[Optimalization of the indications for an operation treatment in patients suffering from lumbar dyscopathy]

The aim of the study was to establish the relationship between the moment of undertaking an operation in patients with lumbar dyscopathy, to assess efficacy of this type of therapy expressed by the level of the improvement neurological state, the pain exacerbation as well as the improvement of movement skills. We selected 41 patients with lumbar dyscopathy who were treated due to radiculitis. The base of the evaluation were the results of the research made on operated patients before an operation (1) and 6 months after it (2). The following features were evaluated: neurological deficit according to root le--normal, lowered, considerable lowered. Examined patients were divided in 4 groups: I--operated due to acute indications during 48 hours from the beginning of the treatment (n=6; 14,6%) II--operated up to 30 days from the beginning of the treatment (n=12; 29,3%) III--operated between 30 and 60 days from the beginning of the treatment (n=132; 31,7%) IV--operated more than 60 days from the beginning of the treatment (n-10; 24,9%) The largest difference in pain exacerbation according to VAS scale between research I and II during 12 months of observation was ascertained in first group of patients (59 mm; 71%), while the smallest difference was in group four (11 mm; 18%). The biggest improvement in daily movement skills among operated patients during 12 months of observation was found in first group of patients, were 100% percent of movement skills improvement was reached from considerable lowered to normal, while in second and third group were 90% and 50% of improvement from lowered to normal. The smallest improvement was found in group four: 44% from lowered to normal. Based on the obtained results the following conclusion can be set up that the quick decision about the operation in patients where are indications to such treatment conditions bigger improvement in range VAS of pain and basic daily movement skills.