Related Experiment Video
Updated: Jul 5, 2026
05:30
Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion
Published on: February 14, 2025
[Two-years' follow-up after lumbar disc surgery.]
A Junge1, M Fröhlich, S Ahrens
1Abteilung für Psychosomatik und Psychotherapie, Medizinische Klinik, Universitätsklinikum Hamburg-Eppendorf, Martinistraße-52, D-20246, Hamburg.
Schmerz (Berlin, Germany)
|March 1, 1995
Summary
Predicting the long-term outcome of lumbar disc surgery is possible using patient history and psychological factors. Identifying risk factors like depression and pain history can help reconsider surgery for better patient results.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Pain Management
Context:
- Lumbar disc surgery outcomes vary widely (49-90%) based on evaluation criteria.
- Pre-operative assessment of prognostic factors is crucial for predicting long-term results.
- Understanding patient history and psychological status can refine surgical decision-making.
Purpose:
- To determine the prognostic value of pain history, sociodemographic, psychodiagnostic, and medical factors for long-term lumbar disc surgery outcomes.
- To identify key predictors of severe back pain and the need for further surgery post-operation.
- To inform clinical decisions by highlighting risk factors associated with poor surgical outcomes.
Summary:
- A study of 100 patients undergoing lumbar disc surgery found that pre-operative factors significantly predict long-term outcomes.
- Predictors of severe pain included duration of reduced work capability, pain elsewhere, disability pension application, depression, and acute pain severity.
- Risk factors for revision surgery included pain at other locations, seeking social support, and absence of neurological deficits.
Impact:
- Accurate prediction of post-operative pain (94.3%) was achieved using multivariate analysis.
- Identified risk factors can guide clinicians in reconsidering surgery when absolute medical indication is absent.
- This research aids in personalized treatment planning and improving patient outcomes after lumbar disc surgery.
