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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 21

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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 21. Spinal disorders are among the most common medical conditions with significant impact on health related quality of life, use of health care resources and socio-economic costs. Spinal surgery is still one of the fastest growing areas in clinical medicine. | Table 1. Cont. i Reference L C Surgery No. pts. FU Outcome indication Demographic biological Work variables Psychosocial Medical R2 Schade et al. 1999 73 L discectomy 42 46 herniation 2y function RM - 0 0 0 0 0 46 Solberg et al. 2005 74 L microdiscec- 180 228 tomy herniated disc 1y function ODI pain mean improvement 69 - 0 27 Triefetal. 2000 84 L 67 fusion 102 150 30 decomp. cLBP 6 12 mo function DPQ - 0 0 0 0 0 - - 36- 41 Woertgen et al. 1999 90 L discectomy 98 121 herniation 3 12 28 mo function LBOS 66 successful 0 0 0 - 0 - mix - Katz et al. 1999 48 L decompres- 199 272 sion stenosis 2y pain symptoms satis. walk 37 mild no pain 73 satisfied 0 0 0 0 0 0 0 - 22- 33 McGregor and Hughes 2002 63 L decompres- 65 84 sion stenosis iy pain mean decrease 30 0 0 0 0 0 - 11- 50 Ng and Sell 2004 66 L discectomy 103 113 herniated disc iy pain mean decrease 60 0 0 0 - Peolsson et al. 2003 71 C decompres- 74 103 sion fusion degen. cNP 1y pain 30 patients pain 10 0-100 scale mix 30 Schade et al. 1999 73 L discectomy 42 46 herniation 2y pain 83 complete relief leg pain 0 0 0 - 0 0 30 Triefetal. 2000 84 L 67 fusion 102 150 30 decomp. cLBP 6 12 mo pain 59-65 better 0 0 0 0 0 - 0 - Hagg et al. 2003 36 L fusion degen. 201 232 cLBP 2y RTW 38 working - 0 0 0 0 - 0 0 0 0 0 0 mix 0 - Kaptain et al. 1999 47 C discectomy 269 269 herniation 10mo RTW 84 working 0 0 - - - Schade et al. 1999 73 L discectomy 42 46 herniation 2y RTW 81 working full time 0 - - 0 0 0 0 31 Predictors of Surgical Outcome oo in o positive effect on outcome negative effect on outcome 0 no effect on outcome mix some positive some negative some no effect L C L lumbar C cervical No. patients number of patients followed-up out of original group FU follow-up duration RTW return to work ODI Oswestry Disability Index RM Roland Morris Disability scale SC Stauffer-Coventry pain working medication physician visits DPQ Dallas Pain Questionnaire LBOS low backoutcome score PROLO Prolo Score R2 variance accounted for by all listed