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16 February 2026 : Clinical Research  

Risk Factor Analysis of Residual Low Back Pain After Unilateral Biportal Endoscopic Discectomy in Patients With Lumbar Disc Herniation

Zhifeng Cheng BCDEF 1,2, Tao Tang ABD 1, Shenliang Chen AB 1, Jiafeng Hong DE 1,2, Haonan Lu BD 1,2, Hao Xu E 1,2, Bo Hu ADEF 1,2*

DOI: 10.12659/MSM.951644

Med Sci Monit 2026; 32:e951644

Table 1 Clinical characteristics of patients in each group.

CharacteristicNon-residual LBP group (n=159)Residual LBP group (n=44)P
Age (years)49.66±15.1752.59±15.830.263
Sex0.153
 Male71 (44.7)25 (56.8)
 Female88 (55.3)19 (43.2)
Disease duration (months)6.00 (2.00, 24.00)12.00 (3.00, 48.75)0.048
BMI (kg/m)24.12±2.5824.25±2.600.760
Alcohol consumption39 (24.5)13 (29.5)0.500
Active smoking31 (19.5)8 (18.2)0.850
LBP VAS
 Preoperative5.00 (4.00, 6.00)6.50 (5.00, 8.00)<0.001
 Preoperative severe LBP12 (7.5)13 (29.5)<0.001
 1 year postoperative1.00 (0.00, 1.00)2.00 (1.00, 2.00)<0.001
LP VAS
 Preoperative6.00 (5.00, 7.00)7.00 (6.00, 7.75)0.068
 1 year postoperative1.00 (1.00, 2.00)2.00 (1.00, 2.00)0.005
ODI
 Preoperative55.00 (50.00, 65.00)55.00 (51.25, 65.00)0.518
 1 year postoperative10.00 (6.00, 14.00)7.00 (4.00, 12.75)0.090
MacNab scale outcome at final follow-up<0.001
 Excellent81 (50.9)19 (43.2)
 Good73 (45.9)12 (27.3)
 Fair2 (1.3)9 (20.5)
 Poor3 (1.9)4 (9.1)
Data are presented as mean±standard deviation, median (25 percentile [P], 75 percentile [P]), or n (%).LBP – low back pain; BMI – body mass index; VAS – visual analog scale; LP – leg pain; ODI – Oswestry Disability Index.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750