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MRI Radiological Predictors of Requiring Microscopic Lumbar Discectomy After Lumbar Disc Herniation
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| Zeitschriftentitel: | Global Spine Journal |
|---|---|
| Personen und Körperschaften: | , , , , , , , , , , , , , , , |
| In: | Global Spine Journal, 10, 2020, 1, S. 63-68 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
SAGE Publications
|
| Schlagwörter: |
| author_facet |
Varlotta, Christopher G. Ge, David H. Stekas, Nicholas Frangella, Nicholas J. Manning, Jordan H. Steinmetz, Leah Vasquez-Montes, Dennis Errico, Thomas J. Bendo, John A. Kim, Yong H. Stieber, Jonathan R. Varlotta, Gerard Fischer, Charla R. Protopsaltis, Themistocles S. Passias, Peter G. Buckland, Aaron J. Varlotta, Christopher G. Ge, David H. Stekas, Nicholas Frangella, Nicholas J. Manning, Jordan H. Steinmetz, Leah Vasquez-Montes, Dennis Errico, Thomas J. Bendo, John A. Kim, Yong H. Stieber, Jonathan R. Varlotta, Gerard Fischer, Charla R. Protopsaltis, Themistocles S. Passias, Peter G. Buckland, Aaron J. |
|---|---|
| author |
Varlotta, Christopher G. Ge, David H. Stekas, Nicholas Frangella, Nicholas J. Manning, Jordan H. Steinmetz, Leah Vasquez-Montes, Dennis Errico, Thomas J. Bendo, John A. Kim, Yong H. Stieber, Jonathan R. Varlotta, Gerard Fischer, Charla R. Protopsaltis, Themistocles S. Passias, Peter G. Buckland, Aaron J. |
| spellingShingle |
Varlotta, Christopher G. Ge, David H. Stekas, Nicholas Frangella, Nicholas J. Manning, Jordan H. Steinmetz, Leah Vasquez-Montes, Dennis Errico, Thomas J. Bendo, John A. Kim, Yong H. Stieber, Jonathan R. Varlotta, Gerard Fischer, Charla R. Protopsaltis, Themistocles S. Passias, Peter G. Buckland, Aaron J. Global Spine Journal MRI Radiological Predictors of Requiring Microscopic Lumbar Discectomy After Lumbar Disc Herniation Neurology (clinical) Orthopedics and Sports Medicine Surgery |
| author_sort |
varlotta, christopher g. |
| spelling |
Varlotta, Christopher G. Ge, David H. Stekas, Nicholas Frangella, Nicholas J. Manning, Jordan H. Steinmetz, Leah Vasquez-Montes, Dennis Errico, Thomas J. Bendo, John A. Kim, Yong H. Stieber, Jonathan R. Varlotta, Gerard Fischer, Charla R. Protopsaltis, Themistocles S. Passias, Peter G. Buckland, Aaron J. 2192-5682 2192-5690 SAGE Publications Neurology (clinical) Orthopedics and Sports Medicine Surgery http://dx.doi.org/10.1177/2192568219856345 <jats:sec><jats:title>Study Design:</jats:title><jats:p> Retrospective cohort study. </jats:p></jats:sec><jats:sec><jats:title>Objective:</jats:title><jats:p> To investigate radiological differences in lumbar disc herniations (herniated nucleus pulposus [HNP]) between patients receiving microscopic lumbar discectomy (MLD) and nonoperative patients. </jats:p></jats:sec><jats:sec><jats:title>Methods:</jats:title><jats:p> Patients with primary treatment for an HNP at a single academic institution between November 2012 to March 2017 were divided into MLD and nonoperative treatment groups. Using magnetic resonance imaging (MRI), axial HNP area; axial canal area; HNP canal compromise; HNP cephalad/caudal migration and HNP MRI signal (black, gray, or mixed) were measured. T test and chi-square analyses compared differences in the groups, binary logistic regression analysis determined odds ratios (ORs), and decision tree analysis compared the cutoff values for risk factors. </jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p> A total of 285 patients (78 MLD, 207 nonoperative) were included. Risk factors for MLD treatment included larger axial HNP area ( P < .01, OR = 1.01), caudal migration, and migration magnitude ( P < .05, OR = 1.90; P < .01, OR = 1.14), and gray HNP MRI signal ( P < .01, OR = 5.42). Cutoff values for risks included axial HNP area (70.52 mm<jats:sup>2</jats:sup>, OR = 2.66, P < .01), HNP canal compromise (20.0%, OR = 3.29, P < .01), and cephalad/caudal migration (6.8 mm, OR = 2.43, P < .01). MLD risk for those with gray HNP MRI signal (67.6% alone) increased when combined with axial HNP area >70.52 mm<jats:sup>2</jats:sup> (75.5%, P = .01) and HNP canal compromise >20.0% (71.1%, P = .05) cutoffs. MLD risk in patients with cephalad/caudal migration >6.8 mm (40.5% alone) increased when combined with axial HNP area and HNP canal compromise (52.4%, 50%; P < .01). </jats:p></jats:sec><jats:sec><jats:title>Conclusion:</jats:title><jats:p> Patients who underwent MLD treatment had significantly different axial HNP area, frequency of caudal migration, magnitude of cephalad/caudal migration, and disc herniation MRI signal compared to patients with nonoperative treatment. </jats:p></jats:sec> MRI Radiological Predictors of Requiring Microscopic Lumbar Discectomy After Lumbar Disc Herniation Global Spine Journal |
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10.1177/2192568219856345 |
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SAGE Publications, 2020 |
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SAGE Publications, 2020 |
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2020 |
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SAGE Publications |
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Global Spine Journal |
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49 |
| title |
MRI Radiological Predictors of Requiring Microscopic Lumbar Discectomy After Lumbar Disc Herniation |
| title_unstemmed |
MRI Radiological Predictors of Requiring Microscopic Lumbar Discectomy After Lumbar Disc Herniation |
| title_full |
MRI Radiological Predictors of Requiring Microscopic Lumbar Discectomy After Lumbar Disc Herniation |
| title_fullStr |
MRI Radiological Predictors of Requiring Microscopic Lumbar Discectomy After Lumbar Disc Herniation |
| title_full_unstemmed |
MRI Radiological Predictors of Requiring Microscopic Lumbar Discectomy After Lumbar Disc Herniation |
| title_short |
MRI Radiological Predictors of Requiring Microscopic Lumbar Discectomy After Lumbar Disc Herniation |
| title_sort |
mri radiological predictors of requiring microscopic lumbar discectomy after lumbar disc herniation |
| topic |
Neurology (clinical) Orthopedics and Sports Medicine Surgery |
| url |
http://dx.doi.org/10.1177/2192568219856345 |
| publishDate |
2020 |
| physical |
63-68 |
| description |
<jats:sec><jats:title>Study Design:</jats:title><jats:p> Retrospective cohort study. </jats:p></jats:sec><jats:sec><jats:title>Objective:</jats:title><jats:p> To investigate radiological differences in lumbar disc herniations (herniated nucleus pulposus [HNP]) between patients receiving microscopic lumbar discectomy (MLD) and nonoperative patients. </jats:p></jats:sec><jats:sec><jats:title>Methods:</jats:title><jats:p> Patients with primary treatment for an HNP at a single academic institution between November 2012 to March 2017 were divided into MLD and nonoperative treatment groups. Using magnetic resonance imaging (MRI), axial HNP area; axial canal area; HNP canal compromise; HNP cephalad/caudal migration and HNP MRI signal (black, gray, or mixed) were measured. T test and chi-square analyses compared differences in the groups, binary logistic regression analysis determined odds ratios (ORs), and decision tree analysis compared the cutoff values for risk factors. </jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p> A total of 285 patients (78 MLD, 207 nonoperative) were included. Risk factors for MLD treatment included larger axial HNP area ( P < .01, OR = 1.01), caudal migration, and migration magnitude ( P < .05, OR = 1.90; P < .01, OR = 1.14), and gray HNP MRI signal ( P < .01, OR = 5.42). Cutoff values for risks included axial HNP area (70.52 mm<jats:sup>2</jats:sup>, OR = 2.66, P < .01), HNP canal compromise (20.0%, OR = 3.29, P < .01), and cephalad/caudal migration (6.8 mm, OR = 2.43, P < .01). MLD risk for those with gray HNP MRI signal (67.6% alone) increased when combined with axial HNP area >70.52 mm<jats:sup>2</jats:sup> (75.5%, P = .01) and HNP canal compromise >20.0% (71.1%, P = .05) cutoffs. MLD risk in patients with cephalad/caudal migration >6.8 mm (40.5% alone) increased when combined with axial HNP area and HNP canal compromise (52.4%, 50%; P < .01). </jats:p></jats:sec><jats:sec><jats:title>Conclusion:</jats:title><jats:p> Patients who underwent MLD treatment had significantly different axial HNP area, frequency of caudal migration, magnitude of cephalad/caudal migration, and disc herniation MRI signal compared to patients with nonoperative treatment. </jats:p></jats:sec> |
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| author | Varlotta, Christopher G., Ge, David H., Stekas, Nicholas, Frangella, Nicholas J., Manning, Jordan H., Steinmetz, Leah, Vasquez-Montes, Dennis, Errico, Thomas J., Bendo, John A., Kim, Yong H., Stieber, Jonathan R., Varlotta, Gerard, Fischer, Charla R., Protopsaltis, Themistocles S., Passias, Peter G., Buckland, Aaron J. |
| author_facet | Varlotta, Christopher G., Ge, David H., Stekas, Nicholas, Frangella, Nicholas J., Manning, Jordan H., Steinmetz, Leah, Vasquez-Montes, Dennis, Errico, Thomas J., Bendo, John A., Kim, Yong H., Stieber, Jonathan R., Varlotta, Gerard, Fischer, Charla R., Protopsaltis, Themistocles S., Passias, Peter G., Buckland, Aaron J., Varlotta, Christopher G., Ge, David H., Stekas, Nicholas, Frangella, Nicholas J., Manning, Jordan H., Steinmetz, Leah, Vasquez-Montes, Dennis, Errico, Thomas J., Bendo, John A., Kim, Yong H., Stieber, Jonathan R., Varlotta, Gerard, Fischer, Charla R., Protopsaltis, Themistocles S., Passias, Peter G., Buckland, Aaron J. |
| author_sort | varlotta, christopher g. |
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| description | <jats:sec><jats:title>Study Design:</jats:title><jats:p> Retrospective cohort study. </jats:p></jats:sec><jats:sec><jats:title>Objective:</jats:title><jats:p> To investigate radiological differences in lumbar disc herniations (herniated nucleus pulposus [HNP]) between patients receiving microscopic lumbar discectomy (MLD) and nonoperative patients. </jats:p></jats:sec><jats:sec><jats:title>Methods:</jats:title><jats:p> Patients with primary treatment for an HNP at a single academic institution between November 2012 to March 2017 were divided into MLD and nonoperative treatment groups. Using magnetic resonance imaging (MRI), axial HNP area; axial canal area; HNP canal compromise; HNP cephalad/caudal migration and HNP MRI signal (black, gray, or mixed) were measured. T test and chi-square analyses compared differences in the groups, binary logistic regression analysis determined odds ratios (ORs), and decision tree analysis compared the cutoff values for risk factors. </jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p> A total of 285 patients (78 MLD, 207 nonoperative) were included. Risk factors for MLD treatment included larger axial HNP area ( P < .01, OR = 1.01), caudal migration, and migration magnitude ( P < .05, OR = 1.90; P < .01, OR = 1.14), and gray HNP MRI signal ( P < .01, OR = 5.42). Cutoff values for risks included axial HNP area (70.52 mm<jats:sup>2</jats:sup>, OR = 2.66, P < .01), HNP canal compromise (20.0%, OR = 3.29, P < .01), and cephalad/caudal migration (6.8 mm, OR = 2.43, P < .01). MLD risk for those with gray HNP MRI signal (67.6% alone) increased when combined with axial HNP area >70.52 mm<jats:sup>2</jats:sup> (75.5%, P = .01) and HNP canal compromise >20.0% (71.1%, P = .05) cutoffs. MLD risk in patients with cephalad/caudal migration >6.8 mm (40.5% alone) increased when combined with axial HNP area and HNP canal compromise (52.4%, 50%; P < .01). </jats:p></jats:sec><jats:sec><jats:title>Conclusion:</jats:title><jats:p> Patients who underwent MLD treatment had significantly different axial HNP area, frequency of caudal migration, magnitude of cephalad/caudal migration, and disc herniation MRI signal compared to patients with nonoperative treatment. </jats:p></jats:sec> |
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| spelling | Varlotta, Christopher G. Ge, David H. Stekas, Nicholas Frangella, Nicholas J. Manning, Jordan H. Steinmetz, Leah Vasquez-Montes, Dennis Errico, Thomas J. Bendo, John A. Kim, Yong H. Stieber, Jonathan R. Varlotta, Gerard Fischer, Charla R. Protopsaltis, Themistocles S. Passias, Peter G. Buckland, Aaron J. 2192-5682 2192-5690 SAGE Publications Neurology (clinical) Orthopedics and Sports Medicine Surgery http://dx.doi.org/10.1177/2192568219856345 <jats:sec><jats:title>Study Design:</jats:title><jats:p> Retrospective cohort study. </jats:p></jats:sec><jats:sec><jats:title>Objective:</jats:title><jats:p> To investigate radiological differences in lumbar disc herniations (herniated nucleus pulposus [HNP]) between patients receiving microscopic lumbar discectomy (MLD) and nonoperative patients. </jats:p></jats:sec><jats:sec><jats:title>Methods:</jats:title><jats:p> Patients with primary treatment for an HNP at a single academic institution between November 2012 to March 2017 were divided into MLD and nonoperative treatment groups. Using magnetic resonance imaging (MRI), axial HNP area; axial canal area; HNP canal compromise; HNP cephalad/caudal migration and HNP MRI signal (black, gray, or mixed) were measured. T test and chi-square analyses compared differences in the groups, binary logistic regression analysis determined odds ratios (ORs), and decision tree analysis compared the cutoff values for risk factors. </jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p> A total of 285 patients (78 MLD, 207 nonoperative) were included. Risk factors for MLD treatment included larger axial HNP area ( P < .01, OR = 1.01), caudal migration, and migration magnitude ( P < .05, OR = 1.90; P < .01, OR = 1.14), and gray HNP MRI signal ( P < .01, OR = 5.42). Cutoff values for risks included axial HNP area (70.52 mm<jats:sup>2</jats:sup>, OR = 2.66, P < .01), HNP canal compromise (20.0%, OR = 3.29, P < .01), and cephalad/caudal migration (6.8 mm, OR = 2.43, P < .01). MLD risk for those with gray HNP MRI signal (67.6% alone) increased when combined with axial HNP area >70.52 mm<jats:sup>2</jats:sup> (75.5%, P = .01) and HNP canal compromise >20.0% (71.1%, P = .05) cutoffs. MLD risk in patients with cephalad/caudal migration >6.8 mm (40.5% alone) increased when combined with axial HNP area and HNP canal compromise (52.4%, 50%; P < .01). </jats:p></jats:sec><jats:sec><jats:title>Conclusion:</jats:title><jats:p> Patients who underwent MLD treatment had significantly different axial HNP area, frequency of caudal migration, magnitude of cephalad/caudal migration, and disc herniation MRI signal compared to patients with nonoperative treatment. </jats:p></jats:sec> MRI Radiological Predictors of Requiring Microscopic Lumbar Discectomy After Lumbar Disc Herniation Global Spine Journal |
| spellingShingle | Varlotta, Christopher G., Ge, David H., Stekas, Nicholas, Frangella, Nicholas J., Manning, Jordan H., Steinmetz, Leah, Vasquez-Montes, Dennis, Errico, Thomas J., Bendo, John A., Kim, Yong H., Stieber, Jonathan R., Varlotta, Gerard, Fischer, Charla R., Protopsaltis, Themistocles S., Passias, Peter G., Buckland, Aaron J., Global Spine Journal, MRI Radiological Predictors of Requiring Microscopic Lumbar Discectomy After Lumbar Disc Herniation, Neurology (clinical), Orthopedics and Sports Medicine, Surgery |
| title | MRI Radiological Predictors of Requiring Microscopic Lumbar Discectomy After Lumbar Disc Herniation |
| title_full | MRI Radiological Predictors of Requiring Microscopic Lumbar Discectomy After Lumbar Disc Herniation |
| title_fullStr | MRI Radiological Predictors of Requiring Microscopic Lumbar Discectomy After Lumbar Disc Herniation |
| title_full_unstemmed | MRI Radiological Predictors of Requiring Microscopic Lumbar Discectomy After Lumbar Disc Herniation |
| title_short | MRI Radiological Predictors of Requiring Microscopic Lumbar Discectomy After Lumbar Disc Herniation |
| title_sort | mri radiological predictors of requiring microscopic lumbar discectomy after lumbar disc herniation |
| title_unstemmed | MRI Radiological Predictors of Requiring Microscopic Lumbar Discectomy After Lumbar Disc Herniation |
| topic | Neurology (clinical), Orthopedics and Sports Medicine, Surgery |
| url | http://dx.doi.org/10.1177/2192568219856345 |