• Karin Pieber, Nora Salomon, Silke Inschlag, Gabriele Amtmann, Karl-Ludwig Resch, and Gerold Ebenbichler.
• Department of Physical Medicine and Rehabilitation, Medical University of Vienna, General Hospital of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria. karin.pieber@meduniwien.ac.at.
• Eur Spine J. 2016 Nov 1; 25 (11): 3520-3527.

PurposeTo identify predictors of both intermediate and long-term unfavorable outcomes after first time, uncomplicated lumbar disc surgery.MethodsPatients (n = 120) who had undergone lumbar disc surgery were followed up 1.5 and 12 years thereafter. Baseline assessments were carried out 5-8 days after surgery. Clinical outcome was assessed in both follow-ups using the Low Back Pain Rating Scale. Statistical analysis included binary logistic and linear regression.ResultsUnfavorable outcomes were found in 50.5 % (1.5 years) and 52.6 % (12 years) of patients available for follow-up examination. Low pre-operative physical activity and severe pain in the first week after surgery were predictive of an unfavorable post-operative outcome at both follow-ups.ConclusionsIdentified predictors suggest that particular emphasis should put on comprehensive post-operative care at large and encouragement to adapt a physically active lifestyle in particular in rehabilitation concepts after first time uncomplicated lumbar disc surgery.

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