The impact of operative level on patient-reported outcome measures following single-level posterior lumbar decompression for disc herniation.
Publication/Presentation Date
1-1-2025
Abstract
OBJECTIVE: To compare the impact of upper versus lower lumbar decompression on patient-reported outcome measures (PROMs).
MATERIALS AND METHODS: Patients undergoing L1-L2, L2-L3, L4-L5, or L5-S1 single-level elective decompression with 1-year PROMs were identified. Included PROMs were the Oswestry Disability Index (ODI), visual analog scale (VAS) back and leg, and Short Form-12 physical (PCS) and mental (MCS) component scores. Minimal clinically important differences (MCID) were calculated. Multivariable regressions assessed the independent predictive ability of operative level controlling for demographic confounders.
RESULTS: Three hundred and forty-six patients were included (94 upper lumbar decompressions). Upper lumbar decompression patients were older (64.0 vs. 46.9,
CONCLUSION: Patients undergoing upper lumbar decompression demonstrated worse PROMs. However, multivariable analyses suggested these differences were attributable to comorbidity burden and BMI, rather than operative level. This suggests that surgeons and patients can expect similar pain and function improvement from upper lumbar decompression when accounting for baseline patient characteristics.
Volume
16
Issue
2
First Page
218
Last Page
223
ISSN
0974-8237
Published In/Presented At
Dalton, J., Oris, R. J., Tarawneh, O. H., Toci, G. R., Narayanan, R., Finan, D., Bash, H., Goldberg, M., Mangan, J. J., Woods, B. I., Kurd, M. F., Kaye, I. D., Canseco, J. A., Hilibrand, A. S., Vaccaro, A. R., Schroeder, G. D., & Kepler, C. K. (2025). The impact of operative level on patient-reported outcome measures following single-level posterior lumbar decompression for disc herniation. Journal of craniovertebral junction & spine, 16(2), 218–223. https://doi.org/10.4103/jcvjs.jcvjs_66_25
Disciplines
Education | Medical Education
PubMedID
40756484
Department(s)
Department of Education
Document Type
Article