Is preoperative occupation related to long-term pain in patients operated for lumbar disc herniation?

Arquivos de Neuro-Psiquiatria

Daniel Benzecry Almeida¹  Paola Hesse Poletto¹  Jerônimo Buzetti Milano¹  André Giacomelli Leal¹  Ricardo Ramina¹ 

[1] ,Instituto de Neurologia de CuritibaCuritiba,Brazil

关键词: lumbar disc herniation;    occupation;    failed back syndrome;    outcome;    discectomy;    hérnia de disco lombar;    profissão;    dor lombar;    dor irradiada;    dor ciática;   

DOI  :  10.1590/S0004-282X2007000500005

来源: SciELO

【 摘 要 】

Lumbar disc herniation (LDH) is a common cause of back and sciatic pain. When clinical treatment fails, surgery may be indicated in selected patients. Although surgery is effective in most cases, some of these patients may have a poor outcome. Different factors may influence these results and poor adaptation at work is one well-known cause of treatment failure. This study examines 350 patients on long-term follow-up after surgery for first-time LDH. The relationship was analyzed between occupation before surgery and outcome (maintenance of lumbar and leg pain, satisfaction with the surgical treatment and return to work). The preoperative occupation (employed in public or private services, autonomous, unemployed, housewife, retired or student) and the exertion at work were analyzed as prognostic factors for different clinical outcomes. Although unemployed people had higher numerical analog scale for lumbar pain and retired patients had a higher leg pain, this difference was not statistically significant. Retired people were significantly less satisfied with the surgical result. Higher exertion at work showed a statistically insignificant higher level of pain and lower degree of satisfaction. The authors conclude that preoperative occupation was not a statistically significant factor in this series of patients.

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