, 2.08 years) completed Medical Outcomes Study Short Form 36 before and after surgery. Scores from before and after surgery were compared. RESULTS:Statistically significant improvements (P < 0.01) were seen in eight of the nine health scores comparing scores from before and after surgery at follow-up evaluation. These included physical function, social function, role function resulting from physical limitations, role function resulting from emotional limitations, mental health, vitality, pain, and perceived health change. No significant change was seen in the patients' health perception after surgery. CONCLUSIONS:This study shows that the patients' self-reported health outcomes after lumbar laminectomy correlate with the excellent results previously seen using physician-driven outcome measures in an appropriately selected population with radiculopathy. The excellent results shown here did not deteriorate with age (> 40 years compared with < 40 years) or with complications after surgery.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Albert TJ,Mesa JJ,Eng K,McIntosh TC,Balderston RAdoi
10.1097/00007632-199604150-00010subject
Has Abstractpub_date
1996-04-15 00:00:00pages
960-2; discussion 963issue
8eissn
0362-2436issn
1528-1159journal_volume
21pub_type
杂志文章相关文献
SPINE文献大全abstract:STUDY DESIGN:In vitro biomechanical study. OBJECTIVE:To characterize cervical total disc replacement (TDR) kinematics above two-level fusion, and to determine the effect of fusion alignment on TDR response. SUMMARY OF BACKGROUND DATA:Cervical TDR may be a promising alternative for a symptomatic adjacent level after p...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e318222d4ad
更新日期:2011-08-01 00:00:00
abstract:STUDY DESIGN:Prospective study with follow-up by a postal questionnaire to 6626 men nearly 40 years of age who had been examined for the first time at the age of 18. OBJECTIVES:To study the predictability of frequent musculoskeletal problems, health, lifestyle, and work situation from the examination 20 years earlier....
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200012010-00016
更新日期:2000-12-01 00:00:00
abstract:STUDY DESIGN:Translation and psychometric testing. OBJECTIVE:To adapt the neck disability index (NDI) cross-culturally to Arabic language and to investigate the reliability and validity of the Arabic version of NDI in an Arabic-speaking sample with neck pain. SUMMARY OF BACKGROUND DATA:Although largely used, no previ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31828b2d09
更新日期:2013-05-01 00:00:00
abstract:STUDY DESIGN:A comparative study was conducted. OBJECTIVES:To attempt quantification of the stress in patients with lumbar disc herniation by measuring natural killer cell activity, and to evaluate the assay methodology. SUMMARY OF BACKGROUND DATA:Stressful events may have adverse effects on health. Distress in the p...
journal_title:Spine
pub_type: 临床试验,杂志文章
doi:10.1097/00007632-200210010-00004
更新日期:2002-10-01 00:00:00
abstract::Spinal cord injury was studied using a drop-weight technique in a rat model. A constant weight of 10 g was dropped from 2.5, 5.0 and 17.5 cm heights. The trauma delivered was quantified by biomechanical parameters of weight drop height, maximum force, and impulse, while the functional deficit produced by injury was qu...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198812000-00007
更新日期:1988-12-01 00:00:00
abstract:STUDY DESIGN:A case of lumbar metastasis of a choriocarcinoma is presented. OBJECTIVE:To present and review a rare case of metastatic choriocarcinoma in the lumbar spine. SUMMARY OF BACKGROUND DATA:Choriocarcinoma is a highly anaplastic malignancy derived from trophoblastic cells characterized by the secretion of hum...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181a98746
更新日期:2009-07-01 00:00:00
abstract:STUDY DESIGN:Animal experimental study with intervention. OBJECTIVE:The aim of this study was to elucidate therapeutic effects of delayed granulocyte colony-stimulating factor treatment for mechanical allodynia induced by chronic constriction injury (CCI) of the sciatic nerve in rats. SUMMARY OF BACKGROUND DATA:Granu...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000108
更新日期:2014-02-01 00:00:00
abstract:STUDY DESIGN:A prospective study of 50 patients who underwent posterior thoracic or thoracolumbar instrumented spinal surgery from June 1998 through June 1999. OBJECTIVES:To highlight the advantages and disadvantages of neurogenic mixed evoked potential (NMEP) data obtained with three methods of stimulation: epidural,...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200009150-00016
更新日期:2000-09-15 00:00:00
abstract:STUDY DESIGN:Clinical literature consistently identifies women as more susceptible to trauma-related neck pain, commonly resulting from soft tissue cervical spine injury. Structural gender differences may explain altered response to dynamic loading in women leading to increased soft tissue distortion and greater injury...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e318160462a
更新日期:2008-01-15 00:00:00
abstract:STUDY DESIGN:A cross-sectional comparison of vertebral morphology and lumbar lordosis (LL) in adolescents with and without spondylolysis. OBJECTIVE:To test the hypothesis that in addition to LL, vertebral cross-sectional area (CSA) is also associated with spondylolysis. SUMMARY OF BACKGROUND DATA:Recent data indicate...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000002480
更新日期:2018-06-15 00:00:00
abstract:STUDY DESIGN:Radiographic analysis, outcomes analysis (pain scale, Oswestry, SRS-24), and accumulation of complications. Outcomes and complications collected prospectively. Radiographic analysis performed retrospectively. OBJECTIVES:To assess the benefits and stress complications of pedicle subtraction osteotomies for...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.BRS.0000090891.60232.70
更新日期:2003-09-15 00:00:00
abstract:STUDY DESIGN:Spine proprioception and postural control in unstable sitting were compared in 18 chronic low back pain patients using a repeated measures design. OBJECTIVE:The study objective was to determine if stochastic resonance (SR) stimulation of the paraspinal muscles improves spine proprioception and trunk postu...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181971e09
更新日期:2009-02-15 00:00:00
abstract:STUDY DESIGN:Observational study of patients with scoliosis and matched controls. OBJECTIVES:To determine the validity and reliability of the modified Scoliosis Research Society Outcomes Instrument (SRS-22) for use in the assessment of deformity in adults. To demonstrate the discriminate validity of the SRS-22 in diff...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.BRS.0000084666.53553.D6
更新日期:2003-09-15 00:00:00
abstract:STUDY DESIGN:Case series. OBJECTIVE:To describe the outcomes of workers' compensation (WC) claimants who have had a lumbar intradiscal electrothermal therapy (IDET) procedure. SUMMARY OF BACKGROUND DATA:IDET was developed as a less invasive treatment alternative to fusion after failure of conservative treatment for d...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000092376.41688.1a
更新日期:2004-02-15 00:00:00
abstract:STUDY DESIGN:Magnetic resonance imaging findings of an increased signal in the cervical cord in patients undergoing surgery for ossification of the posterior longitudinal ligament were analyzed to determined whether an increased signal on T2-weighted images correlated with a poorer outcome. OBJECTIVES:To clarify wheth...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199801010-00008
更新日期:1998-01-01 00:00:00
abstract::The Perdriolle torsionmeter assesses vertebral rotation on a spinal radiograph. It is frequently used to measure improvement in spinal derotation following Cotrel-Dubousset instrumentation for scoliosis. In this study, intraobserver and interobserver measurement error was examined during use of the torsionmeter. Intra...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199205000-00008
更新日期:1992-05-01 00:00:00
abstract:STUDY DESIGN:An intramuscular electromyographic study was performed on trunk rotations during sitting and standing. OBJECTIVE:The aim was to provide new information on activation levels for deep trunk muscles in various unresisted and resisted trunk rotations. SUMMARY AND BACKGROUND DATA:Frequent daily trunk twisting...
journal_title:Spine
pub_type: 临床试验,杂志文章
doi:10.1097/00007632-200203150-00014
更新日期:2002-03-15 00:00:00
abstract:STUDY DESIGN:A weight-drop device based on a displacement transducer and feedback detection circuitry was designed to produce consistent experimental spinal cord injuries in a rat model. The device was characterized and evaluated based on biomechanical parameters, quantitative histology, and neurologic behavior. OBJEC...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199601010-00025
更新日期:1996-01-01 00:00:00
abstract:STUDY DESIGN:Trunk sway occurring during clinical stance and gait tasks was compared between a group of subjects with a chronic whiplash injury, resulting from an automobile collision, and a normal collective. OBJECTIVES:To examine if population specific trunk sway patterns for stance and gait could be identified for ...
journal_title:Spine
pub_type: 临床试验,杂志文章
doi:10.1097/01.BRS.0000083170.34304.A3
更新日期:2003-08-01 00:00:00
abstract:STUDY DESIGN:Prospective and retrospective outcome analysis following arthrodesis for adult isthmic spondylolisthesis in 31 patients. OBJECTIVE:To examine whether or not patients having such surgery have a functional improvement in their lives. SUMMARY OF BACKGROUND DATA:The literature is full of articles concerning ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.BRS.0000065574.20711.E6
更新日期:2003-06-15 00:00:00
abstract:STUDY DESIGN:A cross-sectional survey among adolescents aged 15-16 years. OBJECTIVE:To evaluate whether physical activity or sedentary activities associate with neck and shoulder symptoms among adolescents. SUMMARY OF BACKGROUND DATA:Findings of associations between physical exercise and neck or shoulder pain in adol...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000261349.94823.c1
更新日期:2007-04-20 00:00:00
abstract::In a random, controlled laboratory study, pedicle screws placed in human cadaveric vertebrae were axially loaded to failure. Three repair methods were tested. Use of low pressure polymethylmethacrylate yielded 149% of the original pullout strength, milled bone yielded 70% of the initial pullout strength, and matchstic...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199402000-00017
更新日期:1994-02-01 00:00:00
abstract::A cadaveric study was done to investigate the variability of interfacet distances from C3 to C7, to learn pedicle morphology at C7-T2, and to determine potential dangers of plate-screw osteosynthesis technique of the cervical spine. Twenty-two cadavers were dissected from C2 to C7 to expose the lateral masses and nerv...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199110001-00019
更新日期:1991-10-01 00:00:00
abstract:STUDY DESIGN:A prospective, within-patient comparison of two methods for functional radiography of lumbar spine with consecutive patients. OBJECTIVE:To evaluate the usefulness of traction-compression radiography compared with conventional flexion-extension radiography in diagnosis of lumbar spinal instability. SUMMAR...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199701150-00012
更新日期:1997-01-15 00:00:00
abstract:STUDY DESIGN:Retrospective study. OBJECTIVES:To report the results and the technique of posterior vertebral column resection (PVCR) in fixed lumbosacral deformity. SUMMARY OF BACKGROUND DATA:Fixed lumbosacral deformity has gross imbalance as well as progressive compensatory thoracolumbar deformity because of the abse...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000188190.90034.be
更新日期:2005-12-01 00:00:00
abstract:STUDY DESIGN:Clinical and imaging findings of patients diagnosed with pyogenic sacroiliitis were retrospectively analyzed. OBJECTIVES:To characterize the clinical and magnetic resonance features of patients with acute pyogenic sacroiliitis without the usually known predisposing conditions and to investigate the diagno...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.BRS.0000092481.42709.6F
更新日期:2003-09-15 00:00:00
abstract:STUDY DESIGN:Retrospective review. OBJECTIVE:To assess the relationship between age and complications, and report age-stratified complication rates for the surgical treatment of adult scoliosis. SUMMARY OF BACKGROUND DATA:Literature examining age and complication rates for adult scoliosis surgery is conflicting. The ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001239
更新日期:2016-03-01 00:00:00
abstract:STUDY DESIGN:Two thousand consecutive idiopathic scoliosis records and radiographs were reviewed for coronal pattern typing and categorization, based on Scoliosis Research Society definitions of the apical vertebra. Apical frequency was determined for each of the patterns identified, and represents a database from a la...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199806150-00016
更新日期:1998-06-15 00:00:00
abstract:STUDY DESIGN:An in vitro study using ovine intervertebral discs to correlate the effects of increasing advanced glycation end-products (AGEs) with disc hydration evaluated by magnetic resonance imaging (MRI). OBJECTIVE:To determine the relationship between the level of AGEs and tissue water content in intervertebral d...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31822ce81f
更新日期:2012-02-15 00:00:00
abstract:STUDY DESIGN:A cross-sectional survey among health professionals working in a Kuwait hospital. OBJECTIVE:To investigate the prevalence and factors associated with low back pain (LBP). SUMMARY OF BACKGROUND DATA:The literature suggests that health professionals are exposed to occupational risk factors that predispose ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181657df7
更新日期:2008-03-01 00:00:00