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Surgical versus Conservative Treatment for Lumbar Disc Herniation with Motor Weakness

OBJECTIVE: The aim of this study is to assess outcomes during first one year for patients with severe motor weakness caused by lumbar disc herniation that underwent surgical or nonsurgical treatment. METHODS: The 46 patients with motor weakness because of lumbar disc herniation who were treated at n...

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Autores principales: Choi, Hong-Seok, Kwak, Kyung-Woo, Kim, Sang Woo, Ahn, Sang Ho
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Neurosurgical Society 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3836923/
https://www.ncbi.nlm.nih.gov/pubmed/24278645
http://dx.doi.org/10.3340/jkns.2013.54.3.183
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author Choi, Hong-Seok
Kwak, Kyung-Woo
Kim, Sang Woo
Ahn, Sang Ho
author_facet Choi, Hong-Seok
Kwak, Kyung-Woo
Kim, Sang Woo
Ahn, Sang Ho
author_sort Choi, Hong-Seok
collection PubMed
description OBJECTIVE: The aim of this study is to assess outcomes during first one year for patients with severe motor weakness caused by lumbar disc herniation that underwent surgical or nonsurgical treatment. METHODS: The 46 patients with motor weakness because of lumbar disc herniation who were treated at neurosurgical department and rehabilitation in our hospital from 2006 to 2010, retrospectively. Each group had 26 surgical treatments and 20 conservative treatments. We followed up 1, 3, 6 months and 12 month and monitored a Visual Analogue rating Scale (VAS) of back and leg pain, Oswestry Disability Index (ODI) and degree of motor weakness. We analyzed the differences between surgical and nonsurgical groups using Mann-Whitney U test and repeat measure ANOVA in each follow-up periods. RESULTS: In the recovery of motor weakness, surgical treatment uncovered a rapid functional recovery in the early periods (p=0.003) and no difference between groups at the end of follow-up period was found (p>0.05). In VAS of back and leg, the interaction between time and group was not found (p>0.05) and there was no difference between groups (p>0.05). In ODI, the interaction between time and group was not found (p>0.05) and there was no difference between groups (p>0.05). CONCLUSION: Surgical treatment for motor weakness caused by herniated intervertebral disc resulted in a rapid recovery in the short-term period, especially 1 month. We think early and proper surgical treatment in a case of motor weakness from disc herniation could be a good way for providing a chance for rapid alleviation.
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spelling pubmed-38369232013-11-25 Surgical versus Conservative Treatment for Lumbar Disc Herniation with Motor Weakness Choi, Hong-Seok Kwak, Kyung-Woo Kim, Sang Woo Ahn, Sang Ho J Korean Neurosurg Soc Clinical Article OBJECTIVE: The aim of this study is to assess outcomes during first one year for patients with severe motor weakness caused by lumbar disc herniation that underwent surgical or nonsurgical treatment. METHODS: The 46 patients with motor weakness because of lumbar disc herniation who were treated at neurosurgical department and rehabilitation in our hospital from 2006 to 2010, retrospectively. Each group had 26 surgical treatments and 20 conservative treatments. We followed up 1, 3, 6 months and 12 month and monitored a Visual Analogue rating Scale (VAS) of back and leg pain, Oswestry Disability Index (ODI) and degree of motor weakness. We analyzed the differences between surgical and nonsurgical groups using Mann-Whitney U test and repeat measure ANOVA in each follow-up periods. RESULTS: In the recovery of motor weakness, surgical treatment uncovered a rapid functional recovery in the early periods (p=0.003) and no difference between groups at the end of follow-up period was found (p>0.05). In VAS of back and leg, the interaction between time and group was not found (p>0.05) and there was no difference between groups (p>0.05). In ODI, the interaction between time and group was not found (p>0.05) and there was no difference between groups (p>0.05). CONCLUSION: Surgical treatment for motor weakness caused by herniated intervertebral disc resulted in a rapid recovery in the short-term period, especially 1 month. We think early and proper surgical treatment in a case of motor weakness from disc herniation could be a good way for providing a chance for rapid alleviation. The Korean Neurosurgical Society 2013-09 2013-09-30 /pmc/articles/PMC3836923/ /pubmed/24278645 http://dx.doi.org/10.3340/jkns.2013.54.3.183 Text en Copyright © 2013 The Korean Neurosurgical Society http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Article
Choi, Hong-Seok
Kwak, Kyung-Woo
Kim, Sang Woo
Ahn, Sang Ho
Surgical versus Conservative Treatment for Lumbar Disc Herniation with Motor Weakness
title Surgical versus Conservative Treatment for Lumbar Disc Herniation with Motor Weakness
title_full Surgical versus Conservative Treatment for Lumbar Disc Herniation with Motor Weakness
title_fullStr Surgical versus Conservative Treatment for Lumbar Disc Herniation with Motor Weakness
title_full_unstemmed Surgical versus Conservative Treatment for Lumbar Disc Herniation with Motor Weakness
title_short Surgical versus Conservative Treatment for Lumbar Disc Herniation with Motor Weakness
title_sort surgical versus conservative treatment for lumbar disc herniation with motor weakness
topic Clinical Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3836923/
https://www.ncbi.nlm.nih.gov/pubmed/24278645
http://dx.doi.org/10.3340/jkns.2013.54.3.183
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