The factors associated with the successful outcomes of percutaneous disc decompression in patients with lumbar herniated nucleus pulposus

Sang Heon Lee, Yong Jin Jeong, Nack Hwan Kim, Hyeun Jun Park, Hyun Joon Yoo, Soo Yung Jo

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objective To determine clinical and radiological factors that predict the successful outcome of percutaneous disc decompression (PDD) in patients with lumbar herniated nucleus pulposus (HNP).Methods We retrospectively reviewed the clinical and radiological features of patients who underwent lumbar PDD from April 2009 to March 2013. Sixty-nine patients with lumbar HNP were studied. Clinical outcome was assessed by the visual analogue scale (VAS) and the Oswestry Disability Index (ODI). Multivariate logistic regression analysis was performed to assess relationship among clinical and radiological factors and the successful outcome of the PDD.Results The VAS and the ODI decreased significantly at 1 year follow-up (p<0.01). One year after PDD, the reduction of the VAS (ΔVAS) was significantly greater in the patients with pain for <6 months (p=0.03) and subarticular HNP (p=0.015). The reduction of the ODI (ΔODI) was significantly greater in the patients with high intensity zone (p=0.04). Multivariate logistic regression analysis revealed the following 5 factors that were associated with the successful outcome after PDD: pain duration for <6 months (odds ratio [OR]=14.036; p=0.006), positive straight leg raising test (OR=8.425, p=0.014), the extruded HNP (OR=0.106, p=0.04), the sequestrated HNP (OR=0.037, p=0.026), and the subarticular HNP (OR=10.876, p=0.012).Conclusion PDD provided significant improvement of pain and disability of patients. The results of the analysis indicated that the duration of pain <6 months, positive straight leg raising test, the subarticular HNP, and the protruded HNP were predicting factors associated with the successful response of PDD in patients with lumbar HNP.

Original languageEnglish
Pages (from-to)735-744
Number of pages10
JournalAnnals of Rehabilitation Medicine
Volume39
Issue number5
DOIs
Publication statusPublished - 2015 Jan 1

Fingerprint

Decompression
Visual Analog Scale
Odds Ratio
Pain
Leg
Logistic Models
Regression Analysis
Nucleus Pulposus

Keywords

  • Decompression
  • Intervertebral disc displacement
  • Radiculopathy
  • Regression analysis
  • Treatment outcome

ASJC Scopus subject areas

  • Rehabilitation

Cite this

The factors associated with the successful outcomes of percutaneous disc decompression in patients with lumbar herniated nucleus pulposus. / Lee, Sang Heon; Jeong, Yong Jin; Kim, Nack Hwan; Park, Hyeun Jun; Yoo, Hyun Joon; Jo, Soo Yung.

In: Annals of Rehabilitation Medicine, Vol. 39, No. 5, 01.01.2015, p. 735-744.

Research output: Contribution to journalArticle

Lee, Sang Heon ; Jeong, Yong Jin ; Kim, Nack Hwan ; Park, Hyeun Jun ; Yoo, Hyun Joon ; Jo, Soo Yung. / The factors associated with the successful outcomes of percutaneous disc decompression in patients with lumbar herniated nucleus pulposus. In: Annals of Rehabilitation Medicine. 2015 ; Vol. 39, No. 5. pp. 735-744.
@article{4b75dd5a8c2b4d0f819b3b5d43429c0b,
title = "The factors associated with the successful outcomes of percutaneous disc decompression in patients with lumbar herniated nucleus pulposus",
abstract = "Objective To determine clinical and radiological factors that predict the successful outcome of percutaneous disc decompression (PDD) in patients with lumbar herniated nucleus pulposus (HNP).Methods We retrospectively reviewed the clinical and radiological features of patients who underwent lumbar PDD from April 2009 to March 2013. Sixty-nine patients with lumbar HNP were studied. Clinical outcome was assessed by the visual analogue scale (VAS) and the Oswestry Disability Index (ODI). Multivariate logistic regression analysis was performed to assess relationship among clinical and radiological factors and the successful outcome of the PDD.Results The VAS and the ODI decreased significantly at 1 year follow-up (p<0.01). One year after PDD, the reduction of the VAS (ΔVAS) was significantly greater in the patients with pain for <6 months (p=0.03) and subarticular HNP (p=0.015). The reduction of the ODI (ΔODI) was significantly greater in the patients with high intensity zone (p=0.04). Multivariate logistic regression analysis revealed the following 5 factors that were associated with the successful outcome after PDD: pain duration for <6 months (odds ratio [OR]=14.036; p=0.006), positive straight leg raising test (OR=8.425, p=0.014), the extruded HNP (OR=0.106, p=0.04), the sequestrated HNP (OR=0.037, p=0.026), and the subarticular HNP (OR=10.876, p=0.012).Conclusion PDD provided significant improvement of pain and disability of patients. The results of the analysis indicated that the duration of pain <6 months, positive straight leg raising test, the subarticular HNP, and the protruded HNP were predicting factors associated with the successful response of PDD in patients with lumbar HNP.",
keywords = "Decompression, Intervertebral disc displacement, Radiculopathy, Regression analysis, Treatment outcome",
author = "Lee, {Sang Heon} and Jeong, {Yong Jin} and Kim, {Nack Hwan} and Park, {Hyeun Jun} and Yoo, {Hyun Joon} and Jo, {Soo Yung}",
year = "2015",
month = "1",
day = "1",
doi = "10.5535/arm.2015.39.5.735",
language = "English",
volume = "39",
pages = "735--744",
journal = "Annals of Rehabilitation Medicine",
issn = "2234-0645",
publisher = "Korean Academy of Rehabilitation Medicine (KARM)",
number = "5",

}

TY - JOUR

T1 - The factors associated with the successful outcomes of percutaneous disc decompression in patients with lumbar herniated nucleus pulposus

AU - Lee, Sang Heon

AU - Jeong, Yong Jin

AU - Kim, Nack Hwan

AU - Park, Hyeun Jun

AU - Yoo, Hyun Joon

AU - Jo, Soo Yung

PY - 2015/1/1

Y1 - 2015/1/1

N2 - Objective To determine clinical and radiological factors that predict the successful outcome of percutaneous disc decompression (PDD) in patients with lumbar herniated nucleus pulposus (HNP).Methods We retrospectively reviewed the clinical and radiological features of patients who underwent lumbar PDD from April 2009 to March 2013. Sixty-nine patients with lumbar HNP were studied. Clinical outcome was assessed by the visual analogue scale (VAS) and the Oswestry Disability Index (ODI). Multivariate logistic regression analysis was performed to assess relationship among clinical and radiological factors and the successful outcome of the PDD.Results The VAS and the ODI decreased significantly at 1 year follow-up (p<0.01). One year after PDD, the reduction of the VAS (ΔVAS) was significantly greater in the patients with pain for <6 months (p=0.03) and subarticular HNP (p=0.015). The reduction of the ODI (ΔODI) was significantly greater in the patients with high intensity zone (p=0.04). Multivariate logistic regression analysis revealed the following 5 factors that were associated with the successful outcome after PDD: pain duration for <6 months (odds ratio [OR]=14.036; p=0.006), positive straight leg raising test (OR=8.425, p=0.014), the extruded HNP (OR=0.106, p=0.04), the sequestrated HNP (OR=0.037, p=0.026), and the subarticular HNP (OR=10.876, p=0.012).Conclusion PDD provided significant improvement of pain and disability of patients. The results of the analysis indicated that the duration of pain <6 months, positive straight leg raising test, the subarticular HNP, and the protruded HNP were predicting factors associated with the successful response of PDD in patients with lumbar HNP.

AB - Objective To determine clinical and radiological factors that predict the successful outcome of percutaneous disc decompression (PDD) in patients with lumbar herniated nucleus pulposus (HNP).Methods We retrospectively reviewed the clinical and radiological features of patients who underwent lumbar PDD from April 2009 to March 2013. Sixty-nine patients with lumbar HNP were studied. Clinical outcome was assessed by the visual analogue scale (VAS) and the Oswestry Disability Index (ODI). Multivariate logistic regression analysis was performed to assess relationship among clinical and radiological factors and the successful outcome of the PDD.Results The VAS and the ODI decreased significantly at 1 year follow-up (p<0.01). One year after PDD, the reduction of the VAS (ΔVAS) was significantly greater in the patients with pain for <6 months (p=0.03) and subarticular HNP (p=0.015). The reduction of the ODI (ΔODI) was significantly greater in the patients with high intensity zone (p=0.04). Multivariate logistic regression analysis revealed the following 5 factors that were associated with the successful outcome after PDD: pain duration for <6 months (odds ratio [OR]=14.036; p=0.006), positive straight leg raising test (OR=8.425, p=0.014), the extruded HNP (OR=0.106, p=0.04), the sequestrated HNP (OR=0.037, p=0.026), and the subarticular HNP (OR=10.876, p=0.012).Conclusion PDD provided significant improvement of pain and disability of patients. The results of the analysis indicated that the duration of pain <6 months, positive straight leg raising test, the subarticular HNP, and the protruded HNP were predicting factors associated with the successful response of PDD in patients with lumbar HNP.

KW - Decompression

KW - Intervertebral disc displacement

KW - Radiculopathy

KW - Regression analysis

KW - Treatment outcome

UR - http://www.scopus.com/inward/record.url?scp=84945949263&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84945949263&partnerID=8YFLogxK

U2 - 10.5535/arm.2015.39.5.735

DO - 10.5535/arm.2015.39.5.735

M3 - Article

VL - 39

SP - 735

EP - 744

JO - Annals of Rehabilitation Medicine

JF - Annals of Rehabilitation Medicine

SN - 2234-0645

IS - 5

ER -