{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T10:58:36Z","timestamp":1775473116878,"version":"3.50.1"},"reference-count":38,"publisher":"Medical Association of Zenica-Doboj","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicinski Glasnik"],"published-print":{"date-parts":[[2021,6,1]]},"abstract":"&lt;p&gt;&lt;strong&gt;Aim &lt;br \/&gt;&lt;\/strong&gt;To evaluate the influence of preoperative symptoms duration on surgical outcome of one-level lumbar disc herniation surgery.&lt;br \/&gt;&lt;strong&gt;Methods&lt;br \/&gt;&lt;\/strong&gt; In a prospective randomized study, 67 adult patients with one-level lumbar disc herniation were analysed. The patients&lt;br \/&gt;whose duration of symptoms was &amp;lt;6 months were included in the case group, while those with the duration of symptoms \u02c36 months formed the control group. The investigated preoperative variables were: pain intensity in the back and legs (Visual Analogue Scale - VAS), Sciatica Bothersomeness Index (SBI), index of disability (Oswestry Disability Index - ODI). Postoperative variables were: pain intensity in the back and legs (VAS), SBI, ODI, and outcome according to the Odom&amp;rsquo;s criteria (excellent, good, satisfactory and poor). Significance level was set at p &amp;lt;0.05.&lt;br \/&gt;&lt;strong&gt;Results &lt;br \/&gt;&lt;\/strong&gt;A statistically significant difference was recorded between the groups, showing a better decrease of radicular pain intensity&lt;br \/&gt;and sciatica bothersome, as well as patients disability in the case group (p&amp;lt;0.001). According to the Odom&amp;rsquo;s criteria the outcome was better in the case group, since the difference between the groups was statistically significant too (p&amp;lt;0.05).&lt;br \/&gt;&lt;strong&gt;Conclusion&lt;\/strong&gt; &lt;br \/&gt;Early lumbar disc herniation surgery performed within the first 6 months from the start of symptoms is beneficial due to decreases of radicular pain intensity, sciatica bothersomeness, and patient&amp;rsquo;s disability.&amp;nbsp;&lt;\/p&gt;<\/jats:p>","DOI":"10.17392\/1343-21","type":"journal-article","created":{"date-parts":[[2024,4,21]],"date-time":"2024-04-21T10:28:16Z","timestamp":1713695296000},"page":"456-462","source":"Crossref","is-referenced-by-count":3,"title":["Comparison of early and delayed lumbar disc herniation surgery and the treatment outcome"],"prefix":"10.17392","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5072-0095","authenticated-orcid":false,"given":"Ermin","family":"Had\u017ei\u0107","sequence":"first","affiliation":[{"name":"Cantonal Hospital \u201cDr. Safet Muji\u0107\u201d","place":["Mostar,Bosnia and Herzegovina"],"department":["Division of Neurosurgery"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruno","family":"Splavski","sequence":"additional","affiliation":[{"name":"''Sestre milosrdnice'' University Hospital Centre","place":["Zagreb,Croatia"],"department":["Department of Neurosurgery"]},{"name":"School of Medicine"},{"name":"University \"Josip Juraj Strossmayer\" Osijek","place":["Osijek,Croatia"],"department":["School of Dental Medicine and Health"]},{"name":"University of Applied Health Sciences, Zagreb","place":["Zagreb,Croatia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Goran","family":"Laki\u010devi\u0107","sequence":"additional","affiliation":[{"name":"University Clinical Hospital","place":["Mostar,Bosnia and Herzegovina"],"department":["Department of Neurosurgery"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"49509","published-online":{"date-parts":[[2021,6,1]]},"reference":[{"key":"ref1","first-page":"210","article-title":"Rupture of the intervertebral disc with involvement of the spinal canal","author":"WMixterW","year":"1934","unstructured":"Mixter WJ, Barr J. Rupture of the intervertebral disc \nwith involvement of the spinal canal. N Engl J Med \n1934; 211:210-15.","journal-title":"N Engl J Med"},{"key":"ref2","first-page":"131","article-title":"Lumbar disc herniation. A controlled prospective study with ten years of observation","author":"HWeberH","year":"1983","unstructured":"Weber H. Lumbar disc herniation. A controlled pros-\npective study with ten years of observation. Spine \n1983; 8:131-40.","journal-title":"Spine"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1055\/s-0034-1387807","article-title":"Optimal duration of conservative management to surgery for cervical and lumbar radiculopathy: a literature review","author":"VAlentadoV","year":"2014","unstructured":"Alentado VJ, Lubelski D, Steinmetz MP, Benzel EC, \nMroz TE. Optimal duration of conservative manage-\nment to surgery for cervical and lumbar radi-\nculopathy: a literature review. 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Hod\u017ei\u0107 M. Brki\u0107 H. \nOutcome prediction in Lumbar disc herniation sur-\ngery. Acta Med Sal 2010; 39:75-80.","journal-title":"Acta Med Sal"},{"key":"ref16","first-page":"680496","article-title":"Evaluation of nonspecific low back pain using a new detailed visual analogue scale for patients in motion, standing, and sitting: characterizing nonspecific low back pain in elderly patients","author":"YAokiY","year":"2012. 2012","unstructured":"Aoki Y, Sugiura S, Nakagawa K, Nakajima A, Taka-\nhashi H, Ohtori S, Takahashi K, Nishikawa S. Eva-\nluation of nonspecific low back pain using a new \ndetailed visual analogue scale for patients in motion, \nstanding, and sitting: characterizing nonspecific low \nback pain in elderly patients. Pain Res Treat 2012; \n2012:680496.","journal-title":"Pain Res Treat"},{"key":"ref17","first-page":"263","article-title":"The bothersomeness of sciatica: patients' self-report of paresthesia, weakness and leg pain","author":"LGr\u00f8vleL","year":"2010","unstructured":"Gr\u00f8vle L, Haugen AJ, Keller A, Natvig B, Brox JI, \nGrotle M. The bothersomeness of sciatica: patients' \nself-report of paresthesia, weakness and leg pain. Eur \nSpine J 2010; 19:263-9.","journal-title":"Eur Spine J"},{"key":"ref18","first-page":"241","article-title":"The Oswestry Disability Index","author":"MYatesM","year":"2017","unstructured":"Yates M, Shastri-Hurst N. The Oswestry Disability \nIndex. Occupational Medicine 2017; 67:241-2.","journal-title":"Occupational Medicine"},{"key":"ref19","first-page":"1301","article-title":"The Odom's criteria: validated at last: a clinimetric evaluation in Cervical spine surgery","author":"AehBroekemaAeh","year":"2019","unstructured":"Broekema AEH, Molenberg R, Kuijlen JMA, Groen \nRJM, Reneman MF, Soer RJ. The Odom's criteria: \nvalidated at last: a clinimetric evaluation in Cervical \nspine surgery. Bone Joint Surg Am 2019; 101:1301-8.","journal-title":"Bone Joint Surg Am"},{"key":"ref20","first-page":"1355","article-title":"Prolonged conservative care versus early surgery in patients with sciatica caused by lumbar disc herniation: two year results of a randomised controlled trial","author":"WPeulW","year":"2008","unstructured":"Peul WC, van den Hout WB, Brand R, Thomeer RT, \nKoes BW. 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We-\nsteinde Sciatica Trial: randomized controlled study of \nbedrest and physiotherapy for acute sciatica. J Neuro-\nsurg 2002; 96(Suppl 1):45-9.","journal-title":"J Neurosurg"},{"key":"ref23","first-page":"1906","article-title":"Duration of symptoms resulting from lumbar disc herniation: Effect on treatment outcomes: Analysis of the Spine Patient Outcomes Research Trial (SPORT)","author":"JRihnJ","year":"2011","unstructured":"Rihn JA, Hilibrand AS, Radcliff K, Kurd M, Lurie J, \nBlood E, Albert TJ, Weinstein JN. Duration of symp-\ntoms resulting from lumbar disc herniation: Effect \non treatment outcomes: Analysis of the Spine Patient \nOutcomes Research Trial (SPORT). J Bone Joint Surg \nAm 2011; 93:1906-14.","journal-title":"J Bone Joint Surg Am"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"710","DOI":"10.1016\/j.clineuro.2008.04.011","article-title":"Prevalence and impact of pain in neurological inpatients of a German teaching hospital","author":"KGerbershagenK","year":"2008","unstructured":"Gerbershagen K, Gerbershagen HU, Lindena GU, \nLachenmayer L, Lefering R, Schmidt CO, Kohlmann \nT. Prevalence and impact of pain in neurological in-\npatients of a German teaching hospital. Clini Neurol \nNeurosurg 2008; 110:710-17.","journal-title":"Clini Neurol Neurosurg"},{"key":"ref25","first-page":"565189","article-title":"Does duration of preoperative sciatica impact surgical outcomes in patients with lumbar disc herniation","author":"FOmidi-KashaniF","year":"2014. 2014","unstructured":"Omidi-Kashani F, Ghayem Hasankhani E, Kachooei \nAR, Rahimi MD, Khanzadeh R. Does duration of \npreoperative sciatica impact surgical outcomes in \npatients with lumbar disc herniation? Neurol Res Int \n2014; 2014:565189.","journal-title":"Neurol Res Int"},{"key":"ref26","doi-asserted-by":"crossref","first-page":"1459","DOI":"10.1007\/s00586-010-1433-7","article-title":"Clinical factors of importance for outcome after lumbar disc herniation surgery: long-term follow-up","author":"KSilverplatsK","year":"2010","unstructured":"Silverplats K, Lind B, Zo\u00ebga B, Halldin K, Gellerstedt \nM, Brisby H, Rutberg L. Clinical factors of importan-\nce for outcome after lumbar disc herniation surgery: \nlong-term follow-up. 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Eur Spine J 2014; 23:873-81.","journal-title":"Eur Spine J"}],"container-title":["Medicinski Glasnik"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/medicinskiglasnik.ba\/article\/125\/pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/medicinskiglasnik.ba\/article\/125\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T09:44:57Z","timestamp":1775468697000},"score":1,"resource":{"primary":{"URL":"https:\/\/medicinskiglasnik.ba\/article\/id\/396\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,1]]},"references-count":38,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2021,6,1]]},"published-print":{"date-parts":[[2021,6,1]]}},"URL":"https:\/\/doi.org\/10.17392\/1343-21","archive":["Internet Archive"],"relation":{"is-cited-by":[{"id-type":"doi","id":"10.1155\/2022\/5670303","asserted-by":"object"}]},"ISSN":["1840-0132","1840-0132"],"issn-type":[{"value":"1840-0132","type":"electronic"},{"value":"1840-0132","type":"print"}],"subject":[],"published":{"date-parts":[[2021,6,1]]}}}