Our Summary

This research paper looks at the results and complications of a first-time surgery called lumbar microdiscectomy, which is a procedure often used to treat a herniated disc in the lower back. The study collected information on patients who had the surgery between May 2007 and July 2016 in Norway.

The researchers mainly looked at how much patients’ disability improved one year after the surgery, measured by something called the Oswestry Disability Index (ODI). They also looked at changes in patients’ quality of life, as well as back and leg pain, and any complications that occurred within three months of the surgery.

The results showed that, on average, patients’ disability significantly improved one year after the surgery. Their quality of life also greatly improved, and they experienced less back and leg pain. There were some complications, the most common being problems with urination three months after the surgery.

In analyzing the data, the researchers found that patients with higher disability scores before the surgery were more likely to see improvements one year later. However, patients who were 65 years old or older were less likely to see improvements.

In conclusion, the study suggests that a lumbar microdiscectomy is an effective and safe treatment for a herniated disc in the lower back.

FAQs

  1. What is a lumbar microdiscectomy and what conditions does it treat?
  2. What were the main findings of the research study on lumbar microdiscectomy conducted in Norway between May 2007 and July 2016?
  3. Who are more likely to see improvements after a lumbar microdiscectomy according to the research study?

Doctor’s Tip

One helpful tip a doctor might give a patient about microdiscectomy is to follow post-operative instructions carefully, including proper wound care, medications, and physical therapy. It is important to avoid heavy lifting and high-impact activities for a certain period of time to allow for proper healing. Additionally, maintaining a healthy weight, staying active, and practicing good posture can help prevent future issues with the spine. Regular follow-up appointments with your healthcare provider are also important to monitor your progress and address any concerns.

Suitable For

Patients who are recommended for microdiscectomy typically have a herniated disc in the lower back that is causing severe pain, weakness, or numbness in the legs. These patients may have tried other conservative treatments such as physical therapy, medication, and injections without success. Additionally, patients who have significant disability and reduced quality of life due to their herniated disc may also be candidates for microdiscectomy. It is important for patients to discuss their symptoms and treatment options with a healthcare provider to determine if microdiscectomy is the right treatment for them.

Timeline

Before the microdiscectomy:

  • Patient experiences symptoms such as lower back pain, leg pain, numbness, or weakness
  • Patient undergoes diagnostic tests such as MRI or CT scans to confirm a herniated disc
  • Patient consults with a surgeon to discuss treatment options, including the possibility of a microdiscectomy
  • Patient undergoes pre-operative evaluations and preparations for surgery

After the microdiscectomy:

  • Patient undergoes the minimally invasive microdiscectomy surgery to remove the herniated disc material pressing on the nerve
  • Patient is monitored in the hospital for a short period of time before being discharged
  • Patient is given post-operative instructions for care, including restrictions on physical activity and instructions for wound care
  • Patient attends follow-up appointments with the surgeon to monitor progress and address any concerns
  • Patient participates in physical therapy or rehabilitation to aid in recovery and prevent future back issues

Overall, the timeline of a patient before and after a microdiscectomy involves initial symptoms and diagnosis, surgical intervention, and post-operative care and rehabilitation to achieve the best possible outcome and improve quality of life.

What to Ask Your Doctor

Some questions that a patient should ask their doctor about microdiscectomy include:

  1. What are the potential risks and complications associated with microdiscectomy?
  2. What is the success rate of microdiscectomy in terms of improving disability, quality of life, and pain levels?
  3. How long is the recovery process after microdiscectomy and what can I expect in terms of post-operative pain and limitations?
  4. Are there any alternative treatments or procedures that I should consider before undergoing microdiscectomy?
  5. How experienced is the surgical team in performing microdiscectomy procedures?
  6. What is the likelihood of needing additional surgeries or treatments in the future after undergoing microdiscectomy?
  7. Will I need physical therapy or rehabilitation after the surgery, and if so, for how long?
  8. How soon can I return to work and normal activities after undergoing microdiscectomy?
  9. Are there any long-term effects or considerations that I should be aware of after undergoing microdiscectomy?
  10. How can I best prepare for the surgery and optimize my chances for a successful outcome?

Reference

Authors: Vangen-Lønne V, Madsbu MA, Salvesen Ø, Nygaard ØP, Solberg TK, Gulati S. Journal: World Neurosurg. 2020 May;137:e577-e583. doi: 10.1016/j.wneu.2020.02.056. Epub 2020 Feb 17. PMID: 32081830