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Recovery of muscle strength after microdiscectomy for lumbar disc herniation: a prospective cohort study with 1-year follow-up

Abstract

Background

Surgery has not been proven to be a better treatment option than non-operative management for limb paresis due to lumbar disc herniation. For the patients it will still be a concern, whether they will regain full strength after the operation or not.

Methods

A prospective cohort study of 91 patients with preoperative paresis due to disc herniation with 1-year follow up was carried out. The primary outcome was muscle strength in affected limb, and the secondary outcome was self-reported symptoms on back and leg pain, disability, health related quality of life, general health and working capability.

Results

Seventy-five percent of patients had no paresis 1 year after the operation. The severity of the paresis was the only predictor for persistent paresis. Preoperative duration of the paresis did not influence the rate of full recovery. Non-recovery was associated with inferior outcomes and higher risk for reduced working capability.

Conclusions

The majority of patients with paresis were fully recovered 1 year after microdiscectomy for lumbar disc herniation. If the paresis was severe at baseline, there was a four times higher risk for non-recovery. Patients who did not recover had significantly worse outcomes.

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Fig. 1

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Correspondence to Greger Lønne.

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Lønne, G., Solberg, T.K., Sjaavik, K. et al. Recovery of muscle strength after microdiscectomy for lumbar disc herniation: a prospective cohort study with 1-year follow-up. Eur Spine J 21, 655–659 (2012). https://doi.org/10.1007/s00586-011-2122-x

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  • DOI: https://doi.org/10.1007/s00586-011-2122-x

Keywords

  • Lumbar spine
  • Disc herniation
  • Microdiscectomy
  • Limb paresis
  • Intervertebral disk