Recurrence of Lumbar Disc Herniation after Microendoscopic Discectomy

Matsumoto, Morio; Watanabe, Kota; Hosogane, Naobumi; Tsuji, Takashi; Ishii, Ken; Nakamura, Masaya; Chiba, Kazuhiro; Toyama, Yoshiaki

doi:10.1055/s-0032-1320031

Cited by 42 publications

(32 citation statements)

References 19 publications

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“…Highly successful results have been obtained with lumbar disc surgery, but 2.8-24 % of patients undergo reoperations after their primary surgery [1][2][3][4][5][6][7]. The most common cause of lumbar disc reoperation has been reported to be reherniation [5,[7][8][9], which includes real recurrent herniation [7] (homolateral herniation at the same level), contralateral herniation at the same disc level and new herniation at another level. The following discectomy-related conditions can also occasionally give rise to revision surgery: scar, adhesive arachnoiditis, infection, epidural haematoma, pseudomeningocele, and other complications [1,7,10,11].…”

Section: Introductionmentioning

confidence: 99%

Reoperation after lumbar disc surgery in two hundred and seven patients

Cheng

Wang

Zheng

et al. 2013

International Orthopaedics (SICOT)

118

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Section: Introductionmentioning

confidence: 99%

Reoperation after lumbar disc surgery in two hundred and seven patients

Cheng

Wang

Zheng

et al. 2013

International Orthopaedics (SICOT)

118

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“…There are several risk factors for recurrence of a herniated disc. In some studies, age differences (15,16) and gender (1) have been reported as a risk factor for recurrence of the herniated disc while other studies reported that age and gender did not relate to a higher recurrence rate (17)(18)(19)(20). There was no significant difference in age and gender between the groups with and without recurrence which open microdiscectomy was performed in re-operation (21)(22)(23).…”

Section: Discussionmentioning

confidence: 99%

Study of Re-Operational Risk Factors in Lumbar Herniated Disk Patients Referring to Golestan Hospital, Ahvaz From 2011 to 2015

Moaven

Ilkhechi

Zeinali

et al. 2020

Jundishapur J Health Sci

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Background: Lumbar disc hernia recurrence is the most common complication after a primary open-ended discectomy that has a poor prognosis. Objectives: To assess the risk factors for re-operational need in patients with lumbar discs referred to Golestan Hospital, Ahvaz from 2011 to 2015. Methods: In this retrospective and epidemiological study, 35 patients with recurrence (group 1) and 70 patients without recurrence after surgery (group 2) were evaluated to investigate the potential risk factors for recurrence of lumbar disc herniation. They were randomly selected from the patients who underwent lumbar disc (discectomy) from Golestan Hospital between, Ahvaz 2011 to 2015. Clinically, the herniated disk recurrence is a ruptured disc that causes foot pain and has symptoms in radiography (MRI) and is defined by the disk material at the same side and the level of the surgical index that causes impingement, compression, or deviation of the nerve tissue (which is reported by the presence of a radiologist). Results: The results of this study showed that height, gender (male), weight gain, education lower than diploma, heavyweight and jobs could predict lumbar disc herniated recurrence. However, there was no significant difference in terms of age, body mass index, diabetes mellitus, smoking, alcohol consumption, marital status, ethnicity, and family history of both groups. Conclusions: The variables of height, gender (male), weight gain, lower-diploma education, and heavyweight jobs can predict the recurrence of lumbar herniated disc.

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“…In this study, 183 patients had severe lumbar disc herniation with damage to annulus fibrosus or protrusion and extrusion types, which are usually considered contraindications to PLD [17, 18]. After treatment, an effective rate of 92.9% was achieved which was comparable with open surgery [19, 20]. Therefore, our data indicated that PLLD, as a minimally invasive treatment, may be effective in treating some severe lumbar disc herniation, lumbar disc prolapse, and spinal stenosis caused by disc bulge.…”

Section: Discussionmentioning

confidence: 99%

Feasibility and Efficacy of Percutaneous Lateral Lumbar Discectomy in the Treatment of Patients with Lumbar Disc Herniation: A Preliminary Experience

Jiang

Sun

Qi-rui

et al. 2015

BioMed Research International

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Objective. This study was aimed at evaluating the effectiveness and safety of percutaneous lateral lumbar discectomy (PLLD) in treating patients with lumber disc herniation. Methods. A total of 183 patients with lumbar disc herniation were recruited to receive PLLD surgery from April 2006 to October 2011. All the adverse effects were recorded during the follow-up at 1, 3, 6, and 12 months after PLLD. The clinical outcomes were determined by visual analog scale and Japanese Orthopaedic Association score. Results. The surgery was performed successfully in all patients (102 males and 81 females aged from 21 to 66 years) with a mean 16.6-month follow-up (range from 26 to 65 months). No postoperative complications, including intestinal and vascular complications, nerve injuries, and postoperative infections, were associated with PLLD. At one month after surgery, visual analog scale (3.12±1.44 versus 6.76±2.31, P<0.05) was significantly lower than the baseline and was sustained until 24 months after surgery (3.25 ± 1.78 versus 6.76±2.31, P<0.05). Besides that, Japanese Orthopaedic Association score (25.25±3.21 versus 11.78±2.38, P<0.05) was increased when compared to the baseline. Conclusions. PLLD was a promising, mini-invasive, and effective treatment for lumber disc herniation.

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Recurrence of Lumbar Disc Herniation after Microendoscopic Discectomy

Cited by 42 publications

References 19 publications

Reoperation after lumbar disc surgery in two hundred and seven patients

Reoperation after lumbar disc surgery in two hundred and seven patients

Study of Re-Operational Risk Factors in Lumbar Herniated Disk Patients Referring to Golestan Hospital, Ahvaz From 2011 to 2015

Feasibility and Efficacy of Percutaneous Lateral Lumbar Discectomy in the Treatment of Patients with Lumbar Disc Herniation: A Preliminary Experience

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