caa a22 4500 477107060 CHVBK 20180405111556.0 cr unu---uuuuu 170330e19960701xx s 000 0 eng 10.1007/BF01411260 doi (NATIONALLICENCE)springer-10.1007/BF01411260 Is the outcome of traditional lumbar disc surgery related to the size of the exposure? [Elektronische Daten] [V. Graver, A. Ljunggren, B. Magnæs, M. Loeb, H. Lie] Summary: The purpose of this study was to evaluate whether wide surgical exposures result in poorer outcome of lumbar disc surgery compared to smaller traditional exposures. The aim was also to assess if a dural tear has any impact on the postoperative clinical outcome. One hundred and twenty-two patients (56 women and 66 men, mean age 40.8 years) with herniated intervertebral lumbar disc and no previous back surgery, were included. Postoperatively they were grouped according to surgery as follows: surgery on one vs. two herniated discs (106 vs. 16 patients), partial vs. full laminectomy (93 vs. 29 patients), and the occurrence or not of a dural rent (8 vs. 114 patients). The outcome of surgery was evaluated one year postoperatively mainly by a composite clinical overall score (COS) and by its separate elements, which were: pain intensity in the lower-back or leg (VAS), neurological and clinical examination, functional capacity (Oswestry), and the need for analgesics. The results of the statistical regression analyses did not reveal significant differences in the postoperative outcome scores in the various groups of patients. The groups were comparable; no significant differences were seen in the pre-operative clinical overall scores. Springer-Verlag, 1996 Traditional lumbar disc surgery nationallicence dural tear nationallicence outcome nationallicence Graver V. Department of Neurology, Ullevaal University Hospital, Oslo, Norway aut Ljunggren A. Research Forum, Ullevaal University Hospital, Oslo, Norway aut Magnæs B. Department of Neurosurgery, Ullevaal University Hospital, Oslo, Norway aut Loeb M. Medical Statistics Institute, Ullevaal University Hospital, Oslo, Norway aut Lie H. Department of Neurology, Ullevaal University Hospital, Oslo, Norway aut Acta Neurochirurgica Springer-Verlag 138/7(1996-07-01), 824-828 0001-6268 138:7<824 1996 138 701 https://doi.org/10.1007/BF01411260 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF01411260 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Graver V. Department of Neurology, Ullevaal University Hospital, Oslo, Norway aut NATIONALLICENCE 700 1- Ljunggren A. Research Forum, Ullevaal University Hospital, Oslo, Norway aut NATIONALLICENCE 700 1- Magnæs B. Department of Neurosurgery, Ullevaal University Hospital, Oslo, Norway aut NATIONALLICENCE 700 1- Loeb M. Medical Statistics Institute, Ullevaal University Hospital, Oslo, Norway aut NATIONALLICENCE 700 1- Lie H. Department of Neurology, Ullevaal University Hospital, Oslo, Norway aut NATIONALLICENCE 773 0- Acta Neurochirurgica Springer-Verlag 138/7(1996-07-01), 824-828 0001-6268 138:7<824 1996 138 701 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer