Variation of the Oswestry Disability Index in Patients with Lumbar Vertebral Discopathy, Surgically Treated

Abstract

The prospective study was performed to highlight the evolution of the Oswestry Disability Index (ODI), before and after surgical treatment of lumbar disc herniation. A group of 100 patients was used, hospitalized and treated surgically in the Neurosurgery Department of the Constanta County Hospital, between 01.08.2020-31.12.2021. The study took into account general patient data (age, sex, provenience), comorbidities (obesity, diabetes, hypertension, chronic treatment with antiplatelet agents before surgery) and the presence of aggravating factors of lumbar vertebral disc disease with indication surgery (presence of polydiscopathy, motor deficit, preoperative and postoperative disc recurrence). There was a significant improvement in the severity of the degree of disability of surgically treated patients, both at one month and at 3 months, postoperatively. The improvement of the degree of disability was different, given the presence of aggravating factors, preoperatively and also the occupational factor, which delayed the postoperative clinical evolution, both, by rapid reintegration into daily life with physical effort and by the production of recurrences of discal pathology.