Psychopathological Influences on Surgical and Clinical Outcomes in Lumbar Disk Herniation: Prediction Models and Literature Analysis
Journal of Personalized Medicine,
Journal Year:
2025,
Volume and Issue:
15(2), P. 48 - 48
Published: Jan. 26, 2025
Background/Objectives:
Lumbar
disk
herniation
(LDH)
significantly
affects
quality
of
life
due
to
lower
back
and
radiating
leg
pain.
Surgical
intervention,
such
as
discectomy,
is
effective
for
symptom
relief
when
conservative
measures
fail;
however,
psychological
factors
like
anxiety,
depression,
maladaptive
coping
strategies
may
negatively
impact
surgical
outcomes.
This
study
aims
assess
the
role
preoperative
evaluations
in
predicting
postoperative
recovery
identify
key
functional
predictors
success.
Methods:
A
prospective
was
conducted
on
888
patients
undergoing
microdiscectomy
LDH
at
Mater
Olbia
Hospital
between
December
2020
2023.
Preoperative
included
Visual
Analog
Scale,
Symptom
Checklist
90-R,
Oswestry
Disability
Index,
Short
Form
36.
Logistic
regression
models
ROC
curve
analysis
were
used
significant
outcomes
evaluate
model
accuracy.
Results:
pain
levels
emotional
well-being
emerged
strongest
determinants
improvement
Index.
The
predictive
demonstrated
high
specificity
(90.2%)
identifying
likely
benefit
from
surgery.
Clinically
improvements
achieved
by
69%
patients,
highlighting
importance
assessments.
Conclusions:
assessment
critical
lumbar
Addressing
preoperatively
enhances
recovery,
supports
personalized
treatment
planning,
improves
patient
education.
These
findings
advocate
an
integrated
care
that
considers
both
physical
health,
optimizing
satisfaction.
Language: Английский
Comparative Analysis of Pedicle Screw Fixation and Interspinous Devices in Lumbar Spinal Fusion: Clinical and Surgical Outcomes in Degenerative Spine Conditions
Journal of Personalized Medicine,
Journal Year:
2025,
Volume and Issue:
15(3), P. 95 - 95
Published: Feb. 28, 2025
Background/Objectives:
Degenerative
lumbar
spine
conditions
are
a
major
cause
of
disability,
particularly
in
elderly
patients
or
those
with
comorbidities.
Surgical
treatment
often
combines
decompression
and
stabilization
to
address
pain
instability.
Pedicle
screws
the
gold
standard
for
but
pose
challenges
compromised
bone
quality.
Interspinous
devices
have
emerged
as
less
invasive
alternative,
comparative
studies
limited.
This
study
aimed
compare
clinical
surgical
outcomes
using
pedicle
versus
interspinous
devices.
Methods:
A
retrospective
cohort
was
conducted
on
who
underwent
either
screw
fixation
device
at
Mater
Olbia
Hospital
between
February
2020
2023.
Outcomes
were
evaluated
VAS
back
leg
pain,
SF-36
quality
life,
EQ-5D,
SCL-90
psychological
factors.
Statistical
analysis
included
paired
t-tests,
chi-square
tests,
multivariate
regression.
Results:
total
728
included.
The
group
consisted
older
higher
comorbidity
burdens
(mean
age:
68.4
vs.
59.2
years,
p
<
0.001).
time
incision
size
significantly
shorter
(p
0.001),
no
postoperative
complications
reported,
compared
3.5%
0.05).
Both
groups
demonstrated
significant
improvements
(VAS),
life
(SF-36,
EQ-5D),
(SCL-90).
Somatization
paranoid
ideation
predictors
worse
group.
No
differences
quality-of-life
observed
groups.
Conclusions:
techniques
effective
surgery,
offering
safer
option
high-risk
patients.
Psychological
factors
influence
outcomes,
underscoring
need
comprehensive
approach
addressing
both
physical
aspects
optimize
patient
recovery.
Language: Английский
Mindfulness vs. Physiotherapy vs. Medical Therapy: Uncovering the Best Postoperative Recovery Method for Low Back Surgery Patients during the COVID-19 Pandemic—A Single Institution’s Experience
Journal of Personalized Medicine,
Journal Year:
2024,
Volume and Issue:
14(9), P. 917 - 917
Published: Aug. 29, 2024
This
study
aimed
to
evaluate
the
efficacy
of
mindfulness
therapy
compared
traditional
physiotherapy
and
usual
care
in
alleviating
postoperative
pain
improving
functional
outcomes
patients
undergoing
lumbar
spine
surgery
during
COVID-19
pandemic.
Language: Английский
The 3-Steps Approach for Lumbar Stenosis with Anatomical Insights, Tailored for Young Spine Surgeons
Journal of Personalized Medicine,
Journal Year:
2024,
Volume and Issue:
14(9), P. 985 - 985
Published: Sept. 16, 2024
Background/Objectives:
Lumbar
decompression
surgery
for
degenerative
lumbar
stenosis
is
an
intervention
which
addresses
a
condition
affecting
many
patients.
This
article
presents
meticulous
three-phase
surgical
approach,
derived
from
our
clinical
experiences
and
intertwining
anatomical
insights,
offering
nuanced
perspective
tailored
the
educational
needs
of
young
spinal
surgeons.
Methods:
Six
hundred
eighty-seven
patients
who
underwent
at
single
institution
were
included
in
present
study.
A
retrospective
analysis
patient
demographics
techniques
was
performed.
All
surgeries
performed
by
consistent
team,
emphasizing
uniformity
approach.
The
technique
involves
process
comprising
exposure
skeletal
visualization;
microscopic
identification
decompression;
undermining
spinous
base
contralateral
decompression.
Results:
Presenting
results
530
patients,
study
examines
demographic
characteristics,
health
profiles,
operative
details,
complications,
assessments.
approach
demonstrates
low
complication
rates,
absence
recurrences,
improved
outcomes,
its
efficacy.
Conclusions:
emerges
as
valuable
tool
both
novice
seasoned
Rooted
structured
methodology
not
only
caters
to
surgeons,
but
also
ensures
standardized
safe
procedure.
emphasis
on
tissue
preservation
points
aligns
with
current
trends
toward
minimally
invasive
techniques,
promising
enhanced
outcomes
satisfaction.
Language: Английский