Spandidos Publications Logo
  • About
    • About Spandidos
    • Aims and Scopes
    • Abstracting and Indexing
    • Editorial Policies
    • Reprints and Permissions
    • Job Opportunities
    • Terms and Conditions
    • Contact
  • Journals
    • All Journals
    • Oncology Letters
      • Oncology Letters
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Oncology
      • International Journal of Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular and Clinical Oncology
      • Molecular and Clinical Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Experimental and Therapeutic Medicine
      • Experimental and Therapeutic Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Molecular Medicine
      • International Journal of Molecular Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Biomedical Reports
      • Biomedical Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Reports
      • Oncology Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular Medicine Reports
      • Molecular Medicine Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • World Academy of Sciences Journal
      • World Academy of Sciences Journal
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Functional Nutrition
      • International Journal of Functional Nutrition
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Epigenetics
      • International Journal of Epigenetics
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Medicine International
      • Medicine International
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
  • Articles
  • Information
    • Information for Authors
    • Information for Reviewers
    • Information for Librarians
    • Information for Advertisers
    • Conferences
  • Language Editing
Spandidos Publications Logo
  • About
    • About Spandidos
    • Aims and Scopes
    • Abstracting and Indexing
    • Editorial Policies
    • Reprints and Permissions
    • Job Opportunities
    • Terms and Conditions
    • Contact
  • Journals
    • All Journals
    • Biomedical Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Experimental and Therapeutic Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Epigenetics
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Functional Nutrition
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Molecular Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Medicine International
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular and Clinical Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular Medicine Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Letters
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • World Academy of Sciences Journal
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
  • Articles
  • Information
    • For Authors
    • For Reviewers
    • For Librarians
    • For Advertisers
    • Conferences
  • Language Editing
Login Register Submit
  • This site uses cookies
  • You can change your cookie settings at any time by following the instructions in our Cookie Policy. To find out more, you may read our Privacy Policy.

    I agree
Search articles by DOI, keyword, author or affiliation
Search
Advanced Search
presentation
Experimental and Therapeutic Medicine
Join Editorial Board Propose a Special Issue
Print ISSN: 1792-0981 Online ISSN: 1792-1015
Journal Cover
May-2024 Volume 27 Issue 5

Full Size Image

Sign up for eToc alerts
Recommend to Library

Journals

International Journal of Molecular Medicine

International Journal of Molecular Medicine

International Journal of Molecular Medicine is an international journal devoted to molecular mechanisms of human disease.

International Journal of Oncology

International Journal of Oncology

International Journal of Oncology is an international journal devoted to oncology research and cancer treatment.

Molecular Medicine Reports

Molecular Medicine Reports

Covers molecular medicine topics such as pharmacology, pathology, genetics, neuroscience, infectious diseases, molecular cardiology, and molecular surgery.

Oncology Reports

Oncology Reports

Oncology Reports is an international journal devoted to fundamental and applied research in Oncology.

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine is an international journal devoted to laboratory and clinical medicine.

Oncology Letters

Oncology Letters

Oncology Letters is an international journal devoted to Experimental and Clinical Oncology.

Biomedical Reports

Biomedical Reports

Explores a wide range of biological and medical fields, including pharmacology, genetics, microbiology, neuroscience, and molecular cardiology.

Molecular and Clinical Oncology

Molecular and Clinical Oncology

International journal addressing all aspects of oncology research, from tumorigenesis and oncogenes to chemotherapy and metastasis.

World Academy of Sciences Journal

World Academy of Sciences Journal

Multidisciplinary open-access journal spanning biochemistry, genetics, neuroscience, environmental health, and synthetic biology.

International Journal of Functional Nutrition

International Journal of Functional Nutrition

Open-access journal combining biochemistry, pharmacology, immunology, and genetics to advance health through functional nutrition.

International Journal of Epigenetics

International Journal of Epigenetics

Publishes open-access research on using epigenetics to advance understanding and treatment of human disease.

Medicine International

Medicine International

An International Open Access Journal Devoted to General Medicine.

Journal Cover
May-2024 Volume 27 Issue 5

Full Size Image

Sign up for eToc alerts
Recommend to Library

  • Article
  • Citations
    • Cite This Article
    • Download Citation
    • Create Citation Alert
    • Remove Citation Alert
    • Cited By
  • Similar Articles
    • Related Articles (in Spandidos Publications)
    • Similar Articles (Google Scholar)
    • Similar Articles (PubMed)
  • Download PDF
  • Download XML
  • View XML

  • Supplementary Files
    • Supplementary_Data.pdf
Article Open Access

Associations of recurrent lumbar disc herniation after percutaneous endoscopic lumbar discectomy with age, body mass index, modic change, disc degeneration and sacral slope: A quantitative review

  • Authors:
    • Jinlong Zhao
    • Lingfeng Zeng
    • Shuai Zhao
    • Guihong Liang
    • Bangxin Sha
    • Haoyang Fu
    • Weiyi Yang
    • Jun Liu
    • Yuping Zeng
  • View Affiliations / Copyright

    Affiliations: Department of Orthopedics, The Second Clinical College of Guangzhou University of Chinese Medicine/Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, Guangdong 510405, P.R. China, Department of Orthopedics, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510120, P.R. China, Department of Orthopedics, Guangdong Second Chinese Medicine Hospital (Guangdong Province Engineering Technology Research Institute of Traditional Chinese Medicine), Guangzhou, Guangdong 510095, P.R. China
    Copyright: © Zhao et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 195
    |
    Published online on: March 11, 2024
       https://doi.org/10.3892/etm.2024.12483
  • Expand metrics +
Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )
Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )
Cited By (CrossRef): 0 citations Loading Articles...

This article is mentioned in:



Abstract

Recurrent lumbar disc herniation (rLDH) seriously affects the quality of life of patients and increases the medical burden. The purpose of the present study was to determine the risk factors for rLDH after percutaneous endoscopic lumbar discectomy (PELD). The PubMed, Cochrane Library and Embase databases were searched for studies on the factors associated with rLDH after PELD. The databases were searched from inception to March 30, 2023. The combined effects of categorical variables and continuous variables were measured using odds ratios (ORs) and weighted mean differences (WMDs), respectively, and their corresponding 95% confidence intervals (CIs) were calculated. RevMan 5.3 software was used for data analysis. A total of 9 case‑control studies were included in this meta‑analysis, comprising 5,446 patients. This study explored a total of 18 potential risk factors for rLDH after PELD; ultimately, 5 factors were associated with the risk of rLDH. Meta‑analysis showed that older age (WMD=6.49, 95% CI: 2.52 to 10.46), greater body mass index (WMD=1.16, 95% CI: 0.69 to 1.62), modic change (OR=2.48, 95% CI: 1.54 to 3.99), Pfirrmann grade ≥4 (OR=2.84, 95% CI: 1.3 to 6.16) and greater sacral slope angle (WMD=3.48, 95% CI: 0.53 to 6.42) were risk factors for rLDH after PELD. The risk factors identified in the present study may enable clinicians to identify high‑risk populations early and to select appropriate surgical procedures to reduce the risk of rLDH. Perioperative interventions targeting the modifiable factors identified in this study may be beneficial for reducing the risk of rLDH.
View Figures

Figure 1

Figure 2

View References

1 

Amin RM, Andrade NS and Neuman BJ: Lumbar disc herniation. Curr Rev Musculoskelet Med. 10:507–516. 2017.PubMed/NCBI View Article : Google Scholar

2 

Benzakour T, Igoumenou V, Mavrogenis AF and Benzakour A: Current concepts for lumbar disc herniation. Int Orthop. 43:841–851. 2019.PubMed/NCBI View Article : Google Scholar

3 

Gadjradj PS, Smeele NVR, de Jong M, Depauw PRAM, van Tulder MW, de Bekker-Grob EW and Harhangi BS: Patient preferences for treatment of lumbar disc herniation: A discrete choice experiment. J Neurosurg Spine. 36:704–712. 2022.PubMed/NCBI View Article : Google Scholar

4 

Protzer LA, Glassman SD, Mummaneni PV, Bydon M, Bisson EF, Djurasovic M and Carreon LY: Return to work in patients with lumbar disc herniation undergoing fusion. J Orthop Surg Res. 16(534)2021.PubMed/NCBI View Article : Google Scholar

5 

Cho S, Lim YC, Kim EJ, Park Y, Ha IH, Lee YS and Lee YJ: Analysis of conservative treatment trends for lumbar disc herniation with radiculopathy in Korea: A population-based cross-sectional study. Healthcare (Basel). 11(2353)2023.PubMed/NCBI View Article : Google Scholar

6 

Saravi B, Zink A, Ülkümen S, Couillard-Despres S, Wollborn J, Lang G and Hassel F: Clinical and radiomics feature-based outcome analysis in lumbar disc herniation surgery. BMC Musculoskelet Disord. 24(791)2023.PubMed/NCBI View Article : Google Scholar

7 

Sun DD, Lv D, Wu WZ, Ren HF, Bao BH, Liu Q and Sun ML: Estimation and influence of blood loss under endoscope for percutaneous endoscopic lumbar discectomy (PELD): A clinical observational study combined with in vitro experiment. J Orthop Surg Res. 15(281)2020.PubMed/NCBI View Article : Google Scholar

8 

Jarebi M, Awaf A, Lefranc M and Peltier J: A matched comparison of outcomes between percutaneous endoscopic lumbar discectomy and open lumbar microdiscectomy for the treatment of lumbar disc herniation: A 2-year retrospective cohort study. Spine J. 21:114–121. 2021.PubMed/NCBI View Article : Google Scholar

9 

Mooney J, Laskay N, Erickson N, Salehani A, Mahavadi A, Ilyas A, Mainali B, Nowak B and Godzik J: General vs local anesthesia for percutaneous endoscopic lumbar discectomy (PELD): A systematic review and meta-analysis. Global Spine J. 13:1671–1688. 2023.PubMed/NCBI View Article : Google Scholar

10 

Shepard N and Cho W: Recurrent lumbar disc herniation: A review. Global Spine J. 9:202–209. 2019.PubMed/NCBI View Article : Google Scholar

11 

Dower A, Chatterji R, Swart A and Winder MJ: Surgical management of recurrent lumbar disc herniation and the role of fusion. J Clin Neurosci. 23:44–50. 2016.PubMed/NCBI View Article : Google Scholar

12 

Hlubek RJ and Mundis GM Jr: Treatment for recurrent lumbar disc herniation. Curr Rev Musculoskelet Med. 10:517–520. 2017.PubMed/NCBI View Article : Google Scholar

13 

Luo L, Zhao C, Li P, Liu L, Zhou Q, Luo F and Liang L: Posterior dynamic stabilization with limited rediscectomy for recurrent lumbar disc herniation. Pain Res Manag. 2021(1288246)2021.PubMed/NCBI View Article : Google Scholar

14 

Le H, Sandhu FA and Fessler RG: Clinical outcomes after minimal-access surgery for recurrent lumbar disc herniation. Neurosurg Focus. 15(E12)2003.PubMed/NCBI View Article : Google Scholar

15 

Arif S, Brady Z, Enchev Y and Peev N: Is fusion the most suitable treatment option for recurrent lumbar disc herniation? A systematic review. Neurol Res. 42:1034–1042. 2020.PubMed/NCBI View Article : Google Scholar

16 

Chen Z, Zhao J, Liu A, Yuan J and Li Z: Surgical treatment of recurrent lumbar disc herniation by transforaminal lumbar interbody fusion. Int Orthop. 33:197–201. 2009.PubMed/NCBI View Article : Google Scholar

17 

O'Dea RE, Lagisz M, Jennions MD, Koricheva J, Noble DWA, Parker TH, Gurevitch J, Page MJ, Stewart G, Moher D and Nakagawa S: Preferred reporting items for systematic reviews and meta-analyses in ecology and evolutionary biology: Aprisma extension. Biol Rev Camb Philos Soc. 96:1695–1722. 2021.PubMed/NCBI View Article : Google Scholar

18 

Stang A: Critical evaluation of the newcastle-ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses. Eur J Epidemiol. 25:603–605. 2010.PubMed/NCBI View Article : Google Scholar

19 

He H, Ma J, Xiong C, Wei T, Tang A, Chen Y and Xu F: Development and validation of a nomogram to predict the risk of lumbar disk reherniation within 2 years after percutaneous endoscopic lumbar discectomy. World Neurosurg. 172:e349–e356. 2023.PubMed/NCBI View Article : Google Scholar

20 

Jia M, Sheng Y, Chen G, Zhang W, Lin J, Lu S, Li F, Ying J and Teng H: Development and validation of a nomogram predicting the risk of recurrent lumbar disk herniation within 6 months after percutaneous endoscopic lumbar discectomy. J Orthop Surg Res. 16(274)2021.PubMed/NCBI View Article : Google Scholar

21 

Kong M, Xu D, Gao C, Zhu K, Han S, Zhang H, Zhou C and Ma X: Risk factors for recurrent L4-5 disc herniation after percutaneous endoscopic transforaminal discectomy: A retrospective analysis of 654 cases. Risk Manag Healthc Policy. 13:3051–3065. 2020.PubMed/NCBI View Article : Google Scholar

22 

Li X, Pan B, Cheng L, Li G, Liu J and Yuan F: Development and validation of a prognostic model for the risk of recurrent lumbar disc herniation after percutaneous endoscopic transforaminal discectomy. Pain Physician. 26:81–90. 2023.PubMed/NCBI

23 

Ren G, Liu L, Zhang P, Xie Z, Wang P, Zhang W, Wang H, Shen M, Deng L, Tao Y, et al: Machine learning predicts recurrent lumbar disc herniation following percutaneous endoscopic lumbar discectomy. Global Spine J. 14:146–152. 2024.PubMed/NCBI View Article : Google Scholar

24 

Shi H, Zhu L, Jiang ZL and Wu XT: Radiological risk factors for recurrent lumbar disc herniation after percutaneous transforaminal endoscopic discectomy: A retrospective matched case-control study. Eur Spine J. 30:886–892. 2021.PubMed/NCBI View Article : Google Scholar

25 

Wang F, Chen K, Lin Q, Ma Y, Huang H, Wang C and Zhou P: Earlier or heavier spinal loading is more likely to lead to recurrent lumbar disc herniation after percutaneous endoscopic lumbar discectomy. J Orthop Surg Res. 17(356)2022.PubMed/NCBI View Article : Google Scholar

26 

Yu C, Zhan X, Liu C, Liao S, Xu J, Liang T, Zhang Z and Chen J: Risk factors for recurrence of L5-S1 disc herniation after percutaneous endoscopic transforaminal discectomy: A retrospective study. Med Sci Monit. 26:e919888-1–e919888-12. 2020.PubMed/NCBI View Article : Google Scholar

27 

Zhao C, Zhang H, Wang Y, Xu D, Han S, Meng S, Han J, Liu H, Zhou C and Ma X: Nomograms for predicting recurrent herniation in PETD with preoperative radiological factors. J Pain Res. 14:2095–2109. 2021.PubMed/NCBI View Article : Google Scholar

28 

Vialle LR, Vialle EN, Suárez Henao JE and Giraldo G: LUMBAR DISC HERNIATION. Rev Bras Ortop. 45:17–22. 2010.PubMed/NCBI View Article : Google Scholar

29 

Huang W, Han Z, Liu J, Yu L and Yu X: Risk factors for recurrent lumbar disc herniation: A systematic review and meta-analysis. Medicine (Baltimore). 95(e2378)2016.PubMed/NCBI View Article : Google Scholar

30 

Yang J, Liu R, Miao Y, Nian L and Meng X: Risk factors for recurrence after percutaneous endoscopic lumbar discectomy: A meta-analysis. World Neurosurg. 172:88–93. 2023.PubMed/NCBI View Article : Google Scholar

31 

Shin EH, Cho KJ, Kim YT and Park MH: Risk factors for recurrent lumbar disc herniation after discectomy. Int Orthop. 43:963–967. 2019.PubMed/NCBI View Article : Google Scholar

32 

Kang MS, Hwang JH, Choi DJ, Chung HJ, Lee JH, Kim HN and Park HJ: Clinical outcome of biportal endoscopic revisional lumbar discectomy for recurrent lumbar disc herniation. J Orthop Surg Res. 15(557)2020.PubMed/NCBI View Article : Google Scholar

33 

Rossi V, Maalouly J and Choi JYS: Lumbar arthroplasty for treatment of primary or recurrent lumbar disc herniation. Int Orthop. 47:1071–1077. 2023.PubMed/NCBI View Article : Google Scholar

34 

Kim CH, Chung CK, Choi Y, Shin S, Kim MJ, Lee J and Park BJ: The selection of open or percutaneous endoscopic lumbar discectomy according to an age cut-off point: Nationwide cohort study. Spine (Phila Pa 1976). 40:E1063–E1070. 2015.PubMed/NCBI View Article : Google Scholar

35 

Ehrendorfer S: Ipsilateral recurrent lumbar disc herniation. J Bone Joint Surg Br. 81(368)1999.PubMed/NCBI

36 

Patgaonkar P, Goyal V, Agrawal U, Marathe N and Patel V: Impact of body weight, height, and obesity on selection of skin entry point for transforaminal endoscopic lumbar discectomy. Asian J Neurosurg. 17:262–267. 2022.PubMed/NCBI View Article : Google Scholar

37 

Yao Y, Liu H, Zhang H, Wang H, Zhang C, Zhang Z, Wu J, Tang Y and Zhou Y: Risk factors for recurrent herniation after percutaneous endoscopic lumbar discectomy. World Neurosurg. 100:1–6. 2017.PubMed/NCBI View Article : Google Scholar

38 

Yaman ME, Kazancı A, Yaman ND, Baş F and Ayberk G: Factors that influence recurrent lumbar disc herniation. Hong Kong Med J. 23:258–263. 2017.PubMed/NCBI View Article : Google Scholar

39 

Udby PM, Modic M, Elmose S, Carreon LY, Andersen MØ, Karppinen J and Samartzis D: The clinical significance of the modic changes grading score. Global Spine J. 2022(21925682221123012)2022.PubMed/NCBI View Article : Google Scholar : (Epub ahead of print).

40 

Li Z, Gao X, Ding W, Li R and Yang S: Asymmetric distribution of modic changes in patients with lumbar disc herniation. Eur Spine J. 32:1741–1750. 2023.PubMed/NCBI View Article : Google Scholar

41 

Kim KT, Park SW and Kim YB: Disc height and segmental motion as risk factors for recurrent lumbar disc herniation. Spine (Phila Pa 1976). 34:2674–2678. 2009.PubMed/NCBI View Article : Google Scholar

42 

Moriguchi Y, Borde B, Berlin C, Wipplinger C, Sloan SR, Kirnaz S, Pennicooke B, Navarro-Ramirez R, Khair T, Grunert P, et al: In vivo annular repair using high-density collagen gel seeded with annulus fibrosus cells. Acta Biomater. 79:230–238. 2018.PubMed/NCBI View Article : Google Scholar

43 

Labelle H, Mac-Thiong JM and Roussouly P: Spino-pelvic sagittal balance of spondylolisthesis: A review and classification. Eur Spine J. 20(Suppl 5):641–646. 2011.PubMed/NCBI View Article : Google Scholar

44 

Roussouly P, Gollogly S, Berthonnaud E, Labelle H and Weidenbaum M: Sagittal alignment of the spine and pelvis in the presence of L5-s1 isthmic lysis and low-grade spondylolisthesis. Spine (Phila Pa 1976). 31:2484–2490. 2006.PubMed/NCBI View Article : Google Scholar

45 

Kumaran Y, Nishida N, Tripathi S, Mumtaz M, Sakai T, Elgafy H and Goel VK: Effects of sacral slope changes on the intervertebral disc and hip joint: A finite element analysis. World Neurosurg. 176:e32–e39. 2023.PubMed/NCBI View Article : Google Scholar

Related Articles

  • Abstract
  • View
  • Download
  • Twitter
Copy and paste a formatted citation
Spandidos Publications style
Zhao J, Zeng L, Zhao S, Liang G, Sha B, Fu H, Yang W, Liu J and Zeng Y: Associations of recurrent lumbar disc herniation after percutaneous endoscopic lumbar discectomy with age, body mass index, modic change, disc degeneration and sacral slope: A quantitative review. Exp Ther Med 27: 195, 2024.
APA
Zhao, J., Zeng, L., Zhao, S., Liang, G., Sha, B., Fu, H. ... Zeng, Y. (2024). Associations of recurrent lumbar disc herniation after percutaneous endoscopic lumbar discectomy with age, body mass index, modic change, disc degeneration and sacral slope: A quantitative review. Experimental and Therapeutic Medicine, 27, 195. https://doi.org/10.3892/etm.2024.12483
MLA
Zhao, J., Zeng, L., Zhao, S., Liang, G., Sha, B., Fu, H., Yang, W., Liu, J., Zeng, Y."Associations of recurrent lumbar disc herniation after percutaneous endoscopic lumbar discectomy with age, body mass index, modic change, disc degeneration and sacral slope: A quantitative review". Experimental and Therapeutic Medicine 27.5 (2024): 195.
Chicago
Zhao, J., Zeng, L., Zhao, S., Liang, G., Sha, B., Fu, H., Yang, W., Liu, J., Zeng, Y."Associations of recurrent lumbar disc herniation after percutaneous endoscopic lumbar discectomy with age, body mass index, modic change, disc degeneration and sacral slope: A quantitative review". Experimental and Therapeutic Medicine 27, no. 5 (2024): 195. https://doi.org/10.3892/etm.2024.12483
Copy and paste a formatted citation
x
Spandidos Publications style
Zhao J, Zeng L, Zhao S, Liang G, Sha B, Fu H, Yang W, Liu J and Zeng Y: Associations of recurrent lumbar disc herniation after percutaneous endoscopic lumbar discectomy with age, body mass index, modic change, disc degeneration and sacral slope: A quantitative review. Exp Ther Med 27: 195, 2024.
APA
Zhao, J., Zeng, L., Zhao, S., Liang, G., Sha, B., Fu, H. ... Zeng, Y. (2024). Associations of recurrent lumbar disc herniation after percutaneous endoscopic lumbar discectomy with age, body mass index, modic change, disc degeneration and sacral slope: A quantitative review. Experimental and Therapeutic Medicine, 27, 195. https://doi.org/10.3892/etm.2024.12483
MLA
Zhao, J., Zeng, L., Zhao, S., Liang, G., Sha, B., Fu, H., Yang, W., Liu, J., Zeng, Y."Associations of recurrent lumbar disc herniation after percutaneous endoscopic lumbar discectomy with age, body mass index, modic change, disc degeneration and sacral slope: A quantitative review". Experimental and Therapeutic Medicine 27.5 (2024): 195.
Chicago
Zhao, J., Zeng, L., Zhao, S., Liang, G., Sha, B., Fu, H., Yang, W., Liu, J., Zeng, Y."Associations of recurrent lumbar disc herniation after percutaneous endoscopic lumbar discectomy with age, body mass index, modic change, disc degeneration and sacral slope: A quantitative review". Experimental and Therapeutic Medicine 27, no. 5 (2024): 195. https://doi.org/10.3892/etm.2024.12483
Follow us
  • Twitter
  • LinkedIn
  • Facebook
About
  • Spandidos Publications
  • Careers
  • Cookie Policy
  • Privacy Policy
How can we help?
  • Help
  • Live Chat
  • Contact
  • Email to our Support Team