Predictive factors of a lumbar disc hernia surgery
1- Surgical re-intervention: patients who have already undergone surgery, at least once, for lumbar disc hernia are more likely to have a poor outcome than those who will undergo a first intervention.
2- Presence of lumbar canal stenosis associated with lumbar disc herniation.
3- Social and labor situation: patients with low levels of schooling.
4- Psychological component: according to a recent study by Schade, V et al, depression and occupational stress have a significantly negative effect on the outcome of spinal surgery despite the absence of a morphological reason to support the bad result. However be the case, the support of the wife or partner has been identified as a good factor for the results. Expectations by patients for the surgery, have shown that higher expectations appear to be related to high recovery rates and satisfaction.
5- The presence of hypertension, diabetes, heart disease or dyslipidemia (comorbidity).
6- Time evolution of radicular pain: better results in patients operated on after three months and six months before the pain started.
Last Update 2018-11-18 16:14:19