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[Nondiscal sciatica without organic lesion].
Revue Du Rhumatisme Et Des Maladies Osteo-Articulaires
|January 1, 1978
Summary
A psychiatric aetiology may explain negative surgical findings in 2% of disc hernia patients. Personality testing revealed pathology in 68% of these individuals, suggesting a significant psychological component in some cases.
Area of Science:
- Psychiatry
- Neurosurgery
- Psychology
Context:
- Hernia of the disc surgery outcomes
- Negative surgical exploration findings
- Potential psychiatric involvement in spinal conditions
Purpose:
- Investigate psychiatric factors in patients with negative surgical exploration for disc hernia
- Assess the utility of psychometric testing in this patient group
- Compare findings with control groups and existing literature on lumbalgia and dorsalgia
Summary:
- 2% of 1,800 patients undergoing disc hernia surgery had negative findings upon exploration
- Psychiatric re-evaluation, including the Minimult personality test, revealed pathological results in 68% of these patients
- Statistically significant differences were observed when compared to control groups, and results align with studies on lumbalgia and dorsalgia
Impact:
- Highlights the importance of considering psychiatric aetiology in cases of negative surgical findings for disc hernia
- Suggests psychometric evaluation as a valuable tool for identifying underlying psychological factors
- Informs a practical approach for managing patients with unexplained spinal symptoms post-surgery