Socioeconomic outcomes of combined spine surgery and functional restoration in workers'compensation spinal disorders with matched controls. Point of view.
A longitudinal cohort study (n=448) comparing functionally restored discectomy (n - 123) and fusion (n 101) workers compensation patients to matched, unoperated control patients (n=123 and n - 101, respectively).
To determine successful treatment outcomes uniquely important in a workers'compensation environment when spine surgery is combined with comprenensive tertiary rehabilitation, to optimize anatomic and social seaueiae. of Background Data.
Multiple recent studies confirm suboptimal socioeconomic outcomes for spinal surgery for degenerative conditions in a workers'compensation venue. in otner musculoskeletal regions, there is a clear relationship between the quality of post-surgical rehabilitation and the impact on disability, re current injury, and future nealth care use.
It is hypothe sized that poor surgical outcomes in compensation injuries may result from outmoded postoperative methods, rather than failures of patient selection or surgical technique.
No previous combination of surgery plus rehabilitation has been carefully evaluated with disabled workers undergoing sine surgery.
Functional restoration is an individualized medically directed. interdisciplinary program using quantitatively directed exercise progression, psychotherapeutic interventions, and monitoring of specific socioeconomic outcomes for chronically disabled workers. (...)
Mots-clés Pascal : Lombalgie, Chronique, Poste travail, Incapacité, Traitement, Technique, Arthrodèse, Rachis lombaire, Réhabilitation, Etude comparative, Etude longitudinale, Pronostic, Epidémiologie, Homme, Douleur, Rachis, Système ostéoarticulaire pathologie, Rachis pathologie, Rachialgie, Dégénérescence, Chirurgie orthopédique, Discectomie
Mots-clés Pascal anglais : Low back pain, Chronic, Workplace layout, Disability, Treatment, Technique, Arthrodesis, Lumbar spine, Rehabilitation, Comparative study, Follow up study, Prognosis, Epidemiology, Human, Pain, Spine, Diseases of the osteoarticular system, Spine disease, Rachialgia, Degeneration, Orthopedic surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0206431
Code Inist : 002B15F. Création : 11/09/1998.