{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,29]],"date-time":"2022-03-29T19:09:39Z","timestamp":1648580979880},"reference-count":23,"publisher":"FapUNIFESP (SciELO)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Coluna\/Columna"],"published-print":{"date-parts":[[2010,3]]},"abstract":"<jats:p>A sele\u00e7\u00e3o e o agendamento temporal inadequados dos pacientes permanecem as causas mais importantes de insucesso da cirurgia discal lombar. OBJETIVO: Este trabalho pretende avaliar os resultados cl\u00ednicos e os factores preditivos que influenciam o progn\u00f3stico dos pacientes submetidos \u00e0 discectomia lombar atrav\u00e9s de um modelo anal\u00edtico multifatorial. M\u00c9TODOS: Apresentamos uma s\u00e9rie prospectiva de 68 pacientes com h\u00e9rnias discais lombares que foram submetidos \u00e0 discectomia entre 2003 e 2007. O seguimento m\u00e9dio foi de 3,9\u00b10,1 anos. Os resultados cl\u00ednicos foram avaliados utilizando o escore JOA (Japonese Orthopaedic Association Assessment Scoring System) (JOA=29). RESULTADOS: Resultados p\u00f3s-operat\u00f3rios bom e excelente foram obtidos em 75% dos casos. Pacientes do sexo masculino e a preponder\u00e2ncia de sintomas subjectivos sobre sintomas cl\u00ednicos estiveram associados com os melhores resultados cl\u00ednicos e com o retorno mais precoce \u00e0 actividade laboral. O tempo de espera pela cirurgia n\u00e3o teve influ\u00eancia no resultado final. A necessidade de cirurgia foi questionada na aus\u00eancia de d\u00e9fices neurol\u00f3gicos significativos (JOA para resultados cl\u00ednicos &gt;3\/6). Um valor JOA pr\u00e9-operat\u00f3rio &gt;15 (debilidade inicial baixa) est\u00e1 correlacionado com piores resultados cl\u00ednicos p\u00f3s-operat\u00f3rios. CONCLUS\u00d5ES: O escore JOA \u00e9 de f\u00e1cil aplica\u00e7\u00e3o para cl\u00ednicos e pacientes, uniformiza dados subjectivos e apresenta valor preditivo para os resultados dos pacientes submetidos \u00e0 discectomia lombar.<\/jats:p>","DOI":"10.1590\/s1808-18512010000100008","type":"journal-article","created":{"date-parts":[[2010,5,30]],"date-time":"2010-05-30T15:57:56Z","timestamp":1275235076000},"page":"35-42","source":"Crossref","is-referenced-by-count":0,"title":["Determinantes cl\u00ednicos com influ\u00eancia no progn\u00f3stico da discectomia lombar: an\u00e1lise multifatorial"],"prefix":"10.1590","volume":"9","author":[{"given":"Paulo Jorge Da Rocha","family":"Carvalho","sequence":"first","affiliation":[{"name":"Centro Hospitalar de Vila Nova de Gaia,  Portugal"}]},{"given":"Paulo Jorge Correia De","family":"S\u00e1","sequence":"additional","affiliation":[{"name":"Faculdade Ci\u00eancias M\u00e9dicas Abel Salazar; Hospital de Santo Ant\u00f3nio,  Portugal"}]},{"given":"Rolando Manuel Bezerra","family":"Freitas","sequence":"additional","affiliation":[{"name":"Centro Hospitalar de Vila Nova de Gaia,  Portugal"}]},{"given":"Jo\u00e3o Pedro Maia","family":"Gon\u00e7alves","sequence":"additional","affiliation":[{"name":"Centro Hospitalar de Vila Nova de Gaia,  Portugal"}]},{"given":"Sara Lemos Costa Lobo","family":"Macedo","sequence":"additional","affiliation":[{"name":"Centro Hospitalar de Vila Nova de Gaia,  Portugal"}]},{"given":"Jos\u00e9 De Morais","family":"Neves","sequence":"additional","affiliation":[{"name":"Centro Hospitalar de Vila Nova de Gaia,  Portugal"}]}],"member":"530","reference":[{"issue":"5","key":"ref1","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1056\/NEJM198802043180506","article-title":"Back pain and sciatica","volume":"318","author":"Frymoyer JW","year":"1988","journal-title":"N Engl J Med."},{"key":"ref2","series-title":"Acute Low Back Problems in Adults: Clinical Practice Guideline No. 14. 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