Analysis of diagnosis and treatment for spinal nerve root compression combined with piriformis syndrome
Jiang Guangyuan
Luo Chao
Zhang Wenchuan
Yang Min
Liu Pengfei
Abstract：Objective To analyze the influential factors and therapeutic method for piriformis syndrome after spinal nerve root decompression in the patients with lumbar disc herniation (LDH).Methods Clinical data of 526 LDH patients undergoing spinal nerve root decompression were analyzed retrospectively,and who were divided into piriformis syndrome group (n =78) and without piriforrmis syndrome group (n =448).Logistic regression analysis was used to analyze the influential factors for piriformis syndrome after spinal nerve root decompression.Results There was no significant differences in sex ratio,postoperative hospitalization time,intraoperative bleeding and operation time between the two groups (P ＞ 0.05),while significant differences in age,course of disease,location of nucleus pulposus protrusion and thickening of the ligament were found between the two groups (P ＜ 0.05).Logistic regression analysis showed:older than 50,course more than 1 year,lateral protrusion of the nucleus pulposus and thickening of the ligamentum flavum were independent risk factors for piriformis syndrome after the operation (P ＜ 0.05).Conclusion We should guard against the occurrence of piriformis syndrome for LDH patients with older than 50,course more than 1 year,lateral protrusion of the nucleus pulposus and thickening of the ligamentum flavum after spinal nerve root decompression.
Keywords：intervertebral disk displacementcompressionspinal nerve rootspinal nerve decompressionpiriformis syndrome
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 554-556 )