[Comparative retrospective analysis of pain afflictions in patients with lumbar discopathy receiving conservative or operative therapies].
Pain afflictions are the basic problems in patients with discopathy of the lumbar backbone. Pain control is the key therapeutic task in patients with a disease of the intervertebral disc. Degree of reduction of the pain sensations is one of the most important criteria in assessment of the treatment efficacy.


OBJECTIVE
of this study was to evaluate the pain afflictions in patients with lumbar discopathy treated with conservative and operative therapies.


METHODS
665 patients aged between 16 and 76 years with discopathy at L4-L5 and L5-S1 levels have been enrolled to the study. In estimated group 348 patients received only a conservative therapy whereas 317 patients undergone an operative procedure. Analysis has been performed based on pain rating scores: Low Back Pain Rating Scale (LBPRS), Japanese Orthopedic Association Low Back Pain Score (JOA-LBPS), Domial's pain rating score.


RESULTS
Results of performed studies show that conservative and operative treatment significantly alleviate pain affliction in patients with lumbar discopathy. Complete abatement of pain afflictions more frequent refers to operated patients than those only receiving conservative therapy. Alleviation of pain afflictions within a period of three years following operating procedure is significantly higher than within analogous period of conservative treatment. Reduction of pain obtained as a result of surgical procedure in higher degree refers to limb than backbone. Treatment method does not exert an influence on nature of pain afflictions within distant period.


CONCLUSIONS
Alleviation of pain afflictions within a period of three years following operating procedure is significantly higher than within analogous period of conservative treatment. Treatment method does not exert an influence on nature of pain afflictions within distant period. Patients at the age of above 50 notify the higher level of intensity of pain ailments than young patients and patients in mid age.
Radziszewski
Krzysztof Roch
KR
Wojskowy Szpital Kliniczny w Bydgoszczy, Klinika Rehabilitacji. radziszewski@wp.pl
D000293:Adolescent; D000328:Adult; D000368:Aged; D000698:Analgesia; D005260:Female; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000150:complications / Q000188:drug therapy* / Q000601:surgery*; D017116:Low Back Pain / Q000145:classification / Q000209:etiology* / Q000517:prevention & control*; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D017060:Patient Satisfaction; D012189:Retrospective Studies; D016896:Treatment Outcome