Patient selection for lumbar laminectomy and discectomy with a revised objective rating system

A revised objective rating system for patient selection for lumbar laminectomy and discectomy in the treatment of disc herniation is presented. Based on the severity of the findings within each of four categories (neurologic signs, root tension signs, myelogram or CT scan findings, and psychosocial environment), numerical scores are derived. A maximum score of 25 points is available in each category, for a total of 100 points. The objective rating score was determined prospectively in 106 patients who were treated by laminectomy for lumbar disc herniation and who were evaluated at least one year after surgery. The rating score was highly predictive of the surgical result. Application of this system for patient selection would reduce reliance on much of the subjective interpretation of physical and radiographic findings. With appropriate patient selection, improved surgical results are possible.