Surgical Outcome for Foot Drop in Lumbar Degenerative Disease

Author:

Bhargava Deepti1,Sinha Priyank1,Odak Saurabh2,Tyagi Atul1,Towns Gerry1,Pal Debasish1

Affiliation:

1. Department of Neurosurgery, Leeds General Infirmary, Leeds, United Kingdom

2. Department of Orthopaedics, Wrightington Hospital, Wrightington, United Kingdom

Abstract

Controversy exists regarding the timing and outcome of surgery for lumbar degenerative disease (LDD) associated with foot drop. In this work, we report the results of a retrospective observational study from our center. We had a sample size of 26 patients with a minimum follow-up of 6 months. Of the 26 patients, 88% improved, with complete recovery observed in 61%. Thus, our data support the view that there is good recovery from operative management of foot drop secondary to LDD. Adjusting for preoperative strength, preoperative duration of weakness was a significant predictor of extent of recovery (odds ratio = 0.93; 95% confidence interval 0.88 to 0.98; p = 0.019). The model explained 50% of the variance in outcome in this study.

Publisher

SAGE Publications

Subject

Clinical Neurology,Orthopedics and Sports Medicine,Surgery

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