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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 2 Radiological parameters of patients in each group.

ParameterNon-residual LBP group (n=159)Residual LBP group (n=44)P
DHI0.29±0.570.27±0.470.145
LL (degrees)32.70 (25.50, 39.30)34.00 (26.15, 37.68)0.983
SS (degrees)29.00 (27.00, 30.00)29.00 (26.25, 31.00)0.611
sROM (degrees)4.50 (2.60, 6.40)4.20 (2.43, 6.55)0.915
Degenerative scoliosis16 (10.1)5 (11.4)1.000
Intradiscal vacuum phenomenon35 (22.0)9 (20.5)0.824
Disc degeneration grade0.637
 Low (grade I–III)31 (19.5)10 (22.7)
 High (grade IV–V)128 (80.5)34 (77.3)
FJOA0.007
 Low-grade (I–II)123 (77.4)25 (56.8)
 High-grade (III–IV)36 (22.6)19 (43.2)
Modic type 1 changes11 (6.9)10 (22.7)0.006
Data are presented as mean±standard deviation, median (25 percentile [P], 75 percentile [P]), or n (%). LBP – low back pain; DHI – disc height index; LL – lumbar lordosis; SS – sacral slope; sROM – segmental range of motion; FJOA – facet joint osteoarthritis.

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