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Intraoperative Ultrasound in Spinal Surgery
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Return to Work After Lumbar Microdiskectomy: A Systematic Review and Meta-analysis.

Mikhail Saltychev1, Elias Villikka2, Vilma Madekivi1

  • 1Department of Physical and Rehabilitation Medicine, Turku University Hospital and University of Turku, Turku, Finland.

Spine
|January 20, 2025
PubMed
Summary
This summary is machine-generated.

Most patients (70-80%) return to work within 1.5 months after lumbar microdiskectomy for disc herniation. Returning to work after this period is unlikely, and preoperative symptom duration does not significantly impact return-to-work rates.

Keywords:
diskectomyintervertebral disc degenerationintervertebral disc displacementmeta-analysismicrosurgeryoccupational healthpublic healthreturn to worksick leavesystematic review

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Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Rehabilitation Medicine

Background:

  • Lumbar microdiskectomy is a common procedure for degenerative disc herniation.
  • Evidence regarding the postoperative return to work (RTW) prevalence and timeline is limited.
  • Understanding RTW trends is crucial for patient management and rehabilitation planning.

Purpose of the Study:

  • To systematically review and meta-analyze the existing evidence on the prevalence and timeline of return to work (RTW) after lumbar microdiskectomy.
  • To identify factors influencing RTW after this surgical procedure.

Main Methods:

  • Systematic review and meta-analysis of studies identified through extensive database searches (Medline, Embase, Cinahl, Scopus, Web of Science).
  • Quality assessment of included studies using the Quality in Prognosis Studies (QUIPS) tool.
  • Random effects meta-analysis and meta-regression were employed to synthesize data.

Main Results:

  • A total of 31 studies were included in the meta-analysis.
  • The mean prevalence of postoperative return to work was 78% (95% CI 71%-83%).
  • The mean time to return to work was 4.79 weeks (95% CI 3.88-5.70 weeks).
  • Meta-regression indicated a significant but small effect of follow-up duration on RTW prevalence.
  • Considerable heterogeneity was observed across the included studies.

Conclusions:

  • Approximately 70% to 80% of patients return to work within 1.5 months following lumbar microdiskectomy for disc herniation.
  • Return to work beyond this period appears unlikely.
  • Preoperative symptom duration did not significantly affect the prevalence of return to work.
  • These findings should inform surgical planning and postoperative rehabilitation goal setting.