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Predictors of reoperation in hispanic-americans with recurrent lumbosacral disc herniation following primary hemilaminectomy and discectomy surgery

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العنوان: Predictors of reoperation in hispanic-americans with recurrent lumbosacral disc herniation following primary hemilaminectomy and discectomy surgery
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
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