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RISK FACTORS FOR RECURRENT LUMBAR DISK HERNIATIONстатья
- Авторы: Konovalov Nikolay Alexandrovich, Nazarenko Anton Gerasimovich, Brinyuk Evgeniy Sergeevich, Kaprovoy Stanislav Vyacheslavovich, Beloborodov Vladimir Anatol’evich, Stepanov Ivan Andreevich
- Журнал: Coluna/ Columna
- Том: 21
- Номер: 4
- Год издания: 2022
- Издательство: Bevilaqua Publisher
- Местоположение издательства: Brazil
- Первая страница: 1
- Последняя страница: 5
- DOI: 10.1590/S1808-185120222104263325
- Аннотация: Objective: to investigate the frequency of recurrent lumbar disk herniation (rLDH) and evaluated risk factors of rLDH in Russian population.Methods: this was a retrospective clinical study. From January 2015 to March 2022, 218 patients having single-level LDH at three instituteswere included in this clinical study and who were then observed for a minimum of 5 years postoperatively. All the patients or relatives gaveinformed consent to participate in this study. The levels of disk herniation were L4-L5 in 132 cases (60.5 %), and L5-S1 in 86 cases (39.4%). Results: The rLDH group was composed of 31 male and 12 female, whose ages ranged from 18 to 57 years (34.8±9.5 years). Thenon-rLDH group was composed of 97 male and 78 female, whose ages ranged from 19 to 73 years (47.5±9.8 years). According to theconstructed binary logistic model, body mass index (p=0.021), current smoking (p=0.017), stage of disk degeneration (p=0.043), facettropism (p=0.037), disk height index (p=0.018) and apparent diffusion coefficient (p=0.009) are significantly associated with incidenceof rLDH. Conclusions: patients with these risk factors should be paid more attention for prevention of rLDH. Level of Evidence III; RetrospectiveStudy.
- Добавил в систему: Бринюк Евгений Сергеевич