Academic Journal
Predictors of reoperation in hispanic-americans with recurrent lumbosacral disc herniation following primary hemilaminectomy and discectomy surgery
| العنوان: | Predictors of reoperation in hispanic-americans with recurrent lumbosacral disc herniation following primary hemilaminectomy and discectomy surgery |
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| المؤلفون: | Jorge Lastra-Power, Christian Nieves-Ríos, Francisco Baralt-Nazario, Alessandra G. Costello-Serrano, Ashlie M. Maldonado-Pérez, Gerardo Olivella, Juan Pérez-Rosado, Norman Ramírez |
| المصدر: | World Neurosurgery: X, Vol 18, Iss , Pp 100172- (2023) |
| بيانات النشر: | Elsevier, 2023. |
| سنة النشر: | 2023 |
| المجموعة: | LCC:Surgery LCC:Neurology. Diseases of the nervous system |
| مصطلحات موضوعية: | Decompressive surgery, Hispanic-americans, Lumbosacral disc herniation, Recurrent, Surgery, RD1-811, Neurology. Diseases of the nervous system, RC346-429 |
| الوصف: | Background: Multiple risk factors for recurrent lumbosacral disc herniation (rLDH) have been evaluated. However, it has been difficult to establish a consensus due to conflicting results. Therefore, the aim of our study was to evaluate the predictors of reoperation in Hispanic-Americans with rLDH following primary hemilaminectomy and discectomy surgery. Methods: A retrospective case-control study of 451 Hispanic-Americans with lumbosacral disc herniation (LDH) was conducted. The sample was divided into two groups: reoperated (cases) and non-reoperated (controls). Preoperative, operative, and postoperative variables of initial surgery were compared between the two groups. Results: The reoperation rate was 11.5%, with a mean interval between primary surgery and reoperation of 3.32 years ± 2.07. Analysis of preoperative variables identified a higher rate of reoperation in patients who were unemployed (cases: 48.1%, controls: 17.1%, p=0.001). A significant difference was also seen regarding the presence of gastrointestinal disease (cases: 11.5%, controls: 4.3%, p=0.038). However, there were no differences in the sociodemographic factors, preoperative physical exam, preoperative management, radiological parameters, or operative data. Those patients with persistent postoperative lower extremity pain, radiculopathy, low back pain, and buttock pain demonstrated a higher correlation with rLDH. Multivariable logistic regression analysis identified a significant difference only in work status (employed; OR and 95% CI [0.60 (0.55, 0.67)], p=0.002) and presence of postoperative low back pain (OR and 95% CI [2.17 (1.13, 4.29)], p=0.014). Conclusions: Patients who required reoperation due to rLDH were more frequently unemployed and/or suffered postoperative low back pain after primary hemilaminectomy and discectomy surgery. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2590-1397 |
| Relation: | http://www.sciencedirect.com/science/article/pii/S2590139723000212; https://doaj.org/toc/2590-1397 |
| DOI: | 10.1016/j.wnsx.2023.100172 |
| URL الوصول: | https://doaj.org/article/4a9f38e1c2a145cc85adda22f6c04de6 |
| رقم الانضمام: | edsdoj.4a9f38e1c2a145cc85adda22f6c04de6 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 25901397 |
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| DOI: | 10.1016/j.wnsx.2023.100172 |