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World Journal of Advance Healthcare Research (WJAHR)Honored the authors with best paper award, monthly based on the innovation of research work. Best paper will be selected by our expert panel.
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Abstract
PREDICTIVE FACTORS FOR FOOT DROP CAUSED BY DEGENERATIVE LUMBAR SPINE DISEASE
Mohammad Abdulrazaq*, Moufid Mahfoud and Mohammad Saleh Ali
ABSTRACT
Aim: The research aims to study some variables that help surgeons predict the surgical outcomes of foot prolapse caused by degenerative lumbar spine diseases with a focus on the timing of surgical intervention and muscle strength before surgery according to the scale of The manual muscle test (MMT) and radial change. Methods: 43 patients participated in the study, 8 patients were excluded, the follow-up period was 4 months. The patients were divided into groups according to each of the studied variables. Results: The research sample included 35 patients aged between 20 to 67 years and the average age was 43.5 years . According to the levels of incidence, the incidence rate at one level was 65.7% and several levels at 34.3%, the rate of improvement in patients at one level was 77.3%, while several levels were 22.7% with P-value = 0.01, which is statistically significant .According to the pathogenetic mechanism, the rate of lumbar disc herniation was 65.7% while the lumbar spinal stenosis was 34.3%, the rate of improvement in patients with lumbar disc herniation was 77.3% while the lumbar spinal stenosis was 22.7% with P-value = 0.01 and is statistically significant. According to pre-surgical muscle strength, total decline 37.1% while partial decline 62.9%, the rate of improvement in patients with partial decline was 68.2% while total decline 31.8% with P-value = 0.04 is statistically significant .According to the timing of the surgical intervention: during the first week 54.3% while more than a week 45.7%, the improvement rate in patients of the first week was 86.4% while patients undergoing surgery after the first week were 13.6% with P-value = 0.001 and is statistically significant. Conclusion: The current study confirmed that the recovery rates are higher if foot drop is diagnosed with partial drop and treated surgically during the first week, while the recovery rate decreased with age and with multiple levels of injury, in contrast, the recovery rates are higher in patients with lumbar disc herniation compared to lumbar spinal stenosis and there was no significant effect of gender, or injury pattern on the recovery rate.
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