Retrospective Analysis of Intradiscal Radiofrequency Decompression Therapy in Lumbar Disk Herniation

Objective: This study aims to evaluate the effects of demographic and clinical factors on surgical outcomes in patients undergoing lumbar decompression surgery. The relationships between gender, age, presence of degeneration, lesion location, body mass index (BMI), and Visual Analog Scale (VAS) scores were analyzed. Methods: This retrospective study was conducted on 57 patients who underwent lumbar decompression surgery. Demographic data, clinical findings, and surgical outcomes were recorded. Data were evaluated using statistical analyses such as t-tests, Mann-Whitney U tests, and ANOVA. Results: No significant difference was found between gender and VAS scores (p = 0.783).Presence of degeneration significantly increased VAS scores (p = 0.0096). The average VAS score for patients with degeneration was 4.79, while it was 4.39 for those without.The average age of patients with degeneration was 51.14, compared to 43.14 for those without (p = 0.0029).There was no statistically significant difference between lesion location and VAS scores (p = 0.603). However, higher VAS scores were observed in cases of multilevel lesions.A weak but positive correlation was found between BMI and VAS scores (r = 0.35). Conclusion: Postoperative pain management in lumbar decompression surgery is significantly influenced by factors such as the presence of degeneration, lesion location, and BMI. This study emphasizes the importance of considering these factors when formulating personalized treatment plans during preoperative evaluations. Future research may help validate these findings in larger patient populations and aid in developing new strategies to improve surgical outcomes.