PMID: 9174445Apr 1, 1997Paper

Clinical history in lumbar disc herniation. A prospective study in 160 patients

Acta Orthopaedica Scandinavica
N VuceticO Svensson

Abstract

In a prospective study of 160 consecutive patients who underwent primary surgery for lumbar disc herniation, we investigated the value of clinical history for diagnosing the degree of herniation-the main prognostic factor for the postoperative outcome. At surgery, the patients were classified into two groups: intact anulus (negative exploration or protruding disc) and ruptured anulus (subligamentary perforation or complete perforation). The strongest variables predicting the degree of herniation were duration of leg pain, progressive leg pain, educational level and whether or not the patient had previously undergone non-spinal surgery. In patients with ruptured anulus, the median durations of low back pain and sciatica were 16 and 10 weeks, respectively. The corresponding figures for the group with intact anulus were 79 and 50 weeks. 18% of those with ruptured anulus and 39% of those with intact anulus were undergoing medical or psychiatric treatment for other diagnoses; 32% and 55% had previously undergone non-spinal surgery. Thus the two groups differed not only in disc pathology but also in medical, behavioral and social factors that must be taken into account in the preoperative assessment and that may explain discrepancies...Continue Reading

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Citations

May 26, 2005·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Jasper J den BoerAndrea W M Evers
Mar 14, 2012·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Gianluca VadalàVincenzo Denaro
Jun 20, 2001·Journal of Epidemiology and Community Health·C E DionneH Checkoway
May 27, 2005·Neurosurgical Focus·Christopher J KoebbeJeffery Bost
Dec 14, 2004·Joint, Bone, Spine : Revue Du Rhumatisme·Ismail BejiaNaceur Bergaoui
Nov 18, 2005·The Spine Journal : Official Journal of the North American Spine Society·Elliot CarlisleJeffrey C Wang
Aug 13, 2005·Journal of Manipulative and Physiological Therapeutics·Anthony J LisiCarlo Ammendolia
Jul 28, 2005·Joint, Bone, Spine : Revue Du Rhumatisme·Denis MullemanPhilippe Goupille
Oct 17, 2002·Physical Medicine and Rehabilitation Clinics of North America·Tamara D Lauder
Apr 23, 2014·Clinical Orthopaedics and Related Research·Eeric Truumees
Apr 23, 1999·Clinical Orthopaedics and Related Research·N VuceticO Svensson
Sep 23, 2021·Glia·You-Quan Ding, Jian-Guo Qi

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