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Journal Article

Back morphology and walking patterns mean 13.8 years after surgery for lumbar disk herniation in adolescents

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Ruehr,  Livia       
Department Neurology, MPI for Human Cognitive and Brain Sciences, Max Planck Society;
Max Planck School of Cognition, Leipzig, Germany;
Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden;

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Ruehr_2024.pdf
(Publisher version), 352KB

Supplementary Material (public)

Ruehr_2024_Suppl.pdf
(Supplementary material), 158KB

Citation

Ruehr, L., Blomé, S., Kastrati, G., Lagerbäck, T., Jonsjö, M., Möller, H., et al. (2024). Back morphology and walking patterns mean 13.8 years after surgery for lumbar disk herniation in adolescents. Pain Reports, 9(2): e1148. doi:10.1097/PR9.0000000000001148.


Cite as: https://hdl.handle.net/21.11116/0000-000F-26D6-5
Abstract


Introduction: In many pain conditions, there is lingering pain despite healed tissue damage. Our previous study shows that individuals who underwent surgery for lumbar disk herniation (LDH) during adolescence have worse health, more pain, and increased disk degeneration mean 13 years after surgery compared with controls. It is unclear if walking patterns segregate surgically treated LDH adolescents and controls at mean 13-year follow-up.

Objectives: Here, we analyzed the relationship between gait, back morphology and other health outcomes in a cohort of individuals treated surgically because of lumbar disk herniation compared with controls.

Methods: We analyzed gait during a walking paradigm, back morphology at the site of surgery, and standardized health outcomes, among individuals who received surgery for LDH as adolescents, "cases" (n = 23), compared with "controls" (n = 23).

Results: There were gait differences in head (P = 0.021) and trunk angle (P = 0.021) between cases and controls in a direction where cases exhibited a posture associated with sickness. The gait variance was explained by subjective pain and exercise habits rather than objective disk degeneration.

Conclusion: Over a decade after surgery for LDH during adolescence, health among cases is worse compared with controls. The head and trunk angles differ between cases and controls, indicating that the residual pain lingers and may cause changes in movement patterns long after a painful episode in early life. Gait may be a useful target for understanding maintenance of pain and disability among individuals treated surgically for LDH during adolescence.