Lumbar microdiscectomy and post-operative activity restrictions: a protocol for a single blinded randomised controlled trial
Abstract Background Lumbar microdiscectomy is the most commonly performed spinal surgery procedure, with over 300,000 cases performed annually in the United States alone. Traditionally, patients were advised to restrict post-operative activity as this was believed to reduce the risk of disc rehernia...
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doaj-a7fe9dcc61424b82947e114de01fdd842020-11-24T20:55:15ZengBMCBMC Musculoskeletal Disorders1471-24742017-07-011811810.1186/s12891-017-1681-3Lumbar microdiscectomy and post-operative activity restrictions: a protocol for a single blinded randomised controlled trialChris D. Daly0Kai Zheong Lim1Jennifer Lewis2Kelly Saber3Mohammed Molla4Naor Bar-Zeev5Tony Goldschlager6Department of Surgery, Monash UniversityDepartment of Surgery, Monash UniversityDepartment of Neurosurgery, Monash Medical CentreDepartment of Physiotherapy, Monash Medical CentreDepartment of Neurosurgery, Monash Medical CentreCentre for Global Vaccine Research, Institute of Infection & Global Health, University of LiverpoolDepartment of Surgery, Monash UniversityAbstract Background Lumbar microdiscectomy is the most commonly performed spinal surgery procedure, with over 300,000 cases performed annually in the United States alone. Traditionally, patients were advised to restrict post-operative activity as this was believed to reduce the risk of disc reherniation and progressive instability. However, this practice would often delay patients return to work. In contemporary practice many surgeons do not restrict patient post-operative activity due to the perception this practice is unnecessary. We describe a randomised controlled trial to assess the impact of activity restrictions on clinical outcome following lumbar discectomy. Methods/Design The lumbar microdiscectomy and post-operative activity restriction trial is a multi-centre, randomised, controlled single blinded trial. Two hundred ten patients due to undergo single level lumbar microdiscectomy without a history of previous spine surgery, infection or fracture are randomised to be advised either restricted or unrestricted activity for a period of 30 days following lumbar microdiscectomy. Actual adherence with trial allocation will be monitored bioelectronically via a wearable device. Outcome assessment at follow up will occur at 1, 3, 6 and 12 months. The primary outcome will be a composite endpoint comprising changes in Visual Analogue Scale (Leg and Back), Oswestry Disability Index and the absence of intervertebral disc reherniation or secondary intervention. Discussion This randomised controlled trial will directly compare post-operative protocols of activity restrictions and no restrictions following lumbar discectomy with adherence monitored bioelectronically. Trial Registration Australian New Zealand Clinical Trials Registry: ACTRN12616001360404 (retrospectively registered 30/09/2016).http://link.springer.com/article/10.1186/s12891-017-1681-3Lumbar DiscectomySpineRestrictionsPost-OperativeSitting |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Chris D. Daly Kai Zheong Lim Jennifer Lewis Kelly Saber Mohammed Molla Naor Bar-Zeev Tony Goldschlager |
spellingShingle |
Chris D. Daly Kai Zheong Lim Jennifer Lewis Kelly Saber Mohammed Molla Naor Bar-Zeev Tony Goldschlager Lumbar microdiscectomy and post-operative activity restrictions: a protocol for a single blinded randomised controlled trial BMC Musculoskeletal Disorders Lumbar Discectomy Spine Restrictions Post-Operative Sitting |
author_facet |
Chris D. Daly Kai Zheong Lim Jennifer Lewis Kelly Saber Mohammed Molla Naor Bar-Zeev Tony Goldschlager |
author_sort |
Chris D. Daly |
title |
Lumbar microdiscectomy and post-operative activity restrictions: a protocol for a single blinded randomised controlled trial |
title_short |
Lumbar microdiscectomy and post-operative activity restrictions: a protocol for a single blinded randomised controlled trial |
title_full |
Lumbar microdiscectomy and post-operative activity restrictions: a protocol for a single blinded randomised controlled trial |
title_fullStr |
Lumbar microdiscectomy and post-operative activity restrictions: a protocol for a single blinded randomised controlled trial |
title_full_unstemmed |
Lumbar microdiscectomy and post-operative activity restrictions: a protocol for a single blinded randomised controlled trial |
title_sort |
lumbar microdiscectomy and post-operative activity restrictions: a protocol for a single blinded randomised controlled trial |
publisher |
BMC |
series |
BMC Musculoskeletal Disorders |
issn |
1471-2474 |
publishDate |
2017-07-01 |
description |
Abstract Background Lumbar microdiscectomy is the most commonly performed spinal surgery procedure, with over 300,000 cases performed annually in the United States alone. Traditionally, patients were advised to restrict post-operative activity as this was believed to reduce the risk of disc reherniation and progressive instability. However, this practice would often delay patients return to work. In contemporary practice many surgeons do not restrict patient post-operative activity due to the perception this practice is unnecessary. We describe a randomised controlled trial to assess the impact of activity restrictions on clinical outcome following lumbar discectomy. Methods/Design The lumbar microdiscectomy and post-operative activity restriction trial is a multi-centre, randomised, controlled single blinded trial. Two hundred ten patients due to undergo single level lumbar microdiscectomy without a history of previous spine surgery, infection or fracture are randomised to be advised either restricted or unrestricted activity for a period of 30 days following lumbar microdiscectomy. Actual adherence with trial allocation will be monitored bioelectronically via a wearable device. Outcome assessment at follow up will occur at 1, 3, 6 and 12 months. The primary outcome will be a composite endpoint comprising changes in Visual Analogue Scale (Leg and Back), Oswestry Disability Index and the absence of intervertebral disc reherniation or secondary intervention. Discussion This randomised controlled trial will directly compare post-operative protocols of activity restrictions and no restrictions following lumbar discectomy with adherence monitored bioelectronically. Trial Registration Australian New Zealand Clinical Trials Registry: ACTRN12616001360404 (retrospectively registered 30/09/2016). |
topic |
Lumbar Discectomy Spine Restrictions Post-Operative Sitting |
url |
http://link.springer.com/article/10.1186/s12891-017-1681-3 |
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