A literature review on discectomy of the lumbar spine, and the reporting of follow up timescales regarding improvement of symptoms.
Item
- Title
- A literature review on discectomy of the lumbar spine, and the reporting of follow up timescales regarding improvement of symptoms.
- Author(s)
- Mace, D
- Abstract
- Background- Lumbar discectomy has been an effective treatment for lower back pain caused by disc injury for many years. Microdiscectomy is necessary if neurological signs and symptoms are severe, or if pain is severe and is persistent for 6-10 weeks. Percutaneous lumbar discectomy is a minimally invasive technique used to decompress the intervertebral discs; this technique is less time consuming and cost effective. Minimally invasive techniques can be effective at decompressing the intervertebral disc, however research into long-term benefits of the treatment modalities is lacking, therefore has highlighted a gap in this area of research that can be investigated. Objective- To assess whether percutaneous discectomy of the lumbar spine is an effective procedure, this will be gauged by improvement of symptoms, while also evaluating whether there is longevity for this procedure by reporting on the follow up timescale. Design- Articles will be selected via inclusion and exclusion criteria, the findings of these studies will then be put into a summary table and scored using three different techniques, and the results of the scoring will be defined against outcome measurements. Method- Two bespoke scoring methods will be used to score follow up time scales and the improvement of symptoms, however the SORT scoring criteria method will be used to assess the quality of the articles. Results- Results showed that 100% of articles reviewed noted improvements of symptoms post intervention, 95% of articles reviewed had detailed follow up times scale and 95% of reviewed articles score IA in the SORT criteria which show quality of research. Discussion- Percutaneous lumbar discectomy is an effective form of treatment for patients suffering with lower back pain. The majority of articles reviewed had commented on follow up times scales however did not show long term effectiveness, as the average score of 1.3 years was below the 2 year marker set in the methodology. However, overall the quality of research reviewed was at a very good level, with an average scoring of IA within SORT. Conclusion- Lumbar discectomy is an effective method of treatment for lower back pain, however data only suggests short-term benefits of treatment, therefore longer follow ups can be recommended to demonstrate longevity of treatment.
- presented at
- European School of Osteopathy
- Date Accepted
- 2015
- Date Submitted
- 2.12.2016 16:55:00
- Type
- osteo_thesis
- Language
- English
- Submitted by:
- 62
- Pub-Identifier
- 15904
- Inst-Identifier
- 1229
- Keywords
- Lumbar, Discectomy, Percutaneous, Non-invasive
- Recommended
- 0
- Item sets
- Thesis
Mace, D, “A literature review on discectomy of the lumbar spine, and the reporting of follow up timescales regarding improvement of symptoms.”, Osteopathic Research Web, accessed April 29, 2024, https://www.osteopathic-research.com/s/orw/item/577