Surgeons can up outcomes for work-related lumbar surgery

Surgeons can up outcomes for work-related lumbar surgery

(HealthDay)—In patients with chronic disabling occupational lumbar disorder (CDOLD) and workers' compensation claims, lumbar fusion outcomes can be improved if opioid dependence and excessive length of disability after surgery are controlled through care, according to a study published in the Feb. 1 issue of The Spine Journal.

Tom G. Mayer, M.D., from the University of Texas Southwestern Medical Center in Dallas, and colleagues prospectively compared socioeconomic and patient-reported outcomes in 564 patients with CDOLD and workers' compensation claims who underwent lumbar fusion or nonfusion . A comparison group of 349 patients who did not undergo surgery were matched for length of disability.

After undergoing a postoperative medically supervised functional restoration program, the researchers found that the lumbar fusion group had a significantly longer length of disability. Patient-reported outcomes such as depressive symptoms and pain intensity were significantly different between groups before rehabilitation, but not after rehabilitation. Opioid dependence disorder, perceived disability, or depressive symptoms before rehabilitation predicted lower rates of work return and work retention.

"This study suggests that surgeons have the opportunity to improve lumbar surgery outcomes in the workers' compensation system, even for complex fusion CDOLD patients with multiple prior operations, if they control postoperative and prevent an excessive length of disability," Mayer and colleagues conclude.

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

add to favorites email to friend print save as pdf

Related Stories

Worse outcomes for early post-lumbar spinal fusion rehab

Nov 05, 2013

(HealthDay)—Beginning rehabilitation at six weeks as opposed to 12 weeks post-lumbar spinal fusion is associated with higher costs and poorer outcomes, according to a study published in the Nov. 1 issue ...

Spinal fusion surgery not associated with stroke

Dec 10, 2012

(HealthDay)—Undergoing spinal fusion surgery does not affect the risk of stroke within the three years after surgery, according to a study published in the December issue of the European Spine Journal.

Limited microdiscectomy effective for disc herniation

Jan 31, 2014

(HealthDay)—In patients with lumbar disc herniation, limited discectomy with removal of the fragment is associated with good long-term outcomes, according to a study published in the February issue of the ...

Pre-op depression skews satisfaction after lumbar sx

Jun 04, 2013

(HealthDay)—Preoperative depression influences self-reported patient satisfaction after revision lumbar surgery, independent of the surgery's effectiveness, according to a study published in the May issue ...

Recommended for you

Weight-loss surgery may improve kidney function

Nov 14, 2014

In addition to helping patients shed pounds, weight loss surgery may also improve kidney function, according to a study that will be presented at ASN Kidney Week 2014 November 11-16 at the Pennsylvania Convention Center in ...

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.