The Efficacy of Using Lumbosacral Support in the Early Post-operative Period Following Decompressive Laminectomy in Patients with Degenerative Lumbar Spine Disease
Keywords:
Degenerative lumbar spine disease, TBSRTC, Decompressive laminectomy, Timed Up and Go Test (TUGT), Five Times Sit to Stand Test (FTSTS)Abstract
Background: Degenerative lumbar spine disease is common among the elderly. Surgery can alleviate symptoms; however, the benefits of postoperative bracing remain unclear. This study aimed to evaluate the effects of a soft lumbosacral support (LS support) on early postoperative mobility and pain.
Objective: To evaluate the efficacy of lumbosacral support (LS support) during the early postoperative phase after decompressive laminectomy in patients with degenerative lumbar spine disease.
Methods: A randomized cross-over trial in patients with degenerative lumbar spine disease who underwent decompressive laminectomy at Maharat Nakhon Ratchasima Hospital. Patients were randomly assigned into two groups. Group 1 first performed the functional test and pain assessment while wearing LS support. The LS support was then removed followed by a 10-minute rest period before repeating the test without it. Group 2 underwent the same procedure in the reverse order, starting without LS support. Functional outcome measures included the Timed Up and Go Test (TUGT) and the Five Times Sit-to-Stand Test (FTSTS). Pain during activities and posture was evaluated using Visual Analog Scale (VAS). Patient satisfaction and willingness to continue LS support were also assessed.
Result: A total of 56 patients (mean age 61.51 years, 66.07% female) were included, with no dropouts. There were no statistically significant differences in TUGT (p = 0.68) or FTSTS (p = 0.09) between wearing and not wearing LS support. Pain scores (VAS) during activities and postures also showed no statistically significant differences. However, patients reported high satisfaction with LS support regarding comfort (54.76%), pain reduction (55.95%), and feeling safety (65.48%). All participants (100%) expressed a desire to continue using LS support.
Conclusion: Wearing LS support did not significantly improve functional ability and reduce pain during the early postoperative period following decompressive laminectomy in patients with degenerative lumbar spine disease. However, it helps improve patient confidence and perceived safety in mobility.
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