Predicting the outcomes of surgical treatment in patients with chronic disability due to pain in the lumbar spine

Abstract

Patients qualifying for spinal fusion to relieve chronic lumbar disability completed several instruments that use personality inventory data, demographic data, and medical history in predicting the clinical success of such surgery. Pre-surgical evaluation was effective in identifying patients who were likely to report «роог/fair» outcomes regarding pain and function, and patients who were more likely to return to work.

Keywords

pain in the lumbar spine / habitual bad posture / physical overload

References

[1] Atkinson J.H.Jr., Ingram R.E., Kremer E.F., Sacuzzo D.P. MMPI subgroups and affective disorder in chronic pain patients //J. Nerv. Ment. Dis. — 1986. — N 174. — P. 408.

[2] Battie M.C., Videman T., Gill K., Moneta G.B., Nyman R., Kaprio J., Koskenvuo M. Smoking and lumbar intervertebral disc degeneration: an MRI study of identical twins //Spine. — 1991. — Vol. 16. — P. 1015.

[3] Bigos S.J., Battie M.C., Spengler D.M., Fisher L.D., Fordyce W.E., Hansson Т.Н., Nachemson A.L., Wort- ley M.D. A prospective study of work perceptions and psychosocial factors affecting the report of back injury //Spine. — 1991. — Vol. 16. — P. 1-6.

[4] Butcher J., Dahlstrom W., Graham J.., Tellegen A., Kaemmer B. MMPI-2, Manual for administration and scoring, appendix K. — Univ of Minn Press, 1992. — P. 151-152.

[5] Cairns, D.M. The failed back: Psychological evaluation //Seminars in Spine Surgery. — 1996. — N 8. — P. 192-201.

[6] Cairns D., Mooney V., Crane P. Spinal pain rehabilitation: inpatient and outpatient treatment results and development of predictors for outcome //Spinal Pain Rehab. — 1984. — Vol. 9. — P. 91-95.

[7] Deyo, R.A., Anderson G., Bombardier et al. Outcome measures for studying patients with lowback pain //Spine. — 1994 (suppl). — Vol. 19. — P. 2032-2036.

[8] Deyo R.A., Bass J.E. Lifestyle and low back pain: the influence of smoking and obesity //Spine. — 1989. — Vol. 14. — P. 501.

[9] Fordyce W.E., Bigos S.J., Battie M.C., Fisher L.D. MMPI scale 3 as a predictor of back injury report: what does it tell us? //Clin. J. Pain. — 1992. — Vol. 8. — P. 222-226.

[10] Frymoyer, J.W., Pope M.H., Clements J.H. et al. Risk factors in low back pain //J. Bone Jt Surg. — 1983. — Vol. 65A. — P. 213.

[11] Hirsch C., Nachemson A. The reliability of lumbar disc surgery //Clin. Orthop. — 1963. — N 29. — P. 189-195.

[12] Law J., Lehman R. et al. Reoperation after lumbar intervertebral disc surgery //J. Neurosurg. — 1978. — Vol. 48. — P. 259-263.

[13] Long C.J., Brown D.A., Engelberg J. Intervertebral disc surgery //J. Neurosurg. — 1980. — Vol. 52. — P. 818— 824.

[14] National Hospital Discharge Survey as reported by Davis H. Increasing rates of cervical and lumbar surgery in the United States 1979-1990 //Spine. — 1994. — Vol. 19. — P. 1117.

[15] Pheasant H.C., Gilbert D., Goldfarb J. The MMPI as a predictor of outcome in low back surgery //Spine. — 1979. — Vol. 4. — P. 78-84.

[16] Ransford A.O., Cairns D., Mooney V. The pain drawing as an aid to the psycho logic evaluation of patients with low-back pain //Spine. — 1976. — Vol. 1. — P. 127.

[17] Smith T.L., Duerksen J. Personality and the relief of chronic pain: predicting surgical outcome //J. Neuropsych. — 1979. — N 1. — P. 35~38.

[18] Turk D., Melzack R. Handbook of Pain Assessment. — Guilford Press, 1992.

[19] Turner J.A., Herron L., Weiner P. Utility of the MMPI pain assessment index in predicitng outcome after lumbar surgery //J. Clin. Psych. — 1986. — Vol. 42. — 764-769.

[20] Turner J.A., Romano J.M. Psychologic and psychosocial evaluation //Bonica J. The management of pain. — 2nd ed. — Philadelphia, 1990. — P. 595-609.

[21] Whiteneck G.G., Charlifue K.A., Overholser J.D., Richardson G.N. Quantifying handicap: A new measure of long-term rehabilitation outcomes //Arch. Phys. Med. Rehabil. — 1992. — Vol. 73. — P. 519-526.

[22] Wilfing F.J., Kionoff H., Kokan P. Psychological, demographic, and orthopedic factors associated with prediction of outcome of spinal fusion //Clin. Orthop. — 1973. — N 90. — P. 153-160.

[23] Wilkinson H. The failed back syndrome: etiology and therapy. — Philadelphia, 1983.

[24] Wright R. Logistic Regression //Reading and understanding multivariate statistics. — Washington, 1995. — P. 217-244

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