Surgical Management of Lumbar Spinal Stenosis; Analysis of Pre- Operative Risk Factors Affecting Outcome
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2015, Vol 27, Issue 03
Abstract
To evaluate pre-operative risk factors have impact upon post-operative outcome in terms of pain and functional improvement after surgical decompression of lumbar spinal stenosis. Methods: Retrospective analysis of prospectively data was collected for LSS patients from backache care service until 6 months post-operatively. Neurological and medical factors were identified and were assessed in terms of post-operative improvement in VAS pain scores as well as ODI functional improvement. Results: Forty five patients were included with 62.2%(n=28) males & 37.8%(n=17) females. Mean age was 61.98 years ± 7.06 SD (range: 47-75 years). Mean duration of symptoms was 27.11 years ± 8.88 SD, 80% of patients achieved effective pain relief and favourable functional improvement. The pre-operative risk factors included tobacco use (24.4%), mostly in the form of ‘Naswar’. Comorbid conditions were present in 46.7% patients and included diabetes (15.6%), hypertension (11.1%) and osteoarthritis (8.9%), 13.3% patients had history of previous spine surgery, mostly for prolapsed lumbar intervertebral disc. Surgery was significantly associated with improvement between pre- & post-operative pain scores and ODI scores (p < 0.001). Tobacco use was significantly associated with poor pain functional improvement (p = 0.001). No association was found for gender (p = 0.64), age (p = 0.094), comorbids (p = 0.88), duration of symptoms (p = 0.67) or previous surgery (p = 0.82) for predicting post-operative prognosis. Conclusion: Surgical intervention is a good choice in relieving pain and disability due to lumbar spinal stenosis. Tobacco use is a risk factor strongly associated with poor outcomes.
Authors and Affiliations
Muhammad Saqib, Muhammad Ayaz Khan, Muhammad Imran Khan, Shakir Ullah
Keywords
Related Articles
- EP ID EP742506
- DOI -
- Views 22
- Downloads 0
Reamed Versus Unreamed Intramedullary Interlocking Nail for Gustilo & Anderson Type II and IIIA in Open Fractures of Shaft of Tibia in Terms of Union and Infection Rate, A Prospective Comparative Study
Objective: To compare the rate of infection and fracture union in reamed versus unreamed interlocked IM nailing in patients with open tibia fractures. Methods: It was prospective comparative study done at Departm...
COVID-19 Pandemic “Challenges to Overcome”
COVID-19 was first reported in Wuhan, China on 17th November 2019 and since then it has affected 2,76,15,676 people worldwide, with 8,98,426 deaths.1 WHO declared COVID-19 as a public health emergency on 30th Jan 2020 an...
Efficacy of Percutaneous Transpedicular Needle Biopsy in Vertebral Pathologies Under Fluoroscopic Guidance
To evaluate the efficacy of positive findings on Transpedicular needle biopsy under fluoroscopic guidance in clinically identifiable cases of vertebral pathologies. Methodology: A total of 55 patients were included in...
Level of Awareness of Osteoporosis Among Health Care Providers – A Study of Four Tertiary Referral Hospitals of Lahore
Lack of knowledge among patients regarding osteoporosis is a big barrier to the management of this disease. This study was carried out to assess the knowledge of osteoporosis among healthcare providers who were more than...
Outcome of Displaced Lateral Condyle Humerus Fractures in Children’s Treated with K-wire Fixation
To assess the outcome of lateral condyle of humerus fractures stabilized with K-wire fixation. Methods: This prospective study was conducted in department of orthopaedics at Chandka Medical College Hospital, Shaheed M...