15 August 2023>: Clinical Research
Risk Factors and Causes of Reoperation in Lumbar Disc Herniation Patients after Percutaneous Endoscopic Lumbar Discectomy: A Retrospective Case Series with a Minimum 2-Year Follow-Up
Tao Tang 1BCDE , Jiahao Liu 2ACD , Jian Cao 2A , Dingwen He 2AE , Xigao Cheng 2AEG , Shuihua Xie 1CDEFG*DOI: 10.12659/MSM.939844
Med Sci Monit 2023; 29:e939844
Table 2 Univariate analyses of clinical characteristics and preoperative radiological findings.
Variables | Cases (n=27) | Controls (n =81) | P-value |
---|---|---|---|
Age (years) | 57.63±14.11 | 51.10±11.13 | 0.015* |
Gender (male/female) | 15/12 | 43/38 | 0.824 |
BMI (kg/m) | 23.59±2.53 | 24.29±2.65 | 0.237 |
Disease period (months) | 16.44±24.28 | 16.50±26.66 | 0.992 |
Follow-up period (months) | 34.93±12.11 | 34.82±13.93 | 0.979 |
Alcohol use (yes) | 6 | 16 | 0.783 |
Smoking use (yes) | 10 | 20 | 0.215 |
Occupational lifting (yes) | 12 | 25 | 0.198 |
Sedentary occupation (yes) | 11 | 28 | 0.563 |
Lack of active straight leg raise exercises (yes) | 18 | 34 | 0.026* |
Diabetes (yes) | 3 | 7 | 0.701 |
Hypertension (yes) | 5 | 16 | 0.888 |
0.654 | |||
L3/4 | 2 | 5 | |
L4/5 | 17 | 44 | |
L5/S1 | 8 | 32 | |
0.145 | |||
Interlaminar approach | 12 | 49 | |
Transforaminal approach | 15 | 32 | |
0.504 | |||
Day surgery mode | 11 | 39 | |
Nonday surgery mode | 16 | 42 | |
Operation time (minutes) | 55.53±14.22 | 50.78±11.21 | 0.190 |
LL (deg) | 35.12±12.62 | 31.98±9.88 | 0.186 |
SS (deg) | 30.15±6.21 | 28.64±4.57 | 0.181 |
sROM (deg) | 5.58±3.68 | 4.69±3.15 | 0.367 |
DHI | 0.26±0.05 | 0.28±0.04 | 0.176 |
Superior ECA (deg) | 167.77±10.03 | 162.75±10.72 | 0.116 |
Inferior ECA (deg) | 174.68±7.46 | 173.67±6.87 | 0.633 |
Modic changes (yes) | 6 | 13 | 0.466 |
0.499 | |||
Central | 7 | 11 | |
Paramedian | 14 | 46 | |
Foramina | 4 | 15 | |
Extraforamina | 2 | 9 | |
Pfirrmann grade IV–V | 26 | 61 | 0.017* |
Data are presented as mean±standard deviation or n. * P BMI – body mass index; sROM – segmental range of motion; DHI – disc height index; LL – lumbar lordosis; SS – sacral slope; ECA – endplate concave angle. |