Prognostic factors for residual symptoms following percutaneous endoscopic lumbar discectomy.
Humans
Male
Female
Middle Aged
Diskectomy, Percutaneous
/ methods
Adult
Lumbar Vertebrae
/ surgery
Intervertebral Disc Displacement
/ surgery
Retrospective Studies
Prognosis
Low Back Pain
/ etiology
Postoperative Complications
/ epidemiology
Case-Control Studies
Risk Factors
Endoscopy
/ methods
Intervertebral Disc Degeneration
/ surgery
Calcinosis
/ surgery
Aged
Case–control study
Leg numbness
Low back pain
Percutaneous endoscopic lumbar discectomy
Residual symptoms
Risk factors
Journal
Neurosurgical review
ISSN: 1437-2320
Titre abrégé: Neurosurg Rev
Pays: Germany
ID NLM: 7908181
Informations de publication
Date de publication:
30 May 2024
30 May 2024
Historique:
received:
13
03
2024
accepted:
25
05
2024
revised:
15
05
2024
medline:
30
5
2024
pubmed:
30
5
2024
entrez:
30
5
2024
Statut:
epublish
Résumé
To explore the risk factors for residual symptoms following percutaneous endoscopic lumbar discectomy (PELD). A retrospective case-controlled study. From January 2015 to December 2020, consecutive patients who underwent PELD for lumbar disc herniation (LDH) in our department were retrospectively studied. All the patients were followed-up at least two years. Residual symptoms were analyzed for association with baseline data, clinical feature, physical examination, and radiographic characteristics, which were used to detected the risk factors. A total of 339 patients were included in this study, with a mean follow-up of 28.7 ± 3.6 months. Of the enrolled patients, 90 (26.5%) patients experienced residual low back pain (LBP), and 76 (22.4%) patients experienced leg numbness (LN). Multivariate logistic regression analysis revealed that intervertebral disc calcification on CT scans (odd ratio, 0.480; 95% confidence interval: 0.247 ~ 0.932; P < 0.05) was independent risk factor for postoperative residual LBP with odd ratio and longer symptom duration was risk factor for postoperative residual LN (odd ratio, 2.231; 95% confidence interval:1.066 ~ 4.671; P < 0.05). Residual symptoms following transforaminal endoscopic surgery are quite prevalent. Intervertebral disc calcification is a protective factor for residual low back pain, and a longer symptom duration is a risk factor for residual leg numbness.
Identifiants
pubmed: 38814488
doi: 10.1007/s10143-024-02486-x
pii: 10.1007/s10143-024-02486-x
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
250Subventions
Organisme : Shandong Provincial Medical and Health Development Plan
ID : No. 202204071067
Organisme : Shandong Provincial Medical and Health Development Plan
ID : No. 202204071067
Organisme : Shandong Provincial Medical and Health Development Plan
ID : No. 202204071067
Organisme : Shandong Provincial Medical and Health Development Plan
ID : No. 202204071067
Organisme : Shandong Provincial Medical and Health Development Plan
ID : No. 202204071067
Organisme : Shandong Provincial Medical and Health Development Plan
ID : No. 202204071067
Organisme : Shandong Provincial Medical and Health Development Plan
ID : No. 202204071067
Organisme : Shandong Provincial Medical and Health Development Plan
ID : No. 202204071067
Informations de copyright
© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
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