Factors Related to the Deterioration of Postoperative Lower Back Pain in Hemilaminectomy Approach for Lumbar Spinal Schwannoma Resection
By Admin | August 30, 2023
Lu Gao, Lei Ye, Yiquan Zhang, Ke Zhang, Xianxiang Wang, Bao Chun Cheng, Hongwei Cheng
Department of Neurosurgery, First Affiliated Hospital of Anhui Medical University, Hefei, Anhui Province, People’s Republic of China
Correspondence: Hongwei Cheng; Bao Chun Cheng, Department of Neurosurgery, First Affiliated Hospital of Anhui Medical University, Jixi Road 218, Hefei, Anhui Province, 230022, People’s Republic of China, Email hongwei.cheng@ahmu.edu.cn; ayfycheng@qq.com
Objective: This study aimed to explore the related risk factors in patients who underwent hemilaminectomy for lumbar spinal schwannoma resection and who experienced deterioration of postoperative lower back pain in comparison to preoperative pain levels.
Methods: This retrospective study recruited 61 patients from the First Affiliated Hospital of An Hui Medical University between January 2018 and June 2019. All data were collected from clinical records and analyzed at 1-month and at 1-year follow-up. The visual analog scale (VAS) was used to evaluate pain, and neurologic function was assessed using the Modified McCormick Scale. Intraoperative neurophysiological monitoring was used to assess neuronal integrity and mitigate injury. Statistical analysis of the data was performed using the SPSS version 19 software.
Results: Preoperative pain improved dramatically in the 1-year follow-up (VAS: preoperative, 3.84± 2.19; 1-year follow-up, 2.13± 2.26; P< 0.001). The pain-improved group and worsened group showed a significant difference at 1-month (VAS: 1.76± 1.56; 5.54± 1.26; P< 0.05) and at 1-year (VAS: 0.83± 1.09; 4.80± 1.58; P< 0.05) follow-up. The pain-improved and worsened groups had a significant difference in tumor size and...(More)
For more info please read, Factors Related to the Deterioration of Postoperative Lower Back Pain in Hemilaminectomy Approach for Lumbar Spinal Schwannoma Resection, by Dovepress
