Preoperative Magnetic Resonance Imaging Abnormalities Predictive of Lumbar Herniation Recurrence Following Surgical Repair
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 188
- 试验地点
- 1
- 主要终点
- Paraspinal muscle quality
研究概览
简要总结
There are currently no standard criteria for evaluating the risk of recurrent disk herniation following surgical repair. This study investigated the predictive values of five presurgical imaging parameters, paraspinal muscle quality, annular tear size, Modic changes, modified Pfirrmann's disc degeneration grade, and presence of sacralization or fusion.
Clinical status and MRI findings were evaluated before surgery and 4, 12, and 24 months post-surgery using a Visual Analog Scale (VAS), Oswestry Disability Index (ODI), and Short Form 36 (SF36).
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •first operation for a single-level lumbar disk herniation
- •no concurrent spinal pathology such as stenosis, spondylolisthesis, or deformity
- •complete data on clinical and radiological parameters
排除标准
- •the operation was for multi-level pathologies
- •recurrent surgery
- •exhibited concurrent spinal pathology
- •was missing or incomplete clinical and radiological data
结局指标
主要结局
Paraspinal muscle quality
时间窗: Preoperative 1 month
Simplified 3-tier classification
Annular tear size
时间窗: Preoperative 1 month
With computer as millimeter
Modic changes
时间窗: Preoperative 1 month
Modic classification
Disc degeneration grade
时间窗: Preoperative 1 month
modified Pfirrmann's classification
sacralization or fusion
时间窗: Preoperative 1 month
MRI findings
次要结局
- Oswestry Disability Index (ODI)(4, 12, and 24 months after surgery)
- Visual Analog Scale(4, 12, and 24 months after surgery)
- Short Form 36 (SF36)(4, 12, and 24 months after surgery)
研究者
Mehmet Kursat Karadag
Principal Investigator
Ataturk University