Surgical versus Conservative Treatment for Lumbar Disc Herniation with Motor Weakness

Title
Surgical versus Conservative Treatment for Lumbar Disc Herniation with Motor Weakness
Author(s)
김상우안상호최홍석곽경우
Keywords
CROSS-CULTURAL ADAPTATION; SPONTANEOUS REGRESSION; NUCLEUS PULPOSUS; NATURAL-HISTORY; SURGERY; MANAGEMENT; SCIATICA; RADICULOPATHY; GUIDELINES
Issue Date
201309
Publisher
KOREAN NEUROSURGICAL SOC
Citation
JOURNAL OF KOREAN NEUROSURGICAL SOCIETY, v.54, no.3, pp.183 - 188
Abstract
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.
URI
http://hdl.handle.net/YU.REPOSITORY/28998http://dx.doi.org/10.3340/jkns.2013.54.3.183
ISSN
2005-3711
Appears in Collections:
의과대학 > 신경외과학교실 > Articles
의과대학 > 재활의학교실 > Articles
의과대학 > 영상의학과학교실 > Articles
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