Preoperative Magnetic Resonance Imaging Abnormalities Predictive of Lumbar Herniation Recurrence After Surgical Repair

Karadağ, Mehmet Kürşat; Akıncı, Ahmet Tolgay; Başak, Ahmet Tulgar; Hekimoğlu, Mehdi; Yıldırım, Hakan; Akyoldaş, Göktuğ; Aydın, Ahmet Levent; Ateş, Özkan; Öktenoğlu, Tunç; Sasani, Mehdi; Akgün, Mehmet Yiğit; Günerbüyük, Caner; Özer, Ali Fahir

doi:10.1016/j.wneu.2022.06.143

Cited by 5 publications

(3 citation statements)

References 40 publications

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“…In the current study, only a few have utilized paraspinal muscle parameters to predict PRLDH, primarily focusing on fat infiltration grades. 21 Quantitative studies on paraspinal muscles are as follows: Choi et al 22 conducted a retrospective analysis of 49 patients who underwent discectomy and partial laminectomy, revealing larger psoas major muscle parameters in PRLDH patients compared to those No-PRLDH. However, a larger study by Kong et al 6 (654 patients undergoing PETD) found smaller SFCSA at the L4/5 level in PRLDH patients (excluding the psoas major muscle), consistent with our findings.…”

Section: Discussionmentioning

confidence: 99%

Nomogram Development and Validation for Predicting Postoperative Recurrent Lumbar Disc Herniation Based on Paraspinal Muscle Parameters

Tang,

Wang,

Wang

et al. 2024

JPR

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Section: Discussionmentioning

confidence: 99%

Nomogram Development and Validation for Predicting Postoperative Recurrent Lumbar Disc Herniation Based on Paraspinal Muscle Parameters

Tang,

Wang,

Wang

et al. 2024

JPR

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Section: Methodsmentioning

confidence: 99%

“…The size of the epidural indentation of the lumbar disc in the operated segment was measured on MRI before and after surgery, and the Pfirrmann grading of disc degeneration was performed at the same time. 9,10 Statistical analysis: All data in this study were statistically analyzed using SPSS20.0 software, and the measurement data were expressed as ( ). Two independent sample t test was employed for comparison between the two groups, and paired t-test was utilized for comparison of pre-and-post-operative parameters within the groups.…”

Section: Follow-up and Observation Indexesmentioning

confidence: 99%

Clinical study of Microendoscopic Discectomy + Fibrous Ring Suture Versus Microendoscopic Discectomy alone in the treatment of lumbar disc herniation in young and middle-aged patients

Cui,

Wang,

Liu

et al. 2024

Pak J Med Sci

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Objective: To compare the clinical efficacy of microendoscopic discectomy + fibrous ring suture versus microendoscopic discectomy alone in the treatment of lumbar disc herniation (LDH) in young and middle-aged patients.Methods: A retrospective analysis was performed on the clinical data of 66 young and middle-aged patients with single-segment LDH diagnosed in Orthopedic Hospital of Henan Province from October 2019 to October 2022. All patients were divided into two groups: the microendoscopic discectomy + fibrous ring suture group and the microendoscopic discectomy alone group, with 33 cases in each group. The Visual Analogue Scale (VAS) and the Oswestry Disability Index (ODI) scores of the two groups were recorded before surgery and six and twelve months after surgery. Results: Both groups completed the surgery and postoperative follow-up successfully and showed no statistically significant differences in terms of incision length, duration of surgery, intraoperative blood loss and length of hospital stay (all P>0.05). VAS, ODI and JOA scores were significantly improved in both groups at 6 and 12 months after surgery compared with those before surgery (all P<0.05). The two groups were similar in terms of excellent and good rates of postoperative modified MacNab Evaluation Criteria, with no statistically significant differences. No serious complications were observed in the two groups during and after surgery. Conclusion: Both of the two surgical methods are effective in the treatment of LDH in young and middle-aged patients, and microendoscopic discectomy + fibrous ring suture in particular may be preferred because it results in significant improvement in patients’ VAS and ODI scores. doi: https://doi.org/10.12669/pjms.40.4.7935 How to cite this: Cui H, Wang Y, Liu Y, Guo M. Clinical study of Microendoscopic Discectomy + Fibrous Ring Suture Versus Microendoscopic Discectomy alone in the treatment of lumbar disc herniation in young and middle-aged patients. Pak J Med Sci. 2024;40(4):690-694. doi: https://doi.org/10.12669/pjms.40.4.7935 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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The Relationship Between Disc Herniation Morphology and Patient-Reported Outcomes after Microdiscectomy

Heard,

Ezeonu,

Lee

et al. 2024

World Neurosurgery

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Preoperative Magnetic Resonance Imaging Abnormalities Predictive of Lumbar Herniation Recurrence After Surgical Repair

Cited by 5 publications

References 40 publications

Nomogram Development and Validation for Predicting Postoperative Recurrent Lumbar Disc Herniation Based on Paraspinal Muscle Parameters

Nomogram Development and Validation for Predicting Postoperative Recurrent Lumbar Disc Herniation Based on Paraspinal Muscle Parameters

Clinical study of Microendoscopic Discectomy + Fibrous Ring Suture Versus Microendoscopic Discectomy alone in the treatment of lumbar disc herniation in young and middle-aged patients

The Relationship Between Disc Herniation Morphology and Patient-Reported Outcomes after Microdiscectomy

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