Brake reaction time before and after surgery for patients with sequestrectomy versus conventional microdiscectomy.
Adult
Aged
Automobile Driving
/ standards
Diskectomy
/ adverse effects
Female
Humans
Intervertebral Disc Degeneration
/ surgery
Intervertebral Disc Displacement
/ surgery
Lumbar Vertebrae
/ surgery
Male
Microsurgery
/ adverse effects
Middle Aged
Postoperative Complications
/ epidemiology
Reaction Time
Brake reaction time
Disectomy
Impairment of reaction time
Lumbar disc surgery
Sequestrectomy
Journal
Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia
ISSN: 1532-2653
Titre abrégé: J Clin Neurosci
Pays: Scotland
ID NLM: 9433352
Informations de publication
Date de publication:
Feb 2020
Feb 2020
Historique:
received:
14
08
2019
accepted:
30
11
2019
pubmed:
31
12
2019
medline:
21
7
2020
entrez:
30
12
2019
Statut:
ppublish
Résumé
The aim of this study was to compare the effects of sequestrectomy versus conventional microdiscectomy on breaking response time (BRT) for lumbar disc herniation (LDH). BRT is the key factor for return to drive recommendations after surgery. A prospective clinical study was conducted. Patients aged 25-65 years who underwent surgery for lumbar disc herniation and held a valid motorcar driving license were recruited in a single institution. The patients were assessed before surgery, immediately after the surgery and at the follow up examination 30 days post-surgery. BRT was measured using a driving simulator, a visual analogue scale (VAS) was used for pain assessment. BRT values were compared with BRT values of a healthy control group. In patients treated with microdiscectomy BRT reduced from 749 (±223) msec before surgery to 649 (±223) msec immediately after the surgery. In the sequestrectomy group BRT reduced from 852 (±561) msec before surgery to 693 (±173) msec immediately after the surgery. BRT at follow up was 610 (±145) msec for patients treated with microdiscectomy and 630 (±98) msec for patients operated with sequestrectomy. BRT for healthy controls was 487 (±116) msec. Pain improved significantly for both patient samples. Sequestrectomy and microdiscectomy were associated with similar effects on pain and BRT after surgery. There was no statistically significant difference between BRT of both patient samples at 30 days follow up examination. Both surgical techniques showed a positive effect on BRT. No statistically significant difference between sequestrectomy and microdiscectomy on BRT could be found.
Identifiants
pubmed: 31883813
pii: S0967-5868(19)31595-4
doi: 10.1016/j.jocn.2019.11.041
pii:
doi:
Types de publication
Comparative Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
214-218Informations de copyright
Copyright © 2019 Elsevier Ltd. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of Competing Interest The authors declare that they have no conflict of interest. This study was funded by Medical University Innsbruck. All other authors are paid employees of Medical University of Innsbruck. The authors declare that the material within the submitted paper has not been and will not be submitted for publication elsewhere, including electronically in the same form, in English or in any other language, without the written consent of the copyright-holder. This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.