Lumbar Disc Herniation, Lumbar Spinal Stenosis
Conditions
Brief summary
The rate of success 12 months after surgery is reported to be 60-65% in patients with lumbar disc herniation and 60-70% in patients with spinal stenosis. At the Back Center Copenhagen, patients with persistent low back pain caused by lumbar disc herniation and spinal stenosis are treated by a multidisciplinary team comprising rheumatologists, physiotherapists, chiropractors, and social workers according to current guidelines. Therefore we have a unique opportunity to report the long term outcome in candidates for surgery, regardless of whether they have surgery or not, after having received optimal but unsuccessful nonsurgical treatment. The purpose of this study is to answer the following questions: 1) What is the proportion of patients operated upon after referral to surgical evaluation with positive MRI findings, persistent low back pain, and poor outcome following non-operative treatment? 2) What was the outcome in these patients 2 years following referral? 3) Where any baseline variables predictive of good or poor postsurgical outcome? 4) Where there any difference in outcome in patients with or without surgery?
Interventions
PROCEDURELow back pain surgery
Sponsors
University Hospital Bispebjerg and Frederiksberg
University of Southern Denmark
Back and Rehabilitation Center, Copenhagen
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Duration of symptoms more than 3 months * Positive imaging findings * Non-surgical treatment unsuccessful
Exclusion criteria
* Age below 18 or above 65 years * Lumbar fusion * Psychiatric disorders * Other serious diseases * Unable to understand the Danish language
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Disability | 2 years follow-up | Roland Morris Disability Questionnaire. lack of success is defined as less than 30% improvement |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Reoperation during follow-up | 2 years follow-up | Self reporting by questionnare |
| Sick leave because of back pain | 2 years follow-up | Self reporting by questionnare |
| Contacts to the health care system because of back pain | 2 years follow-up | Self reporting by questionnare |
| Back og leg pain | 2 years follow-up | 10 point Numeric Rating Scales for current pain, worst pain and average pain. Lack of success defined as less than 30% improvement. |
| Global outcome | 2 years follow-up | 5 point Likert Scale. Lack of success is defined as a score of No change, Worse, or Much worse |
Countries
Denmark
Outcome results
None listed