Risk factors of unsatisfactory outcomes after percutaneous laser decompression of lumbar intervertebral discs

beloborodov V.A.; Stepanov I.A.

doi:https://doi.org/10.17116/hirurgia202201115

beloborodov V.A.

Irkutsk State Medical University

ORCID: 0000-0002-3299-1924

Stepanov I.A.

Irkutsk State Medical University

ORCID: 0000-0001-9039-9147

Risk factors of unsatisfactory outcomes after percutaneous laser decompression of lumbar intervertebral discs

Authors:

beloborodov V.A., Stepanov I.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2022;(1): 15‑22

DOI: 10.17116/hirurgia202201115

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To cite this article:

beloborodov VA, Stepanov IA. Risk factors of unsatisfactory outcomes after percutaneous laser decompression of lumbar intervertebral discs. Pirogov Russian Journal of Surgery. 2022;(1):15‑22. (In Russ.)
https://doi.org/10.17116/hirurgia202201115

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

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Abstract:

OBJECTIVE

To study the risk factors of unsatisfactory clinical results after percutaneous laser decompression of the lumbar intervertebral disc (PLDD).

MATERIAL AND METHODS

A retrospective observational single-center study included medical records of patients who underwent lumbar PLDD for degenerative spine disease. We analyzed clinical and instrumental parameters potentially affecting the results of lumbar PLDD.

RESULTS

Clinical study included 82 patients who underwent PLDD for lumbar intervertebral disc degenerative disease. Mean postoperative follow-up period was 30.8±13.3 months. In 22 (26%) patients, unsatisfactory clinical outcomes were observed. According to binary logistic regression model, comorbidities (p=0.03), duration of disease over 12 months (p=0.03), low preoperative quality of life according to ODI score (more than 50%) (p=0.04), high body mass index (over 25 kg/m²) (p=0.02), severe intervertebral disc (p=0.04) and facet joint degeneration (p=0.01) and intervertebral disc height decrease more than 50% (p=0.01) were significantly associated with unsatisfactory clinical outcomes after lumbar PLDD for degenerative spine disease.

CONCLUSION

Identification of these risk factors of unsatisfactory clinical outcomes is important stage of preoperative preparation in patients scheduled for lumbar PLDD.

Keywords:

percutaneous laser disc decompression

lumbar spine

degenerative disease

unsatisfactory clinical results

risk factors

Authors:

beloborodov V.A.

Irkutsk State Medical University

ORCID: 0000-0002-3299-1924

Stepanov I.A.

Irkutsk State Medical University

ORCID: 0000-0001-9039-9147

Received:

27.01.2021

Accepted:

25.05.2021

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References:

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