Lumbar Spine Surgery, Outcomes, Symptom Duration
Conditions
Brief summary
This study aims to evaluate the affection of symptoms duration on outcomes of lumbar spine surgery.
Detailed description
Lumbar spine surgery is a pivotal intervention for a variety of conditions affecting the lower back, such as degenerative disc disease, spinal stenosis, spondylolisthesis, and disc herniation. The first line of treatment in lumbar spine is usually conservative. If conservative treatment fails to lead to an improvement in symptoms in 3 to 6 months, surgical treatment can be considered as an option for symptom relief. Invasive therapies are considered when neurogenic claudication is present with positive findings from diagnostic imaging. Surgery has been shown to provide better outcomes for at least 4 years in terms of disability and pain with a narrowing of the benefits over time compared with conservative treatment.
Interventions
PROCEDURELumbar Spine Surgery
Patients undergoing lumbar spine surgery Presenting symptoms include lumbar back pain, lumbar radiculopathy, neurogenic claudication, lower-extremity weakness, bowel or bladder symptoms, and duration of symptoms.
Sponsors
Kafrelsheikh University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age ≥18 years old. * Both sexes. * Patients undergoing lumbar spine surgery * Presenting symptoms include lumbar back pain, lumbar radiculopathy, neurogenic claudication, lower-extremity weakness, bowel or bladder symptoms, and duration of symptoms.
Exclusion criteria
* Previous spinal surgery. * Vascular claudication. * Comorbid pathology affecting walking ability. * Severe comorbidities that may impact surgery outcomes (e.g., uncontrolled diabetes, cardiovascular disease). * Bony metastases. * Unfit for general anaesthesia.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Disability assessment | 6 months postoperatively | Disability assessment will be done by the Oswestry Disability Index (ODI). ODI is a pain-related disability score ranging from 0 (no impairment) to 100 (bedbound). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Degree of pain | 6 months postoperatively | Each patient will be instructed about postoperative pain assessment with the Visual Analogue Scale (VAS). VAS (0 represents no pain while 10 represents the worst pain imaginable). |
| Musculoskeletal conditions | 6 months postoperatively | Global Perceived Effect (GPE) will be used to assess musculoskeletal conditions like neck pain. The GPE scale has seven steps (1=completely recovered, 2=much improved, 3=somewhat improved, 4=unchanged, 5=somewhat worse, 6=much worse, 7=worse than ever) |
| Degree of patient satisfaction | 6 months postoperatively | Degree of patient satisfaction will be assessed on a 5-point Likert scale patient satisfaction (1, extremely dissatisfied; 2, unsatisfied; 3, neutral; 4, satisfied; 5, extremely satisfied). |
Countries
Egypt
Contacts
Primary ContactAyman M Basha, MD
Outcome results
None listed