Advanced

Outcome of surgical treatment of lumbar disc herniation in young individuals.

Strömqvist, Fredrik LU ; Strömqvist, Björn LU ; Jönsson, Bo LU ; Gerdhem, P and Karlsson, Magnus LU (2015) In The Bone & Joint Journal 97B(12). p.1675-1682
Abstract
Lumbar disc herniation (LDH) is uncommon in youth and few cases are treated surgically. Very few outcome studies exist for LDH surgery in this age group. Our aim was to explore differences in gender in pre-operative level of disability and outcome of surgery for LDH in patients aged ≤ 20 years using prospectively collected data. From the national Swedish SweSpine register we identified 180 patients with one-year and 108 with two-year follow-up data ≤ 20 years of age, who between the years 2000 and 2010 had a primary operation for LDH. Both male and female patients reported pronounced impairment before the operation in all patient reported outcome measures, with female patients experiencing significantly greater back pain, having greater... (More)
Lumbar disc herniation (LDH) is uncommon in youth and few cases are treated surgically. Very few outcome studies exist for LDH surgery in this age group. Our aim was to explore differences in gender in pre-operative level of disability and outcome of surgery for LDH in patients aged ≤ 20 years using prospectively collected data. From the national Swedish SweSpine register we identified 180 patients with one-year and 108 with two-year follow-up data ≤ 20 years of age, who between the years 2000 and 2010 had a primary operation for LDH. Both male and female patients reported pronounced impairment before the operation in all patient reported outcome measures, with female patients experiencing significantly greater back pain, having greater analgesic requirements and reporting significantly inferior scores in EuroQol (EQ-5D-index), EQ-visual analogue scale, most aspects of Short Form-36 and Oswestry Disabilities Index, when compared with male patients. Surgery conferred a statistically significant improvement in all registered parameters, with few gender discrepancies. Quality of life at one year following surgery normalised in both males and females and only eight patients (4.5%) were dissatisfied with the outcome. Virtually all parameters were stable between the one- and two-year follow-up examination. LDH surgery leads to normal health and a favourable outcome in both male and female patients aged 20 years or younger, who failed to recover after non-operative management. Cite this article: Bone Joint J 2015;97-B:1675-82. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
The Bone & Joint Journal
volume
97B
issue
12
pages
1675 - 1682
publisher
British Editorial Society of Bone & Joint Surgery
external identifiers
  • pmid:26637684
  • wos:000366044500016
  • scopus:84966454910
ISSN
2049-4408
DOI
10.1302/0301-620X.97B12.36258
language
English
LU publication?
yes
id
33a57e8f-5c7f-4cbf-8a16-11cce784186d (old id 8505633)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/26637684?dopt=Abstract
date added to LUP
2016-01-04 22:19:10
date last changed
2017-01-01 03:08:29
@article{33a57e8f-5c7f-4cbf-8a16-11cce784186d,
  abstract     = {Lumbar disc herniation (LDH) is uncommon in youth and few cases are treated surgically. Very few outcome studies exist for LDH surgery in this age group. Our aim was to explore differences in gender in pre-operative level of disability and outcome of surgery for LDH in patients aged ≤ 20 years using prospectively collected data. From the national Swedish SweSpine register we identified 180 patients with one-year and 108 with two-year follow-up data ≤ 20 years of age, who between the years 2000 and 2010 had a primary operation for LDH. Both male and female patients reported pronounced impairment before the operation in all patient reported outcome measures, with female patients experiencing significantly greater back pain, having greater analgesic requirements and reporting significantly inferior scores in EuroQol (EQ-5D-index), EQ-visual analogue scale, most aspects of Short Form-36 and Oswestry Disabilities Index, when compared with male patients. Surgery conferred a statistically significant improvement in all registered parameters, with few gender discrepancies. Quality of life at one year following surgery normalised in both males and females and only eight patients (4.5%) were dissatisfied with the outcome. Virtually all parameters were stable between the one- and two-year follow-up examination. LDH surgery leads to normal health and a favourable outcome in both male and female patients aged 20 years or younger, who failed to recover after non-operative management. Cite this article: Bone Joint J 2015;97-B:1675-82.},
  author       = {Strömqvist, Fredrik and Strömqvist, Björn and Jönsson, Bo and Gerdhem, P and Karlsson, Magnus},
  issn         = {2049-4408},
  language     = {eng},
  number       = {12},
  pages        = {1675--1682},
  publisher    = {British Editorial Society of Bone & Joint Surgery},
  series       = {The Bone & Joint Journal},
  title        = {Outcome of surgical treatment of lumbar disc herniation in young individuals.},
  url          = {http://dx.doi.org/10.1302/0301-620X.97B12.36258},
  volume       = {97B},
  year         = {2015},
}