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[Nondiscal sciatica without organic lesion].

M Tadie, Q Debray, J Perse

    Revue Du Rhumatisme Et Des Maladies Osteo-Articulaires
    |January 1, 1978
    PubMed
    Summary
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    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

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    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