Risultati per: Chirurgia o non chirurgia per la sciatica

donazione della Fondazione Cassa di Risparmio di Fermo all’Ast

Un progetto nato 18 anni fa dopo la storia di un piccolo salvato

Su un bambino di 40 giorni alle Molinette,l’operazione in entrambi gli occhi

Su un bambino di 40 giorni alle Molinette, è il primo caso al mondo

In a randomized trial, acupuncture reduced pain and disability better than a sham procedure did.

La riorganizzazione ridurrà del 15% i tempi d’attesa

Preservata l’integrità dell’organo, migliora la qualità di vita

Ridotto del 32% rischio recidiva e del 25% il rischio di morte

Prima volta Italia autotrapianto tessuto adiposo criopreservato

Objective
The aim of this study was to assess the impact of high-quality evidence supporting surgical treatment of lumbar disc herniation (LDH) on healthcare practice in the Netherlands by examining changes in healthcare utilisation, including the timing of surgery, and the healthcare costs for patients with LDH.

Design
A retrospective, cross-sectional study was performed using population-based, longitudinal data obtained from the Dutch Healthcare Authority (2007–2020) and NIVEL’s primary care (2012–2020) administrative databases.

Setting
The study was conducted within the healthcare system of the Netherlands.

Participants
We included adults (≥18 years) who visited a Dutch hospital or a general practitioner (GP) for lumbar degenerative disc disease. Patients with LDH were identified based on registered diagnosis code, type of surgery (discectomy) and age (

This JAMA Internal Medicine Patient Page reviews sciatica, its symptoms, and treatment options for those who have it.

Introduction
Sciatica can be very painful and, in most cases, is due to pressure on a spinal nerve root from a disc herniation with associated inflammation. For some patients, the pain persists, and one management option is a spinal epidural steroid injection (ESI). The aim of an ESI is to relieve leg pain, improve function and reduce the need for surgery. ESIs work well in some patients but not in others, but we cannot identify these patient subgroups currently. This study aims to identify factors, including patient characteristics, clinical examination and imaging findings, that help in predicting who does well and who does not after an ESI. The overall objective is to develop a prognostic model to support individualised patient and clinical decision-making regarding ESI.

Methods
POiSE is a prospective cohort study of 439 patients with sciatica referred by their clinician for an ESI. Participants will receive weekly text messages until 12 weeks following their ESIand then again at 24 weeks following their ESI to collect data on leg pain severity. Questionnaires will be sent to participants at baseline, 6, 12 and 24 weeks after their ESI to collect data on pain, disability, recovery and additional interventions. The prognosis for the cohort will be described. The primary outcome measure for the prognostic model is leg pain at 6 weeks. Prognostic models will also be developed for secondary outcomes of disability and recovery at 6 weeks and additional interventions at 24 weeks following ESI. Statistical analyses will include multivariable linear and logistic regression with mixed effects model.

Ethics and dissemination
The POiSE study has received ethical approval (South Central Berkshire B Research Ethics Committee 21/SC/0257). Dissemination will be guided by our patient and public engagement group and will include scientific publications, conference presentations and social media.

Ne esistono solo 3 casi al mondo e sarà presentato al congresso dei Chirurghi Ospedalieri

Con oltre 2000 chirurghi ortopedici da 74 diversi Paesi

Studio presentato al congresso mondiale sull’obesità a Napoli