Effect of smoking on rehabilitation after percutaneous spinal endoscopy for lumbar disc herniation in the elderly
Objective Study of the effect of smoking on postoperative rehabilitation after percutaneous endoscopic lumbar disc extraction for lumbar disc herniation in elderly people.Methods Retrospective analysis of 98 elderly patients who underwent PELD treatment in the department of Bone and Spine of the First Affiliated Hospital of Jinzhou Medical University from September 2020 to September 2022 were divided into the smoking group(57 patients)and the control group(41 patients),according to whether they were smokers or not.Comparative analysis of age,gender,body mass index,disease duration,surgical segment,operation time,surgical access,hospital stay,perioperative complications,intervertebral space height at 12 months postoperatively and recurrence of lumbar disc herniation within 12 months postoperatively,and clinical efficacy of the patients in the 2 groups.Results The differences in basic preoperative data and perioperative treatment between the smoking group and the control group were not statistically significant(P>0.05).There was no statistically significant difference in the recurrence rate between the smoking group and the control group(P>0.05),but the rate of recurrence was much higher in the smoking group(7.02%)than in the control group(2.44%).At 12 months postoperatively,the intervertebral space height was significantly higher in the control group[(9.19±1.25)mm]than in the smoking group[(8.69±0.67)mm],with a statistically significant difference(P<0.05).The differences in VAS,ODI and JOA scores between the smoking group and the control group were not statistically significant(P>0.05)at preoperative and 3 months postoperatively,whereas at 12 months postoperatively the control group had better VAS,ODI and JOA scores than the smoking group,and the differences were statistically significant(P<0.05).Conclusion Smoking can affect the efficacy of postoperative rehabilita-tion of patients with lumbar disc herniation after PELD,and in order to achieve better postoperative outcomes,it is important to try to smoke less or even quit smoking in the postoperative period.
万方数据
维普
