Lumbosacral Transitional Vertebrae in Adolescents: Effects on the Short-Term Outcomes of Percutaneous Endoscopic Lumbar Discectomy
Objective. To investigate whether lumbosacral transitional vertebrae (LSTV) affects the clinical outcomes of percutaneous endoscopic lumbar discectomy (PELD) in adolescent patients with lumbar disc herniation (LDH). Methods. This was a retrospective study with two groups. Group A was made up of 22 a...
Main Authors: | , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Hindawi Limited
2021-01-01
|
Series: | BioMed Research International |
Online Access: | http://dx.doi.org/10.1155/2021/9911579 |
id |
doaj-a458a10778d143619cffba33c8e84ed1 |
---|---|
record_format |
Article |
spelling |
doaj-a458a10778d143619cffba33c8e84ed12021-07-26T00:34:15ZengHindawi LimitedBioMed Research International2314-61412021-01-01202110.1155/2021/9911579Lumbosacral Transitional Vertebrae in Adolescents: Effects on the Short-Term Outcomes of Percutaneous Endoscopic Lumbar DiscectomyYong Huang0Lu Mao1Hang Shi2Guanrui Ren3Lei Zhu4Rui Zhang5Zhengming Shan6Xiaotao Wu7School of MedicineThe Department of OrthopedicsSchool of MedicineSchool of MedicineThe Department of OrthopedicsSchool of MedicineSchool of MedicineSchool of MedicineObjective. To investigate whether lumbosacral transitional vertebrae (LSTV) affects the clinical outcomes of percutaneous endoscopic lumbar discectomy (PELD) in adolescent patients with lumbar disc herniation (LDH). Methods. This was a retrospective study with two groups. Group A was made up of 22 adolescent LDH patients with LSTV (18 males and 4 females). Group B was made up of 44 adolescent LDH patients without LSTV (36 males and 4 females), who were matched to group A for age, sex, and body mass index. All patients underwent PELD at the L4/5 or L5/S1 single level and were followed up at 18 months after surgery. We identified LSTV on radiographs and computed tomography and assessed the imaging characteristics of all patients. Outcomes were evaluated through a numerical rating scale (NRS), the Oswestry Disability Index (ODI), the modified MacNab grading system, and the incidence of additional lumbar surgery. Results. At 18 months after PELD, both groups had significant improvements in the mean NRS scores of low back pain (LBP) or leg pain and the ODI scores. In terms of the MacNab criteria, 90.9% in group A and 93.2% in group B showed excellent or good outcomes. The mean NRS scores of LBP or leg pain, ODI score, and MacNab grade after surgery were not significantly different between the 2 groups. Two patients (one patient had a recurrence; one patient had a new lumbar disc herniation) in group A and 3 patients (one patient had a recurrence; two patients had new lumbar disc herniations) in group B underwent additional lumbar surgery. Conclusions. Our study suggests that in terms of pain relief, life function improvement, and the incidence of additional lumbar surgery, LSTV has no effect on the short-term clinical outcomes of PELD in adolescents. A new lumbar disc herniation is an important reason for additional surgery in adolescents, regardless of the LSTV status.http://dx.doi.org/10.1155/2021/9911579 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yong Huang Lu Mao Hang Shi Guanrui Ren Lei Zhu Rui Zhang Zhengming Shan Xiaotao Wu |
spellingShingle |
Yong Huang Lu Mao Hang Shi Guanrui Ren Lei Zhu Rui Zhang Zhengming Shan Xiaotao Wu Lumbosacral Transitional Vertebrae in Adolescents: Effects on the Short-Term Outcomes of Percutaneous Endoscopic Lumbar Discectomy BioMed Research International |
author_facet |
Yong Huang Lu Mao Hang Shi Guanrui Ren Lei Zhu Rui Zhang Zhengming Shan Xiaotao Wu |
author_sort |
Yong Huang |
title |
Lumbosacral Transitional Vertebrae in Adolescents: Effects on the Short-Term Outcomes of Percutaneous Endoscopic Lumbar Discectomy |
title_short |
Lumbosacral Transitional Vertebrae in Adolescents: Effects on the Short-Term Outcomes of Percutaneous Endoscopic Lumbar Discectomy |
title_full |
Lumbosacral Transitional Vertebrae in Adolescents: Effects on the Short-Term Outcomes of Percutaneous Endoscopic Lumbar Discectomy |
title_fullStr |
Lumbosacral Transitional Vertebrae in Adolescents: Effects on the Short-Term Outcomes of Percutaneous Endoscopic Lumbar Discectomy |
title_full_unstemmed |
Lumbosacral Transitional Vertebrae in Adolescents: Effects on the Short-Term Outcomes of Percutaneous Endoscopic Lumbar Discectomy |
title_sort |
lumbosacral transitional vertebrae in adolescents: effects on the short-term outcomes of percutaneous endoscopic lumbar discectomy |
publisher |
Hindawi Limited |
series |
BioMed Research International |
issn |
2314-6141 |
publishDate |
2021-01-01 |
description |
Objective. To investigate whether lumbosacral transitional vertebrae (LSTV) affects the clinical outcomes of percutaneous endoscopic lumbar discectomy (PELD) in adolescent patients with lumbar disc herniation (LDH). Methods. This was a retrospective study with two groups. Group A was made up of 22 adolescent LDH patients with LSTV (18 males and 4 females). Group B was made up of 44 adolescent LDH patients without LSTV (36 males and 4 females), who were matched to group A for age, sex, and body mass index. All patients underwent PELD at the L4/5 or L5/S1 single level and were followed up at 18 months after surgery. We identified LSTV on radiographs and computed tomography and assessed the imaging characteristics of all patients. Outcomes were evaluated through a numerical rating scale (NRS), the Oswestry Disability Index (ODI), the modified MacNab grading system, and the incidence of additional lumbar surgery. Results. At 18 months after PELD, both groups had significant improvements in the mean NRS scores of low back pain (LBP) or leg pain and the ODI scores. In terms of the MacNab criteria, 90.9% in group A and 93.2% in group B showed excellent or good outcomes. The mean NRS scores of LBP or leg pain, ODI score, and MacNab grade after surgery were not significantly different between the 2 groups. Two patients (one patient had a recurrence; one patient had a new lumbar disc herniation) in group A and 3 patients (one patient had a recurrence; two patients had new lumbar disc herniations) in group B underwent additional lumbar surgery. Conclusions. Our study suggests that in terms of pain relief, life function improvement, and the incidence of additional lumbar surgery, LSTV has no effect on the short-term clinical outcomes of PELD in adolescents. A new lumbar disc herniation is an important reason for additional surgery in adolescents, regardless of the LSTV status. |
url |
http://dx.doi.org/10.1155/2021/9911579 |
work_keys_str_mv |
AT yonghuang lumbosacraltransitionalvertebraeinadolescentseffectsontheshorttermoutcomesofpercutaneousendoscopiclumbardiscectomy AT lumao lumbosacraltransitionalvertebraeinadolescentseffectsontheshorttermoutcomesofpercutaneousendoscopiclumbardiscectomy AT hangshi lumbosacraltransitionalvertebraeinadolescentseffectsontheshorttermoutcomesofpercutaneousendoscopiclumbardiscectomy AT guanruiren lumbosacraltransitionalvertebraeinadolescentseffectsontheshorttermoutcomesofpercutaneousendoscopiclumbardiscectomy AT leizhu lumbosacraltransitionalvertebraeinadolescentseffectsontheshorttermoutcomesofpercutaneousendoscopiclumbardiscectomy AT ruizhang lumbosacraltransitionalvertebraeinadolescentseffectsontheshorttermoutcomesofpercutaneousendoscopiclumbardiscectomy AT zhengmingshan lumbosacraltransitionalvertebraeinadolescentseffectsontheshorttermoutcomesofpercutaneousendoscopiclumbardiscectomy AT xiaotaowu lumbosacraltransitionalvertebraeinadolescentseffectsontheshorttermoutcomesofpercutaneousendoscopiclumbardiscectomy |
_version_ |
1721282455605870592 |