{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T15:55:55Z","timestamp":1785426955921,"version":"3.56.0"},"reference-count":22,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T00:00:00Z","timestamp":1776816000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["42293324"],"award-info":[{"award-number":["42293324"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"award":["42293324"],"award-info":[{"award-number":["42293324"]}],"id":[{"id":"https:\/\/ror.org\/01h0zpd94","id-type":"ROR","asserted-by":"publisher"}]},{"name":"Natural Science Foundation of Beijing, China","award":["L256043"],"award-info":[{"award-number":["L256043"]}]},{"name":"Science and Technology Plan Project (Subject) of Tongzhou District, Beijing","award":["WS2025083"],"award-info":[{"award-number":["WS2025083"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: Reinforced radiculoplasty (RRP) is effective for symptomatic sacral cysts, yet postoperative recovery varies significantly. This study aimed to systematically identify preoperative predictors of delayed short-term symptomatic recovery, with a specific focus on the prognostic impact of concomitant bladder\u2013bowel dysfunction. Methods: A retrospective analysis was conducted on a cohort of 148 consecutive patients who underwent RRP. Comprehensive clinical, high-resolution imaging, and detailed surgical data were collected. The primary outcome was defined as symptom resolution within 9 months postoperatively. Independent prognostic factors were identified using univariate and subsequent multivariate logistic regression analysis. Results: Short-term symptom resolution was achieved in 86 patients (58.1%). Multivariate analysis identified three independent risk factors for prolonged recovery: a history of prior cyst surgery (OR 8.389, 95% CI 2.328\u201330.230), multi-segment cyst involvement (OR 2.682, 95% CI 1.066\u20136.744), and preoperative bladder\u2013bowel dysfunction (OR 7.859, 95% CI 3.478\u201317.759). The predictive model demonstrated good discriminative ability (sensitivity 83.7%, specificity 61.3%). Conclusions: Prior surgical history, multi-segment cyst involvement, and preoperative bladder\u2013bowel dysfunction are independent predictors of delayed short-term recovery after RRP for sacral cysts.<\/jats:p>","DOI":"10.3390\/jcm15093196","type":"journal-article","created":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T12:00:32Z","timestamp":1776859232000},"page":"3196","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Study on Influencing Factors for Short-Term Symptom Resolution After Reinforced Radiculoplasty for Sacral Cysts: Focus on Bladder\u2013Bowel Dysfunction"],"prefix":"10.3390","volume":"15","author":[{"given":"Wanzhong","family":"Yuan","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiaxing","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hao","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weiwen","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-2759-0737","authenticated-orcid":false,"given":"Aoxue","family":"Mei","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5716-6114","authenticated-orcid":false,"given":"Jianjun","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,4,22]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"375","DOI":"10.3171\/2023.9.SPINE23559","article-title":"Sacral Tarlov perineurial cysts: A systematic review of treatment options","volume":"40","author":"Feigenbaum","year":"2024","journal-title":"J. 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