Lumbar lordosis as tool to assess the level of pain in patients with low back pain after lumbar disc herniation.
It is presently unknown if lumbar lordosis (LL) might be applied to monitor low back pain (LBP) in patients with lumbar disc herniation (LDH). There is presently only conflicting data that does not show a correlation of LL with LBP: Previous studies do either include chronic LBP or do not consider t...
| Publicado en: | Journal of Orthopaedics Vol. 22; pp. 190 - 194 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Professor PK Surendran Memorial Education Foundation
Nov2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=147505935&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 147505935 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 25899082 1CUL jtl: Journal of Orthopaedics issn: 25899082 maglogo: N pubinfo: dt: Nov2020 vid: 22 pid: 24594 pub: Professor PK Surendran Memorial Education Foundation artinfo: ui: 147505935 147505935 147505935 10.1016/j.jor.2020.04.010 147505935 ppf: 190 ppct: 4 formats: fmt: @attributes: type: T tig: atl: Lumbar lordosis as tool to assess the level of pain in patients with low back pain after lumbar disc herniation. aug: au: Konieczny, Markus Rafael Schroer, Sina Schleich, Christoph Prost, Max Hufeland, Martin Kubo, Hannes Krauspe, Rüdiger affil: University Hospital of Duesseldorf, Department of Orthopedic Surgery, Germany sug: subj: Lordosis Pain Measurement Low Back Pain Human ab: It is presently unknown if lumbar lordosis (LL) might be applied to monitor low back pain (LBP) in patients with lumbar disc herniation (LDH). There is presently only conflicting data that does not show a correlation of LL with LBP: Previous studies do either include chronic LBP or do not consider that each patient has an individual value of LL that cannot be compared to other patients. Power analysis: At least 32 patients had to be enrolled in the study. Out of 84 consecutive patients with acute onset of pain (<6 weeks) that were treated operatively from 11/2015 to 04/2017 by microscopic laminotomy for LDH, 35 were enrolled in this retrospective within – subject analysis after exclusion of patients with chronic LBP or severe disc degeneration of the lumbar spine. We recorded self - reported assessment of pain (VAS) and LL before the operation, 1 week and 6 weeks after the operation. We performed a paired – samples t - test (within – subject) to compare means of LL at admission to our institution with LL 6 weeks after surgery. Pearson's correlation was determined for LL and VAS. Significance level was set at p < 0.05. VAS at admission to our institution was 7.1 (0.4), VAS 6 weeks after surgery was 1.0 (0.3).LL at admission to our institution was 40.0 (2.1), LL 6 weeks after surgery was 48.0 (1.8). The difference was significant (p < 0.0005) with a high statistical power (1-β = 0.99).Correlation of LL and VAS was significant (p < 0.01, r = −0.32). The increase of lumbar lordosis following surgery is significantly correlated to the decrease in the level of perceived pain in patients with a LDH and may be used as an additional tool to monitor the success of treatment in the investigated group of patients. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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