Abstract
We examined cases of adapted clinical pathway for herniated lumbar disk. A total of 43 patients underwent programmed partial laminectomy or osteoplastic hemi laminectomy. For partial laminectomy, patients were programmed to start walking three days after operation, and leave hospital at 14 days postoperatively. For osteoplastic hemi laminectomy, patients were programmed to start walking at five days, and leave hospital at 21 days postoperatively. Satisfaction index for the operation was generally high. Most of the patients wanted to start walking earlier than we programmed, and when slight variances happened after the patients started walking, we could change the clinical pathway. However, since satisfaction index was low for the length of hospital stay, we must consider how to use clinical pathways appropriately by collecting EBM.
