1. Risk Factors for Short-Term and Long-Term Low Back Pain After Transforaminal Endoscopic Lumbar Discectomy
- Author
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Wang,Hui, Zhou,Xiaonan, Li,Xingyu, Xu,Zeng, Meng,Qingbing, Wang,Jianxi, Shen,Xiaolong, Chen,Huajiang, Yuan,Wen, Wu,Xiaodong, Wang,Hui, Zhou,Xiaonan, Li,Xingyu, Xu,Zeng, Meng,Qingbing, Wang,Jianxi, Shen,Xiaolong, Chen,Huajiang, Yuan,Wen, and Wu,Xiaodong
- Abstract
Hui Wang,1,* Xiaonan Zhou,2,* Xingyu Li,1,* Zeng Xu,1,* Qingbing Meng,3 Jianxi Wang,1 Xiaolong Shen,1 Huajiang Chen,1 Wen Yuan,1 Xiaodong Wu1 1Department of Orthopedics, Shanghai Changzheng Hospital, Naval Medical University, Shanghai, Peopleâs Republic of China; 2Department of Anesthesiology, Shanghai Changzheng Hospital, Naval Medical University, Shanghai, Peopleâs Republic of China; 3Department of Orthopedics, Shanghai Zhongshan Hospital, Fudan University Shanghai School of Medicine, Shanghai, Peopleâs Republic of China*These authors contributed equally to this workCorrespondence: Huajiang Chen; Xiaodong Wu, Email chenhuajspine@163.com; wuxiaodongspine@163.comIntroduction: Low back pain following transforaminal endoscopic lumbar discectomy (TELD) is prevalent (15â 25% incidence). Modifying TELD techniques to avoid excessive disc removal has been suggested to reduce such pain. Facet injury, re-herniation, and disc space collapse might contribute. This retrospective study aimed to explore factors linked to post-TELD low back pain.Methods: A total of 351 patients with L3/4, L4/5, and L5/S1 intervertebral lumbar disc herniations, who underwent TELD at two spine centers, were included. Patients were followed for one year. Low back and leg pain visual analogue scale (VAS) scores, Oswestry Disability Index (ODI), Pfirrmann grade, and disc height were measured at 3 months and 1 year. Correlation analyses examined links between postoperative low back pain VAS scores, age, sex, disc/vertebrae height ratio (D/V H ratio), Pfirrmann grade, cannula position grade, re-herniation grade, high-intensity zone (HIZ), disc calcification, surgical grade, and other factors. Significant variables were identified using partial least square tests, with variable importance in projection (VIP) values quantifying their impact on low back pain.Results: Univariate analysis indicated that surgical grade correlated with long-term postoperative low
- Published
- 2023