Abdurrahman ÇETİN, Mehmet Tahir GÖKDEMİR

Evaluation of pain status and quality of life in patients with lumbar disc hernia who underwent microdiscectomy

The objective of this study was to evaluate the emotional state, pain status, and quality of life in patients with lumbar disc herniation using preoperative Oswestry Disability Index (ODI), Visual Analog Scale (VAS), and 1- and 3-months postoperative VAS scores. Between December 2017 and March 2018, 49 patients with lumbar disc herniation, who were admitted to our neurosurgery department, were enrolled in this retrospective study. According to the ODI questionnaire, pre- and postmicrodiscectomy analysis revealed a statistically significant improvement in all the parameters (for all parameters, p < 0.001). VAS scores of the patients showed a significant gradual decrease in the severity of pain at 1 and 3 months following the operation (p < 0.001). It was observed that lower back pain and quality of life in patients improved following microdiscectomy surgery. Microdiscectomy surgery is still an important option in lumbar disc herniation treatment.

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Akinduro OO, Kerezoudis P, Alvi MA, et al. Open versus minimally invasive surgery for extraforaminal lumbar disk herniation: a systematic review and meta-analysis. World Neurosurg. 2017;108:924-38

Sharma SS, Sheth MS. Effect of neurodynamic mobilization on pain and function in subjects with lumbo-sacral radiculopathy. Medicine Science. 2018;7:5-8.

Epstein NE. Evaluation of varied surgical approaches used in the 4 management of 170 far-lateral lumbar disc herniations: indications and 5 results. J Neurosurg 1995;83:648-56.

O’Donnell JA, Anderson JT, Haas AR, et al. Preoperative opioid use is a predictor of poor return to work in Workers’ Compensation patients after lumbar diskectomy. Spine Phila Pa 1976. 2018;43:594-602.

Weinstein JN, Lurie JD, Tosteson TD, et al. Surgical vs nonoperative treatment for lumbar disk herniation: the Spine Patient Outcomes Research Trial (SPORT) observational cohort. JAMA. 2006;296:2451-9.

McAnany SJ, Overley SC, Anwar MA, et al. Comparing the incidence of index level fusion following minimally invasive versus open lumbar microdiscectomy. Global Spine J. 2018;8:11-6.

Lebow R, Parker SL, Adogwa O, et al. Microdiscectomy improves painassociated depression, somatic anxiety, and mental well-being in patients with herniated lumbar disc. Neurosurgery. 2012;70:306-11.

Tharin S, Mayer E, Krishnaney A. Lumbar microdiscectomy and lumbar decompression improve functional outcomes and depression scores. Evid Based Spine Care J. 2012;3:65-6.

Asch HL, Lewis PJ, Moreland DB, et al. Prospective multiple outcomes study of outpatient lumbar microdiscectomy: should 75 to 80% success rates be the norm? J Neurosurg. 2002;96:34-44.

Bokov A, Isrelov A, Skorodumov A, et al. An analysis of reasons for failed back surgery syndrome and partial results after different types of surgical lumbar nevre root decompression. Pain Physician. 2011;14:545-57.

Rosenow DE, Albrechtsen M, Stolke D. A comparison of patient controlled analgesia with lornoxicam versus morphine in patients undergoing lumbar disk surgery, Anestesia Anelgesia. 1998;86:1045-50.

Matarushi MR, Keis NA, Smouse DJ, et al. The effects of steroids on post operative nausea and vomiting. Nurse Anaest. 1990;1:l83-8.

Staunstrup H, Ovensen J, Larsen UT, Efficacy and tolerability of lornoxicam in postoperative pain, J.Clin pharmacol, August. 1999;39:834-41.

Balfour JA, Fitton A, Brarradell LB, Lornoxicam, areview of its pharmacology and theropatic potential in the manegament of painful and inflamatory conditions, Drugs. 1996;51:639-57.

Seçkin Sarı, Mehmet Aydoğan. As a common cause of back pain: lumbar disc herniation TOTBİD Dergisi. 2015;14:298-304.