Surgical treatment for lumbar disc herniation: Open discectomy (indications, technique, outcomes, and complications)

Radcliff, Kris E.; Cook, Christopher

doi:10.1053/j.semss.2015.08.005

Cited by 3 publications

(3 citation statements)

References 30 publications

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“…However, differences in revision surgery rate between patients 65 years and older versus those younger than 65 years were never more than 4.5%. Even though there may be a slightly higher rate of revision surgery for younger patients, they will still likely see improvements in clinical outcomes from operative treatment [10,11,16,20,22,24]. We did not find any regional difference in survivorship of the discectomy.…”

Section: Discussionmentioning

confidence: 61%

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What is the Rate of Revision Discectomies After Primary Discectomy on a National Scale?

Virk

Diwan

Phillips

et al. 2017

Clinical Orthopaedics &Amp; Related Research

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Section: Discussionmentioning

confidence: 61%

“…Discectomy with and without laminectomy has been shown to be beneficial in numerous studies [10,11,16,20,22,24]. Indications for the procedure include radiculopathy and progressive neurologic deficit in the presence of imaging confirming neural compression from a disc herniation.…”

Section: Introductionmentioning

confidence: 99%

What is the Rate of Revision Discectomies After Primary Discectomy on a National Scale?

Virk

Diwan

Phillips

et al. 2017

Clinical Orthopaedics &Amp; Related Research

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“…У поодиноких повідомленнях вік хворих не розглядається як чинник ризику рГМД [24]. Вищу частоту рецидивів ГМД у молодих чоловіків деякі автори пояснюють тим, що розріз, виконаний за первинного втручання, робить оперований диск сприйнятливішим до раптового пролапсу, особливо в умовах механічного навантаження під час занять спортом або підняття ваги [28].…”

Section: чинники ризику ргмд після первинної дискектоміїunclassified

Epidemiologicalrisk Factors of Recurrence of Lumbar Intervertebral Disc Herniation After Primary Discectomy (Literature Review)

Radchenko,

Piontkovskyi,

Kolesnichenko

et al. 2024

OTP

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Primary discectomy for a lumbar intervertebral disc herniated (LDH) is usually accompanied by a rapid regression of clinical symptoms, however, in 5–15 % of cases, an X-ray positive recurrence of the hernia with corresponding orthopedic disorders is registered, which leads to repeated surgical intervention. Objective. Determination of risk factors for recurrence of LDH and their frequency under the conditions of various methods of primary discectomy based on a scientific analysis of the relevant literature. Methods. The material of the research is articles containing the definition of risk factors for the recurrence of a LDH after primary discectomy, for the period 2013–2023 in PubMed, Google Scholar, Medline databases using medical subject headings and keywords «recurrent lumbar disc herniation, surgical interventions, percutaneous endoscopic lumbar discectomy, microdiscectomy, laminectomy, discectomy, spondylodesis». The research method is a systematic review of relevant literature sources. Results. Early and long-term results of primary discectomy for intervertebral disc herniation using decompression (open discectomy, microendoscopic discectomy, percutaneous discectomy, laminectomy, minidiscectomy, endoscopic discectomy) and decompression-stabilization (discectomy combined with spondylodesis) techniques are traced in the literature. The most successful were: 1 year after the operation — endoscopic discectomy (12.4 % of reoperations) and spondylodesis (11.8 %); 10 years after the operation — laminectomy (14 %) and spondylodesis (10 %). The highest rates of revision discectomy: 1 year after the operation — laminectomy (18.6 %); 10 years after surgery — open discectomy and endoscopic discectomy — 16 % each. Conclusions. Recurrent intervertebral disc herniation is an early complication of primary discectomy, the frequency of which varies depending on the surgical technique and the timing of the postoperative period. The most reliable risk factors are male gender, age younger than 50 years, diabetes mellitus, and smoking.

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Factors that influence neurological deficit and recovery in lumbar disc prolapse—a narrative review

Rajasekaran

et al. 2018

International Orthopaedics (SICOT)

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Surgical treatment for lumbar disc herniation: Open discectomy (indications, technique, outcomes, and complications)

Cited by 3 publications

References 30 publications

What is the Rate of Revision Discectomies After Primary Discectomy on a National Scale?

What is the Rate of Revision Discectomies After Primary Discectomy on a National Scale?

Epidemiologicalrisk Factors of Recurrence of Lumbar Intervertebral Disc Herniation After Primary Discectomy (Literature Review)

Factors that influence neurological deficit and recovery in lumbar disc prolapse—a narrative review

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