Quantitative analysis of sensory functions after lumbar discectomy using current perception threshold testing


A Neurometer device is an electrical nerve stimulator used to determine the current perception threshold (CPT) evoked by stimulating A-beta fibers at 2,000 Hz, A-delta fibers at 250 Hz and C fibers at 5 Hz. CPT evaluation is used for analyzing peripheral nerve dysfunction. In this study, the sensory disturbance of the lower-extremity was quantitatively analyzed using CPT testing before and after lumbar discectomy. In 33 patients (L4/5: 16 and L5/S: 17), as subjective evaluations, tactile sensation and leg pain were assessed before and 2 weeks after surgery. In the subjectively improved group (n = 22), significant decreases in CPT at 2,000 and 250 Hz were noted postoperatively, whereas in the unchanged group (n = 11), no significant changes in CPT at any frequencies was noted. The leg pain improved in all patients. Likewise, CPT at 5 Hz, which stimulated C fiber, decreased significantly for both improved and unchanged groups. CPT measured by a Neurometer is very useful in assessing lower-extremity sensory functions before and after surgery for lumbar disc herniation.

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This study was supported by the Yuasa Memorial Foundation (2003 Research Grant).

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Correspondence to Tsuneo Takebayashi.

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Imoto, K., Takebayashi, T., Kanaya, K. et al. Quantitative analysis of sensory functions after lumbar discectomy using current perception threshold testing. Eur Spine J 16, 971–975 (2007). https://doi.org/10.1007/s00586-006-0285-7

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  • Current perception threshold
  • Radiculopathy
  • Lumbar discectomy