Abstract
ABSTRACT Objective: To perform a prospective analysis of the quality of life prognostic factors in patients undergoing lumbar discectomy after two years of the procedure, relating the tools Short Form Health Survey, Roland Morris, Oswestry Disability Index, and VAS. Methods: Seventy-two patients were evaluated through the questionnaires in the preoperative, and one month, six months, one year and two years in the postoperative period, being performed lumbar discectomy after failure of conservative treatment. Results: We observed an improvement in comparative analysis during follow-up regarding baseline values. Conclusion: The domains social aspect, pain, general state, emotional aspect, mental health and vitality presented an improvement from the first month after the surgery; however, the domain functional capacity only showed significant improvement after 6 months and the physical aspects only after one year. Roland-Morris and VAS scales improved after one month after surgery, but Oswestry scale showed that for the measured aspects there was only improvement after six months of surgery.
Highlights
Lumbar disc herniation is a common manifestation of degenerative lumbar discopathy,[1,2] which can be defined as the process of rupture of the annulus fibrosus with subsequent focal displacement of the central disc mass to the intervertebral space.[3]It is currently accepted that 80% of the world population will have a complaint relating to the lumbar spine at some point in their life
The indication for surgery was made after the failure of conservative treatment and the levels were established according to the clinical findings consistent with imaging, radiographic, and magnetic resonance exams
The most frequently performed surgery was discectomy at one level, with most patients saying they would undergo surgery again and half of the patients returning to their activities
Summary
Lumbar disc herniation is a common manifestation of degenerative lumbar discopathy,[1,2] which can be defined as the process of rupture of the annulus fibrosus with subsequent focal displacement of the central disc mass to the intervertebral space.[3]. It is currently accepted that 80% of the world population will have a complaint relating to the lumbar spine at some point in their life. Epidemiological studies estimate that of these, 30 to 40% will present asymptomatic lumbar disc herniation and 2 to 3% will present symptoms.[4] The latter can lead to disabling forms of the disease and have an impact on the economically active population of a country. In Brazil, lumbalgia and lumbosciatalgia are the main causes of sick leave and the third most common cause of disability retirement.[5]. Study conducted in the Spine Surgery Group of the Faculdade de Medicina do ABC.
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