Clinical and functional outcomes in patients submitted to early versus late surgery for lumbar disc herniation: A systematic review

To verify clinical and functional outcomes in patients submitted to early versus late surgery for lumbar disc herniation. Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for systematic reviews and Meta-analysis, a systematic review was conducted in ME...

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Main Authors: Alana Thuane Rutzen, MD, Rafael D'agostini Annes, MD, Shana Ginar da Silva, PhD
Format: Article
Language:English
Published: Elsevier 2022-09-01
Series:Interdisciplinary Neurosurgery
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214751922000640
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author Alana Thuane Rutzen, MD
Rafael D'agostini Annes, MD
Shana Ginar da Silva, PhD
author_facet Alana Thuane Rutzen, MD
Rafael D'agostini Annes, MD
Shana Ginar da Silva, PhD
author_sort Alana Thuane Rutzen, MD
collection DOAJ
description To verify clinical and functional outcomes in patients submitted to early versus late surgery for lumbar disc herniation. Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for systematic reviews and Meta-analysis, a systematic review was conducted in MEDLINE/PubMed, Web of Science, and Scopus from September to November 2019. From the 31,901 titles identified, after rigorously following the proposed methodology, the review resulted in n = 10 studies that met the eligibility criteria and were included in the review. Among these, two were considered from the early surgery group, four from the late surgery group, and in four studies it was not possible to identify the time of the surgical procedure. The included studies presented marked heterogeneity in relation to the evaluation instruments used to measure pain and to evaluate the functional capacity of the patients, as well as the different moments adopted to perform the postoperative and follow-up evaluations. Based on the available evidence, we conclude that the available literature in the area is not sufficient to state whether there is a benefit of early surgery for herniated lumbar disc in favor of late surgery in the clinical and functional outcomes assessed.
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spelling doaj.art-c3b49fe232ab4908b8d70db5f7fdd94c2022-12-22T00:27:59ZengElsevierInterdisciplinary Neurosurgery2214-75192022-09-0129101550Clinical and functional outcomes in patients submitted to early versus late surgery for lumbar disc herniation: A systematic reviewAlana Thuane Rutzen, MD0Rafael D'agostini Annes, MD1Shana Ginar da Silva, PhD2School of Medicine. Federal University of Fronteira Sul, Passo Fundo, RS, Brazil; Corresponding author: Federal University of Fronteira Sul – School of Medicine Brazil, Passo Fundo, Rio Grande do Sul, Rua Capitão Araújo, 20 – Centro Zip Code: 99010-121, Brazil.Institute of Neurosurgery and Spine Surgery, Passo Fundo, RS, BrazilPost-Graduate Program in Biomedical Sciences. School of Medicine. Federal University of Fronteira Sul, Passo Fundo, RS, BrazilTo verify clinical and functional outcomes in patients submitted to early versus late surgery for lumbar disc herniation. Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for systematic reviews and Meta-analysis, a systematic review was conducted in MEDLINE/PubMed, Web of Science, and Scopus from September to November 2019. From the 31,901 titles identified, after rigorously following the proposed methodology, the review resulted in n = 10 studies that met the eligibility criteria and were included in the review. Among these, two were considered from the early surgery group, four from the late surgery group, and in four studies it was not possible to identify the time of the surgical procedure. The included studies presented marked heterogeneity in relation to the evaluation instruments used to measure pain and to evaluate the functional capacity of the patients, as well as the different moments adopted to perform the postoperative and follow-up evaluations. Based on the available evidence, we conclude that the available literature in the area is not sufficient to state whether there is a benefit of early surgery for herniated lumbar disc in favor of late surgery in the clinical and functional outcomes assessed.http://www.sciencedirect.com/science/article/pii/S2214751922000640Spinal diseasesIntervertebral discLow back painRadiculopathyOperative surgical proceduresEvaluation of health care outcomes
spellingShingle Alana Thuane Rutzen, MD
Rafael D'agostini Annes, MD
Shana Ginar da Silva, PhD
Clinical and functional outcomes in patients submitted to early versus late surgery for lumbar disc herniation: A systematic review
Interdisciplinary Neurosurgery
Spinal diseases
Intervertebral disc
Low back pain
Radiculopathy
Operative surgical procedures
Evaluation of health care outcomes
title Clinical and functional outcomes in patients submitted to early versus late surgery for lumbar disc herniation: A systematic review
title_full Clinical and functional outcomes in patients submitted to early versus late surgery for lumbar disc herniation: A systematic review
title_fullStr Clinical and functional outcomes in patients submitted to early versus late surgery for lumbar disc herniation: A systematic review
title_full_unstemmed Clinical and functional outcomes in patients submitted to early versus late surgery for lumbar disc herniation: A systematic review
title_short Clinical and functional outcomes in patients submitted to early versus late surgery for lumbar disc herniation: A systematic review
title_sort clinical and functional outcomes in patients submitted to early versus late surgery for lumbar disc herniation a systematic review
topic Spinal diseases
Intervertebral disc
Low back pain
Radiculopathy
Operative surgical procedures
Evaluation of health care outcomes
url http://www.sciencedirect.com/science/article/pii/S2214751922000640
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