dc.contributor.author | Polak, Samuel B. | |
dc.contributor.author | Madsbu, Mattis Aleksander | |
dc.contributor.author | Vangen-Lønne, Vetle | |
dc.contributor.author | Salvesen, Øyvind | |
dc.contributor.author | Nygaard, Øystein Petter | |
dc.contributor.author | Solberg, Tore | |
dc.contributor.author | Vleggeert-Lankamp, Carmen L. A. M. | |
dc.contributor.author | Gulati, Sasha | |
dc.date.accessioned | 2021-01-06T07:53:03Z | |
dc.date.available | 2021-01-06T07:53:03Z | |
dc.date.created | 2020-04-17T22:08:57Z | |
dc.date.issued | 2020 | |
dc.identifier.issn | 0001-6268 | |
dc.identifier.uri | https://hdl.handle.net/11250/2721615 | |
dc.description.abstract | Background Surgery on extraforaminal lumbar disc herniation (ELDH) is a commonly performed procedure. Operating on this type of herniation is known to come with more difficulties than on the frequently seen paramedian lumbar disc herniation (PLDH). However, no comparative data are available on the effectiveness and safety of this operation. We sought out to compare clinical outcomes at 1 year following surgery for ELDH and PLDH. Methods Data were collected through the Norwegian Registry for Spine Surgery (NORspine). The primary outcome measure was change at 1 year in the Oswestry Disability Index (ODI). Secondary outcome measures were quality of life measured with EuroQol 5 dimensions (EQ-5D); and numeric rating scales (NRSs). Results Data of a total of 1750 patients were evaluated in this study, including 72 ELDH patients (4.1%). One year after surgery, there were no differences in any of the patient reported outcome measurements (PROMs) between the two groups. PLDH and ELDH patients experienced similar changes in ODI (− 30.92 vs. − 34.00, P = 0.325); EQ-5D (0.50 vs. 0.51, P = 0.859); NRS back (− 3.69 vs. − 3.83, P = 0.745); and NRS leg (− 4.69 vs. − 4.46, P = 0.607) after 1 year. The proportion of patients achieving a clinical success (defined as an ODI score of less than 20 points) at 1 year was similar in both groups (61.5% vs. 52.7%, P = 0.204). | en_US |
dc.language.iso | eng | en_US |
dc.publisher | Springer | en_US |
dc.rights | Navngivelse 4.0 Internasjonal | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/deed.no | * |
dc.title | Surgery for Extraforaminal Lumbar Disc Herniation: A Single Center Comparative Observational Study | en_US |
dc.type | Peer reviewed | en_US |
dc.type | Journal article | en_US |
dc.description.version | publishedVersion | en_US |
dc.source.journal | Acta Neurochirurgica | en_US |
dc.identifier.doi | 10.1007/s00701-020-04313-w | |
dc.identifier.cristin | 1806883 | |
dc.description.localcode | C The Author(s) 2020 This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. | en_US |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |