Factores asociados a recidiva de hernia de disco lumbar luego de una microdiscectomía

Camino-Willhuber, Gastón; Kido, Gonzalo; Mereles, Maximiliano; Bassani, Julio; Petracchi, Matias; Elizondo, Cristina; Gruenberg, Marcelo; Solá, Carlos

doi:10.1016/j.recot.2017.07.002

Cited by 11 publications

(4 citation statements)

References 23 publications

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“…Spinal canal occupancy of the herniated disc is also considered a predictor of recurrent LDH. [ 21 ] The present patient's spinal canal occupation was advanced when recurrent LDH occurred, suggesting a higher rate of relapse after the first revision. Camino Willhuber et al proposed that the disc occupancy should be measured on MRI T2-weighted axial slices; in the present patient, lateral slices were also important, especially regarding the direction and distance of migration of the newly herniated disc fragment.…”

Section: Discussionmentioning

confidence: 77%

“…Compared with open discectomy with fusion, nonfusion surgeries have a higher rate of recurrence of 5% to 18%. [ 22 ] One study reported that patients who underwent nonfusion minimally invasive discectomy had a recurrence rate of 16.9%, [ 21 ] while another reported that 19.8% of patients who had undergone discectomy had recurrent LDH. [ 18 ] In contrast, the reoperation rate after fusion discectomy is reportedly 10%, which includes revision for reasons other than recurrence.…”

Section: Discussionmentioning

confidence: 99%

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Recurrent lumbar disc herniation recurrence after percutaneous endoscopic lumbar discectomy

Wang¹,

Cong²,

Xu³

et al. 2018

Medicine

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Rationale:Lumbar disc herniation (LDH) is a degenerative disease and affects human health. Although percutaneous endoscopic lumbar discectomy (PELD) can redeem the living quality of patient with LDH rapidly, it appears weak to limit the recurrence rate of LDH.Patient concerns:A 52-year-old male suffered lower back pain and lower limb paralysis for 20 years. However, conservative treatment could not relieve above-mentioned symptoms after doing heavy labor.Diagnoses:Computed tomography (CT) revealed a disc fragment had migrated to the inferior edge of the L5 pedicle. Magnetic resonance imaging (MRI) demonstrated a type 2 Modic change (MC) at L5 and spinal canal stenosis at L4-L5. Based on these findings, the patient was diagnosed with L4-L5 disc herniation and secondary lumbar stenosis.Interventions:The patient underwent surgery twice for PELD at L4-L5 in 1 month. Symptoms were not improved effectively until the conventional posterior discectomy with fusion was performed.Outcomes:No signs of recurrence have been detected in 6 months of follow-up, except for mild lower back pain meeting the temperature change.Lessons:Rapid decompression and instant therapeutic effect do not mean extending the indications of PELD. It is unreasonable to revise the recurrent LDH or treat the primary LDH with PELD under inadequate preoperative assessment.

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Section: Discussionmentioning

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Recurrent lumbar disc herniation recurrence after percutaneous endoscopic lumbar discectomy

Wang¹,

Cong²,

Xu³

et al. 2018

Medicine

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“…Although minimally invasive surgery allows patients to get out of bed, out of the hospital, and return to work sooner than with conventional surgery, some reports suggest slightly higher rates of hernia recurrence 4 , 5 ) . Although some reports discuss early reoperation 6 , 7 ) , motor function, postoperative quality of life (QOL), and patient-centered outcomes remain unclear.…”

Section: Introductionmentioning

confidence: 99%

Symptom recurrence and associated factors in postoperative patients with lumbar degenerative disease

Matsushima,

Tsuchida,

Muta

et al. 2023

J Phys Ther Sci

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[Purpose] This study aimed to examine gradual changes in and relationships among preoperative and 3-month postoperative endpoints in patients with lumbar degenerative disease. [Participants and Methods] The study included 160 diagnosed with lumbar degenerative diseases who underwent surgery. Patients were divided into two groups: “good progress” and “recrudescence”. Changes in the Japan Orthpedics Associations (JOA) score, JOA back pain evaluation questionnaire (JOABPEQ), and numeric rating scale (NRS) preoperatively and 3 months postoperatively, and their associations, were analyzed. [Results] Differences were found in preoperative NRS for low back pain, JOA score (other findings) at 3 months postoperatively, and NRS for low back pain at 3 months postoperatively. The causal analysis yielded paths for “daily life”, “pain”, and “social/psychological aspects”, starting with “lumbar spine disorders”. [Conclusion] The subjective symptoms, objective findings, lumbar spine dysfunction, gait dysfunction, and numbness at 3 months postoperatively yielded relevant information regarding the participants activities of daily living, pain, and social and psychological aspects, providing a perspective for monitoring postoperative patients.

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“…1,2 However, in view of the characteristics of this technique and the increase in the number of surgical cases over time, RLDH has gradually raised clinicians' concerns, and the postoperative recurrence rate is currently reported to be 5% to 18%. [3][4][5][6] Recurrent lumbar disc herniation (RLDH) refers to the recurrence of low back pain in the same or opposite side of the originally responsible segment due to the herniation of the lumbar disc that led to low back pain and surgical treatment, and the recurrence of low back pain in the same or opposite side of the originally responsible segment due to the herniation of the nucleus pulposus of the intervertebral disc to compress and stimulate the nerve root. 3 Studies have shown that smoking and obesity are the main factors associated with recurrence of the postoperative period in RLDH.…”

Section: Introductionmentioning

confidence: 99%

Clinical Effects of the End-Love Technique in the Treatment of Recurrent Lumbar Disc Herniation 1 Year After Surgery

Li,

et al. 2023

ORR

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The number of patients with lumbar disc herniation in China is increasing year by year. Percutaneous endoscopic lumbar discectomy (PELD) is currently the main surgical method for treating lumbar disc herniation (LDH). However, with the increase in the number of surgical cases, the number of patients with recurrent lumbar disc herniation (RLDH) is also increasing. Currently, the common method in China is lumbar fusion surgery, but this surgery would cause the loss of fusion segment mobility and considerable postoperative complications. In order to solve the problem above the following technique will be studied: the technique of posterior lumbar laminectomy and nucleus pulposus removal under fully visualized spinal endoscopy (ENDO-LOVE) to treat RLDH. Its clinical effects will be observed in this paper, too. Methods: This series includes RLDH patients treated with ENDO-LOVE technology between January 2017 and January 2021. All patients will undergo at least three follow-up visits one year after surgery. The modified MacNab standard, VAS, JOA, and ODI scores will be used to evaluate clinical efficacy, observe for cerebrospinal fluid leak, nerve root injury, and surgical site infection, and evaluate clinical safety. Results: All 29 patients completed the surgery successfully. Three patients had postoperative pain and numbness in the area of nerve root innervation, and all patients had no serious complications. The VAS, JOA scores and ODI indices of back pain and leg pain 1-day, 3-months, and 1-year postoperatively differed statistically significantly from the preoperative scores (p < 0.05). Efficacy evaluated at 1-year postoperatively using the modified MacNab criteria showed an excellent rate of 89.7%. Conclusion: ENDO-LOVE technology has demonstrated good clinical efficacy and safety in the treatment of patients with RLDH. It should be considered for all patients with this condition.

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Factores asociados a recidiva de hernia de disco lumbar luego de una microdiscectomía

Cited by 11 publications

References 23 publications

Recurrent lumbar disc herniation recurrence after percutaneous endoscopic lumbar discectomy

Recurrent lumbar disc herniation recurrence after percutaneous endoscopic lumbar discectomy

Symptom recurrence and associated factors in postoperative patients with lumbar degenerative disease

Clinical Effects of the End-Love Technique in the Treatment of Recurrent Lumbar Disc Herniation 1 Year After Surgery

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