Predictors of reoperation in hispanic-americans with recurrent lumbosacral disc herniation following primary hemilaminectomy and discectomy surgery
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 fo...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-04-01
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| Series: | World Neurosurgery: X |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2590139723000212 |
| _version_ | 1797850224689938432 |
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| author | Jorge Lastra-Power Christian Nieves-Ríos Francisco Baralt-Nazario Alessandra G. Costello-Serrano Ashlie M. Maldonado-Pérez Gerardo Olivella Juan Pérez-Rosado Norman Ramírez |
| author_facet | Jorge Lastra-Power Christian Nieves-Ríos Francisco Baralt-Nazario Alessandra G. Costello-Serrano Ashlie M. Maldonado-Pérez Gerardo Olivella Juan Pérez-Rosado Norman Ramírez |
| author_sort | Jorge Lastra-Power |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-09T18:58:01Z |
| format | Article |
| id | doaj.art-4a9f38e1c2a145cc85adda22f6c04de6 |
| institution | Directory Open Access Journal |
| issn | 2590-1397 |
| language | English |
| last_indexed | 2024-04-09T18:58:01Z |
| publishDate | 2023-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | World Neurosurgery: X |
| spelling | doaj.art-4a9f38e1c2a145cc85adda22f6c04de62023-04-09T05:49:58ZengElsevierWorld Neurosurgery: X2590-13972023-04-0118100172Predictors of reoperation in hispanic-americans with recurrent lumbosacral disc herniation following primary hemilaminectomy and discectomy surgeryJorge Lastra-Power0Christian Nieves-Ríos1Francisco Baralt-Nazario2Alessandra G. Costello-Serrano3Ashlie M. Maldonado-Pérez4Gerardo Olivella5Juan Pérez-Rosado6Norman Ramírez7Department of Neuroscience, Manati Medical Center, Manati, Puerto Rico, 00674, USADepartment of Surgery, Ponce Health Sciences University, P.O. Box 7004, Ponce, Puerto Rico, 00732, USA; Corresponding author. Ponce Health Sciences University, USADepartment of Surgery, Ponce Health Sciences University, P.O. Box 7004, Ponce, Puerto Rico, 00732, USADepartment of Surgery, Ponce Health Sciences University, P.O. Box 7004, Ponce, Puerto Rico, 00732, USADepartment of Surgery, Ponce Health Sciences University, P.O. Box 7004, Ponce, Puerto Rico, 00732, USADepartment of Orthopaedic Surgery, University of Puerto Rico Medical Sciences Campus, PO Box 365067, San Juan, PR, 00936, USADepartment of Internal Medicine, Manati Medical Center, Manati, Puerto Rico, 00674, USADepartment of Pediatric Orthopaedic Surgery, Mayaguez Medical Center, Mayaguez, Puerto Rico, 00681, USABackground: 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.http://www.sciencedirect.com/science/article/pii/S2590139723000212Decompressive surgeryHispanic-americansLumbosacral disc herniationRecurrent |
| spellingShingle | Jorge Lastra-Power Christian Nieves-Ríos Francisco Baralt-Nazario Alessandra G. Costello-Serrano Ashlie M. Maldonado-Pérez Gerardo Olivella Juan Pérez-Rosado Norman Ramírez Predictors of reoperation in hispanic-americans with recurrent lumbosacral disc herniation following primary hemilaminectomy and discectomy surgery World Neurosurgery: X Decompressive surgery Hispanic-americans Lumbosacral disc herniation Recurrent |
| title | Predictors of reoperation in hispanic-americans with recurrent lumbosacral disc herniation following primary hemilaminectomy and discectomy surgery |
| title_full | Predictors of reoperation in hispanic-americans with recurrent lumbosacral disc herniation following primary hemilaminectomy and discectomy surgery |
| title_fullStr | Predictors of reoperation in hispanic-americans with recurrent lumbosacral disc herniation following primary hemilaminectomy and discectomy surgery |
| title_full_unstemmed | Predictors of reoperation in hispanic-americans with recurrent lumbosacral disc herniation following primary hemilaminectomy and discectomy surgery |
| title_short | Predictors of reoperation in hispanic-americans with recurrent lumbosacral disc herniation following primary hemilaminectomy and discectomy surgery |
| title_sort | predictors of reoperation in hispanic americans with recurrent lumbosacral disc herniation following primary hemilaminectomy and discectomy surgery |
| topic | Decompressive surgery Hispanic-americans Lumbosacral disc herniation Recurrent |
| url | http://www.sciencedirect.com/science/article/pii/S2590139723000212 |
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