The Impact of Lumbosacral Transitional Vertebra on Long-Term Surgical Outcome of Adjacent Single-Level Lumbar Discectomy
Introduction The lumbosacral transitional vertebra (LSTV) theoretically offloads the inferior intervertebral disc and may reciprocally load up the relevant adjacent disc. In this study, we evaluate the influence of LSTV on clinical outcomes of adjacent discectomy in young adults with lumbar disc...
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Knowledge E
2025-03-01
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| Series: | Journal of Spine Practice |
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| Online Access: | https://knepublishing.com/index.php/jsp/article/view/17681 |
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| author | Farzad Omidi-Kashani Seyed Alireza Ghoreishi Arad Omidi-Kashani Zohreh Mohammadi Arki |
| author_facet | Farzad Omidi-Kashani Seyed Alireza Ghoreishi Arad Omidi-Kashani Zohreh Mohammadi Arki |
| author_sort | Farzad Omidi-Kashani |
| collection | DOAJ |
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Introduction
The lumbosacral transitional vertebra (LSTV) theoretically offloads the inferior intervertebral disc and may reciprocally load up the relevant adjacent disc. In this study, we evaluate the influence of LSTV on clinical outcomes of adjacent discectomy in young adults with lumbar disc herniation (LDH).
Methods
This retrospective study included two groups. Group A consisted of 32 LDH patients with LSTV (16 males and 16 females), and Group B included 167 LDH patients without LSTV (89 males and 78 females). All patients underwent single-level discectomy at the adjacent level to LSTV and were followed for a minimum of 24 months post-surgery. The diagnosis of LSTV was based on radiography and computed tomography (CT) scanning performed preoperatively for all patients. Outcome measurements were performed with pain assessment at each follow-up visit using a visual analog scale (VAS) for back and leg pain, the Oswestry Disability Index (ODI), and recurrence rate.
Results
At 24 months after discectomy, the mean VAS scores for low back pain (LBP) and leg pain and ODI scores showed no significant differences between the two groups. Recurrence occurred in 25 patients (15%) in Group A and in 4 patients (12.5%) in Group B.
Conclusions
In the patients with LDH who underwent microlumbar discectomy, after a mean follow-up period of 48.4 ± 13.7 months, we could not find any significant difference in terms of pain, disability, patient satisfaction, or recurrence rate between the group with versus without LSTV.
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| format | Article |
| id | doaj-art-47bef417bc814855b09398a64c70d49f |
| institution | DOAJ |
| issn | 2789-9454 2789-9462 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Knowledge E |
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| series | Journal of Spine Practice |
| spelling | doaj-art-47bef417bc814855b09398a64c70d49f2025-08-20T03:16:12ZengKnowledge EJournal of Spine Practice2789-94542789-94622025-03-014210.18502/jsp.v4i2.17681The Impact of Lumbosacral Transitional Vertebra on Long-Term Surgical Outcome of Adjacent Single-Level Lumbar DiscectomyFarzad Omidi-Kashani0https://orcid.org/0000-0002-6964-3982Seyed Alireza Ghoreishi1https://orcid.org/0009-0002-3595-0113Arad Omidi-Kashani2https://orcid.org/0009-0003-5728-0808Zohreh Mohammadi Arki3Department of Orthopedic Surgery, Faculty of Medicine, Mashhad University of Medical Sciences, MashhadDepartment of Orthopedic Surgery, Faculty of Medicine, Mashhad University of Medical Sciences, MashhadDepartment of Orthopedic Surgery, Faculty of Medicine, Mashhad University of Medical Sciences, MashhadDepartment of Orthopedic Surgery, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad Introduction The lumbosacral transitional vertebra (LSTV) theoretically offloads the inferior intervertebral disc and may reciprocally load up the relevant adjacent disc. In this study, we evaluate the influence of LSTV on clinical outcomes of adjacent discectomy in young adults with lumbar disc herniation (LDH). Methods This retrospective study included two groups. Group A consisted of 32 LDH patients with LSTV (16 males and 16 females), and Group B included 167 LDH patients without LSTV (89 males and 78 females). All patients underwent single-level discectomy at the adjacent level to LSTV and were followed for a minimum of 24 months post-surgery. The diagnosis of LSTV was based on radiography and computed tomography (CT) scanning performed preoperatively for all patients. Outcome measurements were performed with pain assessment at each follow-up visit using a visual analog scale (VAS) for back and leg pain, the Oswestry Disability Index (ODI), and recurrence rate. Results At 24 months after discectomy, the mean VAS scores for low back pain (LBP) and leg pain and ODI scores showed no significant differences between the two groups. Recurrence occurred in 25 patients (15%) in Group A and in 4 patients (12.5%) in Group B. Conclusions In the patients with LDH who underwent microlumbar discectomy, after a mean follow-up period of 48.4 ± 13.7 months, we could not find any significant difference in terms of pain, disability, patient satisfaction, or recurrence rate between the group with versus without LSTV. https://knepublishing.com/index.php/jsp/article/view/17681diskectomyintervertebral disclumbosacral regionpatient outcome assessment |
| spellingShingle | Farzad Omidi-Kashani Seyed Alireza Ghoreishi Arad Omidi-Kashani Zohreh Mohammadi Arki The Impact of Lumbosacral Transitional Vertebra on Long-Term Surgical Outcome of Adjacent Single-Level Lumbar Discectomy Journal of Spine Practice diskectomy intervertebral disc lumbosacral region patient outcome assessment |
| title | The Impact of Lumbosacral Transitional Vertebra on Long-Term Surgical Outcome of Adjacent Single-Level Lumbar Discectomy |
| title_full | The Impact of Lumbosacral Transitional Vertebra on Long-Term Surgical Outcome of Adjacent Single-Level Lumbar Discectomy |
| title_fullStr | The Impact of Lumbosacral Transitional Vertebra on Long-Term Surgical Outcome of Adjacent Single-Level Lumbar Discectomy |
| title_full_unstemmed | The Impact of Lumbosacral Transitional Vertebra on Long-Term Surgical Outcome of Adjacent Single-Level Lumbar Discectomy |
| title_short | The Impact of Lumbosacral Transitional Vertebra on Long-Term Surgical Outcome of Adjacent Single-Level Lumbar Discectomy |
| title_sort | impact of lumbosacral transitional vertebra on long term surgical outcome of adjacent single level lumbar discectomy |
| topic | diskectomy intervertebral disc lumbosacral region patient outcome assessment |
| url | https://knepublishing.com/index.php/jsp/article/view/17681 |
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