Discectomy post-op pain worse in patients with retrolisthesis

Discectomy post-op pain worse in patients with retrolisthesis
The presence of retrolisthesis in patients undergoing decompressive surgery for a lumbar disc herniation may result in significantly worse lower back pain and physical function over four years, according to a study published in the April issue of The Spine Journal.

(HealthDay)—The presence of retrolisthesis in patients undergoing decompressive surgery for a lumbar disc herniation may result in significantly worse lower back pain and physical function over four years, according to a study published in the April issue of The Spine Journal.

Kevin K. Kang, M.D., of the Maimonides Medical Center in Brooklyn, N.Y., and colleagues used data from the Spine Patient Outcomes Research Trial for a cross-sectional study of 125 patients, 29 with retrolisthesis, who underwent L5-S1 discectomy and had a complete scan to review. The authors analyzed average patient scores over four years on the Short Form (SF)-36 bodily pain scale, SF-36 scale on physical function, Oswestry Disability Index (ODI), and Sciatica Bothersomeness Index (SBI).

Using longitudinal regression models, the researchers found that postoperative bodily pain and physical function became worse in patients with retrolisthesis (posterior subluxation of 8 percent or more). However, the study showed no differences in ODI or SBI scores in the patient groups, and retrolisthesis had little effect on operative time, blood loss, lengths of stay, complications, rate of additional spine surgeries, or recurrent disc herniations.

"Although retrolisthesis in patients with L5-S1 disc herniation did not affect the baseline pain or function, postoperative outcomes appeared to be somewhat worse," the authors write. "It is possible that the contribution of pain or dysfunction related to retrolisthesis became more evident after removal of the disc herniation."

Several authors disclosed to the biotechnology and medical device industries.

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Improved driving reaction times after lumbar disc sx

date Jan 15, 2013

(HealthDay)—Driving reaction times (DRTs), which are increased for patients with radiculopathy, improve after lumbar disc surgery, according to a study published in the November issue of the European Sp ...

Surgery center influences outcomes in spinal surgery

date Oct 26, 2012

(HealthDay)—Choice of surgery center affects patient outcomes following surgery for lumbar stenosis and degenerative spondylolisthesis, according to research published online Oct. 17 in Spine.

Recommended for you

Niger battles deadly meningitis epidemic

date 9 hours ago

Parents cradling sick children in their arms streamed into a treatment centre in Niger's capital Niamey, the victims of a meningitis epidemic that has claimed over 100 lives and appears to be accelerating.

Long lasting anti-hemophilia factor safe in kids

date 13 hours ago

Children with hemophilia A require three to four infusions each week to prevent bleeding episodes, chronic pain and joint damage. The effect on quality of life can be significant, due to time and discomfort associated with ...

Missouri detective battles flesh-eating infection

date 18 hours ago

Friends and loved ones of Lee's Summit, Mo., Police Detective Joshua Ward are praying for the 34-year-old married father of three who, even after five surgeries in as many days, remained in critical condition Monday at St. ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.