Preoperative Magnetic Resonance Imaging Abnormalities Predictive of Lumbar Herniation Recurrence

Ataturk University188 enrolled

Overview

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).

Study Type

OBSERVATIONAL

Enrollment

188

Conditions

Lumbar Disc Herniation

Interventions

magnetic resonance imagingDEVICE

Preoperative magnetic resonance imaging

Eligibility

Sex: ALLMin age: 18 YearsMax age: 75 Years

Medical Language ↔ Plain English

Inclusion Criteria: * 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 Exclusion Criteria: * the operation was for multi-level pathologies * recurrent surgery * exhibited concurrent spinal pathology * was missing or incomplete clinical and radiological data

Locations (1)

Ataturk University

Erzurum, Yakutiye, Turkey (Türkiye)