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[A comprehensive study of early outcome (at the time of discharge from the hospital) after lumber discectomy for degenerative spine disease].

AIM
To find out early outcomes after lumbar discectomy in patients with degenerative spine disease at discharge (10-12 days after surgery) from the hospital.


METHODS
The study was performed on 50 patients who have undergone lumbar discectomy for degenerative disc/spine disease in their pre- and post-operative stages of treatment. The study included 50 patients, taking into account both anamnesis and postoperative follow-up data. The outcomes were evaluated using modified Oswestry Disability Index (ODI), Visual Analogue Scale (VAS) and location of pain.


RESULTS
The study group consisted of 50 patients who completed the questionnaire in the pre- and post-operative period. The mean age of the patients was 50.0±2.1 years (male-27, female-23). The questionnaire contained questions about severity of pain (VAS), pain tolerance, well-being, walking, standing, sitting and sleeping. The data was compared in the pre- and post-operative stage, differences were evaluated using paired 't' test. There was a significant difference pain severity, walking, standing and sleeping among pre- and post-operative patients. Forty two percent of patients noted significant reduction of pain in the post-operative period. 48% of patients showed normalization of sleep without analgesics and hypnotics. About 72% of patients on the onset of the disease noted pain in both back and leg, and 6% had only low back pain, at the pre-operative stage. 52% of patients had no pain soon after surgery.


CONCLUSION
The majority of patients noted an improvement - rapid reduction of pain and restoration of sleep without analgesics and hypnotics in the post-operative period.