[Rehabilitation after lumbar intervertebral disk operation].

Area of Science:

• Neurosurgery
• Rehabilitation Medicine
• Orthopedics

Context:

• Post-lumbar disc surgery rehabilitation.
• 122 patients admitted to a rehabilitation clinic 3 months post-operation.
• Conservative treatment utilized during rehabilitation.

Purpose:

• To evaluate the efficacy of conservative rehabilitation post-lumbar disc surgery.
• To identify pre- and post-operative variables influencing rehabilitation success.
• To analyze factors affecting pain, paresis, paresthesia, and mobility.

Summary:

• Conservative rehabilitation improved low back pain (70/107), paresis (30/51), and paresthesia (51/77).
• Preoperative paresis favorably influenced rehabilitation success (p<0.03).
• Women showed greater improvement in paresis post-surgery (p=0.006).
• Preoperative paresis correlated with shorter radicular symptom history (p=0.002) and acute onset (p=0.019).
• Paresthesia was more frequent pre-surgery and at rehabilitation start in patients with paresis (p=0.010, p=0.006).
• Decreased lumbar mobility associated with laminectomy (p=0.007).
• L5/S1 disc operations linked to longer radicular symptoms (p=0.012), less paresis (p=0.040), and more paresthesia (p=0.001) than L4/5 operations.

Impact:

• Identifies key factors predicting successful conservative rehabilitation after lumbar disc surgery.
• Provides insights into patient characteristics influencing treatment outcomes.
• Informs clinical decision-making for optimizing rehabilitation strategies.