Table 2

Bivariate analysis of outcomes after surgical treatment for lumbar disc herniation.

VariableOutcome
Absolute Change Threshold (3.5 points)Resolution of Radicular PainResolution of Neurological Symptoms
SuccessFailure P SuccessFailure P SuccessFailure P
Total42 (41.2%)60 (58.8%)-43 (37.1%)73 (62.9%)-31 (34.4%)59 (65.6%)-
Age, y47 ± 15.148 ± 16.60.8776b 48 47 ± 15.747 ± 15.60.6518b 43 ± 17.949 ± 13.70.0611b
Female sex18 (41.9%)25 (58.1%)>0.99a 20 (40.8%)29 (59.2%)0.560a 16 (39.0%)25 (61.0%)0.505a
BMI28 ± 5.029 ± 5.30.4132b 29 ± 5.229 ± 5.50.7526b 28 ± 4.429 ± 5.70.3399b
Medical/surgical history
 Diabetes mellitus4 (28.6%)10 (71.4%)0.388a 6 (40.0%)9 (60.0%)0.783a 2 (22.2%)7 (77.8%)0.713a
 Current smoker5 (35.7%)9 (64.3%)0.774a 9 (56.3%)7 (43.8%)0.101a 3 (33.3%)6 (66.7%)>0.99
 Osteoporotic disease2 (50.0%)2 (50.0%)>0.99a 4 (100.0%)0 (0.0%) 0.017a 3 (100.0%)0 (0.0%) 0.038a
 Prior spine surgery1 (7.7%)12 (92.3%) 0.013a 5 (29.4%)12 (70.6%)0.592a 5 (33.3%)10 (66.7%)>0.99a
 Prior fusion surgery0 (0.0%)7 (100.0%) 0.039a 4 (44.4%)5 (55.6%)0.724a 4 (50.0%)4 (50.0%)0.439a
Level of injury
 L2–L33 (60.0%)2 (40.0%)0.400a 3 (50.0%)3 (50.0%)0.669a 1 (50.0%)1 (50.0%)>0.99a
 L3–L44 (26.7%)11 (73.3%)0.265a 8 (50.0%)8 (50.0%)0.274a 6 (50.0%)6 (50.0%)0.327a
 L5–S121 (52.5%)19 (47.5%)0.068a 14 (28.0%)36 (72.0%)0.085a 15 (39.5%)23 (60.5%)0.501a
History of injury
 Preoperative back pain27 (37.5%)45 (62.5%)0.275a 36 (42.4%)49 (57.6%)0.055a 23 (35.4%)42 (64.6%)0.810a
 Time from symptom onset to surgery, wk28 ± 31.855 ± 72.30.0584b 38 ± 59.437 ± 49.60.5971b 33 ± 39.225 ± 26.00.5034b
 Preoperative NRS8 ± 1.76 ± 2.6 0.0002b 7 ± 2.67 ± 2.30.1886b 7 ± 2.47 ± 2.50.9548b
Preoperative physical therapy11 (26.8%)30 (73.2%) 0.032 a 9 (20.9%)34 (79.1%) 0.021 a 5 (17.2%)24 (82.8%) 0.026 a
Operative time, min72 ± 40.684 ± 38.6 0.016b 80 ± 37.879 ± 39.50.5932b 71 ± 24.381 ± 40.10.4085b
Surgical technique
Use of intraoperative microscope7 (38.9%)11 (61.1%)>0.99a 9 (40.9%)13 (59.1%)0.809a 4 (23.5%)13 (82.4%)0.399a
Open microdiscectomy38 (44.7%)47 (55.3%)0.176a 35 (36.5%)61 (63.5%)0.802a 27 (35.1%)50 (64.9%)>0.99a
Tubular (MIS) microdiscectomy3 (23.1%)10 (76.9%)0.229a 5 (33.3%)10 (66.7%)>0.99a 3 (27.3%)8 (72.7%)0.742a
Decompression without discectomy1 (33.3%)2 (66.7%)>0.99a 2 (66.7%)1 (33.3%)0.554a 0 (0.0%)1 (100.0%)>0.99a
Fat graft16 (43.2%)21 (56.8%)0.835a 15 (36.6%)26 (63.4%)>0.99a 13 (38.2%)21 (61.8%)0.649a
  • Abbreviations: BMI, body mass index; MIS, minimally invasive surgery.

  • Note: Data presented as n (%) or mean ± SD. Boldface indicates statistically significant findings at P < 0.05.

  • a Fisher Exact.

  • b Mann-Whitney U Test.