Factors Associated With Longer Postoperative Outpatient Follow-up Duration in Patients With Single Lumbar Disc Herniation: A Noncomplicated Patient Cohort Study

Her, Yunsuk; Kang, Suk Hyung; Cho, Yong‐Jun; Yang, Jin Seo; Jeon, Jin Pyeong; Choi, Hyuk Jai

doi:10.14245/ns.1836006.003

Cited by 6 publications

(6 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Surgical treatment. All surgeons had more than 5 years of experience with either standard open microscopic discectomy or full endoscopic lumbar discectomy 11,[18][19][20][21] . The detailed standard surgical procedures were shared by all surgeons and researchers, and each surgeon was asked to operate using the routine surgical technique with which he or she was most confident.…”

Section: Exclusion Criteriamentioning

confidence: 99%

Nonsurgical treatment outcomes for surgical candidates with lumbar disc herniation: a comprehensive cohort study

Kim

Choi

Chung

et al. 2021

Sci Rep

View full text Add to dashboard Cite

Physicians often encounter surgical candidates with lumbar disc herniation (LDH) who request non-surgical management even though surgery is recommended. However, second opinions may differ among doctors. Therefore, a prospective comprehensive cohort study (CCS) was designed to assess outcomes of nonsurgical treatment for surgical candidates who were recommended to undergo surgery for LDH but requested a second opinion. The CCS includes both randomized and observational cohorts, comprising a nonsurgery cohort and surgery cohort, in a parallel fashion. Crossover between the nonsurgery and surgery cohorts was allowed at any time. The present study was an as-treated interim analysis of 128 cases (nonsurgery cohort, n = 71; surgery cohort, n = 57). Patient-reported outcomes included visual analogue scores for the back (VAS-B) and leg (VAS-L), the Oswestry Disability Index, the EuroQol 5-Dimension instrument, and the 36-Item Short-Form Health Survey (SF-36), which were evaluated at baseline and at 1, 3, 6, 12, and 24 months. At baseline, age and SF-36 physical function were significantly lower in the surgery cohort than in the nonsurgery cohort (p < 0.05). All adjusted outcomes significantly improved after both nonsurgical and surgical treatment (p < 0.05). The nonsurgery cohort showed less improvement of VAS-B and VAS-L scores at 1 month (p < 0.01), but no difference between cohorts was observed thereafter for 24 months (p > 0.01). Nonsurgical management may be a negotiable option even for surgical candidates in the shared decision-making process.

show abstract

Section: Exclusion Criteriamentioning

confidence: 99%

Nonsurgical treatment outcomes for surgical candidates with lumbar disc herniation: a comprehensive cohort study

Kim

Choi

Chung

et al. 2021

Sci Rep

View full text Add to dashboard Cite

show abstract

“…Potential risk factors of ASD include posterior lumbar interbody fusion (PLIF), injury to the facet joint of an adjacent segment, fusion length, the presence of a preexisting degenerated disc, lumbar stenosis, age, osteoporosis, female gender, and a postmenopausal state 1,4,14,23,28,31) . Although many authors have evaluated the risk factors of ASD, clearly defined results lack due to study heterogeneities 11,12) . Sagittal balance is closely associated with health-related quality of life, and thus, maintaining sagittal balance with adequate lumbar lordosis (LL) is an important goal of thoracolumbar fusion surgery.…”

Section: Introductionmentioning

confidence: 99%

The Risk Factors of Early and Late-Onset Adjacent Segment Degeneration after Thoracolumbar Fusion Surgery

Kim

Ryu

et al. 2020

Nerve

View full text Add to dashboard Cite

Adjacent segment degeneration (ASD) is a long-term complication that can occur after thoracolumbar fusion surgery. This study was undertaken to determine the risk factors of earlyonset ASD. Methods: We retrospectively reviewed patients who underwent thoracolumbar fusion at our institute for lumbar disease from January 2008 to December 2018. Potential risk factors examined included radiologic factors such as postoperative sagittal alignment, preexisting disc degeneration, and facet degeneration. For the analysis, patients were dichotomized based on times to ASD, that is, <1 year (the early group) and ≥1 year (the late group). Results: During the 11-year study period, 693 patients underwent thoracolumbar fusion, and 92 (13.28%) patients developed ASD; 34 (4.9%) during the first postoperative year and 58 (8.4%) at more than 1 year after surgery. The proportion of patients with a longer fusion length was greater in the early group (p=0.0045). Postoperative lumbar lordosis (LL; p=0.0007) and sagittal vertical axis (SVA) (p=0.009) values were significantly different in the 2 groups, sacral slope (SS; p<0.05) was smaller in the early group, and pelvic tilt (PT; p=0.03) was larger in the early group. However, pelvic incidence (PI; p=0.72) was no different in the 2 groups. Conclusion: The risk factors of early-onset ASD after thoracolumbar fusion surgery were confirmed to be the degree of fusion length and LL after surgery. SVA was found to possibly contribute to early-onset ASD. Although PI was similar in the 2 study groups, SS and PT were significantly different. So when you perform spinal fusion surgery, you should minimize fusion length and consider sagittal alignment.

show abstract

“…With the continuous development of medical career, domestic diagnosis with SAT has also greatly improved in recent years [3][4][5] . For instance, the application of nuclear medicine is fully embodying the merits of non-invasion, convenience, high sensitivity and high specificity [6,7] . Nuclear medicine combined with ultrasound examination can significantly improve the diagnosis of SAT.…”

mentioning

confidence: 99%

Evaluation on the Diagnostic Value of Nuclear Medicine and Ultrasound Examination in Subacute Thyroiditis

Wang¹,

Xiong²,

Tingting³

et al. 2021

ijps

View full text Add to dashboard Cite

This study was to investigate and analyze the diagnostic value of nuclear medicine and ultrasound examination in subacute thyroiditis. Three hundred cases with subacute thyroiditis were selected as the research group, while another 300 cases with health examination were enrolled as the control group, both ranging from August 2013 to October 2016. Patients in the research group underwent the detection with erythrocyte sedimentation rate, serum free triiodothyronine, serum free thyroxine, high sensitive thyroid stimulating hormone, thyroid radioactive iodine uptake in 6 h and radionuclide thyroid scan. Patients in both research group and control group took the ultrasound examination. The results of ultrasound examination showed that the thyroid width and thickness in the research group were both significantly larger than those in the control group, revealing statistical significances (p<0.05). The positive rate by nuclear medicine was significantly higher than that by ultrasound examination, revealing p<0.05. Diagnostic positive rate with the combination of nuclear medicine and ultrasound examination was much ideal, that was 100 %. Nuclear medicine and ultrasound examination in subacute thyroiditis could achieve good diagnostic results and provide the accuracy rate of the diagnosis, thus further providing valuable basis for clinical treatment.

show abstract

Factors Associated With Longer Postoperative Outpatient Follow-up Duration in Patients With Single Lumbar Disc Herniation: A Noncomplicated Patient Cohort Study

Cited by 6 publications

References 16 publications

Nonsurgical treatment outcomes for surgical candidates with lumbar disc herniation: a comprehensive cohort study

Nonsurgical treatment outcomes for surgical candidates with lumbar disc herniation: a comprehensive cohort study

The Risk Factors of Early and Late-Onset Adjacent Segment Degeneration after Thoracolumbar Fusion Surgery

Evaluation on the Diagnostic Value of Nuclear Medicine and Ultrasound Examination in Subacute Thyroiditis

Contact Info

Product

Resources

About