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[High level of satisfaction among patients despite persistent symptoms in the mid-long-term following surgery for

P A J Luijsterburg1, H K Schreuder, A P Verhagen

  • 1Afd. Huisartsgeneeskunde, Erasmus MC, Postbus 1738, 3000 DR Rotterdam. p.luijsterburg@erasmusmc.nl

Nederlands Tijdschrift Voor Geneeskunde
|July 22, 2005
PubMed
Summary
This summary is machine-generated.

Many patients experience persistent lumbosacral radicular syndrome (LRS) symptoms 19 months post-surgery, though severe leg pain often improves. Female gender and older age are linked to ongoing LRS issues.

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Area of Science:

  • Neurosurgery
  • Spinal Surgery
  • Orthopedics

Context:

  • Lumbosacral radicular syndrome (LRS) affects numerous individuals, often necessitating surgical intervention.
  • Discectomy is a common surgical procedure for LRS at the L4-L5 or L5-S1 levels.
  • Understanding long-term outcomes and prognostic factors is crucial for patient management.

Purpose:

  • To evaluate the mid-to-long-term results of surgical treatment for LRS.
  • To identify predictors of persistent LRS symptoms following surgery.

Summary:

  • A study followed 163 patients who underwent discectomy for LRS.
  • Nineteen months post-operation, 63% reported persistent LRS symptoms, while 83% experienced reduced severe leg pain.
  • Female gender and age between 51-65 years were identified as prognostic factors for persistent symptoms.

Impact:

  • The findings indicate that a significant proportion of patients may not achieve complete symptom resolution after LRS surgery.
  • Identifying prognostic factors can aid in patient selection and expectation management.
  • This research contributes to the understanding of surgical outcomes for LRS.