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Radiologic Analysis of Causes of Early Recurrence After Percutaneous Endoscopic Transforaminal Discectomy
| Content Provider | SAGE Publishing |
|---|---|
| Author | Li, Ze-Peng Liu, Lu-Lu Liu, Hao Tan, Jing-Hua Li, Xue-Lin Xu, Zhun Ouyang, Zhi-Hua Wang, Cheng Yan, Yi-Guo Xue, Jing-Bo |
| Copyright Year | 2022 |
| Abstract | Study DesignRetrospective study.ObjectiveTo analyze the causes of and factors influencing early recurrence after TELD performed in the treatment of lumbar disc herniation.MethodsWe included 285 patients with single-segment lumbar disc herniation treated using transforaminal endoscopy lumbar discectomy TELD from January 2017 to December 2019 at the First Affiliated Hospital of the University of South China. Patients were classified into early recurrence and non-early recurrence groups based on clinical symptoms and MRI reexamination. Imaging data (eg, disc height index (DHI), Pfirrman grades, base width, postoperative annulus-fibrosus tear size, cross-sectional area of the foramen (CSAF), etc.)were analyzed, and multivariate, binomial logistic regression was utilized to determine which factors were associated with early recurrence after TELD.ResultsA total of 285 patients completed surgery and clinical follow-up, during which 19 patients relapsed within 6 months postsurgery, for an early recurrence rate of 6.7%. There were statistically significant differences between DHI, Pfirrman grades, base width, postoperative annulus-fibrosus tear size, herniation sites, CSAF and Modic changes between the early recurrence and non-early recurrence groups (P < .05). On multivariate logistic regression,the degree of disc degeneration (OR = .747, P = .037), CSAF (OR = 5.255, P = .006), degree of Modic change (OR = 1.831, P = .018) and base width of the herniation (OR = 4.942, P = .003) were significantly correlated with early recurrence after TELD.ConclusionsPostoperative annulus-fibrosus tear size, DHI, and location of the disc herniation were associated with early recurrence after TELD. Increased base width of the herniation, severe disc degeneration, decreased CSAF and Modic change were risk factors for early recurrence after TELD. |
| Related Links | https://journals.sagepub.com/doi/pdf/10.1177/21925682221096061?download=true |
| ISSN | 21925682 |
| Journal | Global Spine Journal (GSJ) |
| e-ISSN | 21925690 |
| DOI | 10.1177/21925682221096061 |
| Language | English |
| Publisher | Sage Publications CA |
| Publisher Date | 2022-05-17 |
| Publisher Place | Los Angeles |
| Access Restriction | Open |
| Rights Holder | © The Author(s) 2022 |
| Subject Keyword | Lumbar-disc herniation Early recurrence transforaminal endoscopy lumbar discectomy Reherniation Radiologic |
| Content Type | Text |
| Resource Type | Article |
| Subject | Orthopedics and Sports Medicine Neurology (clinical) Surgery |
