Predictors of outcome in fusion surgery for chronic low back pain. A report from the Swedish Lumbar Spine Study

作者: L. Ekselius , A. Nordwall , O. Hägg , P. Fritzell

DOI: 10.1007/S00586-002-0465-Z

关键词: PersonalityMedicineClinical trialLogistic regressionBig Five personality traitsSick leavePhysical therapyRandomized controlled trialNeurosurgeryNeuroticism

摘要: Despite the continuous development of surgical techniques and implants, a substantial number patients still undergo surgery for chronic low back pain (CLBP) without any benefit, or even become worse. With aim finding predictors functional work status outcome, 264 with severe CLBP long duration, randomised to non-surgical treatment, were characterized by socio-demographic, clinical, radiological psychological variables. The variables estimated as outcome at 2-year follow-up. Univariate multiple logistic regression analyses used in both treatment groups. We found that personality neuroticism disc height significant improvement after treatment. Depressive symptoms predicted Work resumption was age short sick leave group, group. conclude improved selection successful candidates seems be promoted attention degeneration, evaluation traits shortening preoperative leave.

参考文章(72)
Lisa Ekselius, Personality disorders in the DSM-III-R [Uppsala University] , Distributor, Almqvist & Wiksell International. ,(1994)
Davies Jb, Fairbank Jc, O'Brien Jp, Couper J, The Oswestry low back pain disability questionnaire Physiotherapy. ,vol. 66, pp. 271- 273 ,(1980)
LARRY D. HERRON, HOMER C. PHEASANT, Changes in MMPI profiles after low-back surgery. Spine. ,vol. 7, pp. 591- 597 ,(1982) , 10.1097/00007632-198211000-00013
GUNNAR B. J. ANDERSSON, ALBERT SCHULTZ, ARNOLD NATHAN, LARS IRSTAM, Roentgenographic measurement of lumbar intervertebral disc height. Spine. ,vol. 6, pp. 154- 158 ,(1981) , 10.1097/00007632-198103000-00008
WILLIAM W. K. ZUNG, Self-Rating Depression Scale in an Outpatient Clinic Archives of General Psychiatry. ,vol. 13, pp. 508- 515 ,(1965) , 10.1001/ARCHPSYC.1965.01730060026004