Lumbar sacralization and L4-L5 microdiscectomy, a prospective cohort study on radiologic and clinical outcomes

Autor: Pouya Omidi, Saeid Abrishamkar, Mehdi Mahmoodkhani, Arman Sourani, Amin Dehghan, Mina Foroughi, Sadegh Baradaran Mahdavi, Donya Sheibani Tehrani, Roham Nik Khah, Shaahin Veisi
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: World Neurosurgery: X, Vol 23, Iss , Pp 100333- (2024)
Druh dokumentu: article
ISSN: 2590-1397
DOI: 10.1016/j.wnsx.2024.100333
Popis: Aim: To evaluate the role of lumbar sacralization (LS) on the surgical outcomes of L4-L5 microdiscectomy. Methods: This prospective cohort study was conducted in a university referral hospital. The patients with L4-L5 disc herniation and eligible for microdiscectomy were enrolled and allocated in G1 (with LS) and G2 (no LS). After the L4-L5 microdiscectomy patients were followed, clinical and radiological parameters were collected to investigate the influence on the outcomes. Recurrence, low back outcome score (LBOS), and the Oswestry disability index (ODI) were defined as main outcomes. Results: Two hundred and forty patients (n = 120, each), were reviewed in the final analysis. There was no difference between groups regarding baseline characteristics. Postoperative radicular and back pain was more severe in LS(P
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