Factors that influence recurrent lumbar disc herniation

Yaman, Metin; Kazanci, Atilla; Yaman, Nur Dikmen; Baş, Ferhat; Ayberk, Gıyas

doi:10.12809/hkmj164852

Cited by 49 publications

(82 citation statements)

References 24 publications

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“…В последнее время активно обсуждается значимость изменений замыкательных пластинок (критерии Modic) при дегенеративных поражениях позвоночника для тактики и исхода хирургического лечения [18]. Toyone et al [16] установили, что при изменении I типа гипермобильность возникает в 70 % случаев, II типатолько в 16 %.…”

Section: Discussionunclassified

“…Частота отличных и хороших результатов достигает 90-95 % [20]. Тем не менее, несмотря на внедрение новых технологий и совершенствование хирургического инструментария, частота рецидивов грыж поясничных МПД достигает 5-15 %, что является одной из наиболее частых причин ревизионного вмешательства на позвоночнике [1,18,19].…”

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Relationship between biomechanical and biochemical parameters of spinal motion segments and recurrent lumbar disc herniation

Байков¹,

Байкалов²

2017

Hir. pozvonoč.

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Objective. To identify natural radiological parameters of degenerative spinal motion segments and biochemical changes in intervertebral disc tissues, which have a significant connection with the hernia recurrence after microdiscectomy. Material and Methods. The MRI, radiography and biochemical parameters of the nucleus pulpous and annulus fibrosus tissues from patients operated for L4-L5 and L5-S1 herniation were assessed and statistically analyzed. Two groups of patients were examined: Group I (n = 50)-with recurrent hernias, Group II (n = 50)without recurrence during three years. Results. Significant correlation was observed between recurrent lumbar disc herniation after microdiscectomy and the following biomechanical parameters: height of the intervertebral disc (p = 0.001; r = 0.69), segmental sagittal range of motion (p = 0.001; r = 0.61), lumbar lordosis (p = 0.001, r = 0.78), stage of the intervertebral disc degeneration (p = 0.001; r = 0.46), and type of hernia (p = 0.001, r = 0.45). The quantitative and qualitative characteristics of proteoglycans/glycosaminoglycans of the nucleus pulposus and annulus fibrosus differed significantly in patients of the studied groups, but significant correlation with recurrent hernias was not found (r < 0.3). Conclusion. The preserved intervertebral disc height, hypermobility of the spinal motion segment, the smoothness of the lumbar lordosis, moderate intervertebral disc degeneration, and the disc protrusion have significant connection with the recurrence of lumbar intervertebral disc herniation after microdiscectomy.

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Section: Discussionunclassified

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Relationship between biomechanical and biochemical parameters of spinal motion segments and recurrent lumbar disc herniation

Байков¹,

Байкалов²

2017

Hir. pozvonoč.

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“…The rLDH was usually de ned as the same level disc herniation after primary discectomy with a more than one month pain-free interval [16]. Yin S et al [17] demonstrated PELD is associated with a certain rate of recurrence (3.6%), which usually occurred within 6 months postoperatively.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Percutaneous Endoscopic Lumbar Discectomy and Minimally Invasive Transforaminal Lumbar Interbody Fusion for Revision Surgery for the Recurrent Lumbar Disc Herniation After Percutaneous Endoscopic Lumbar Discectomy

Wang

2020

Preprint

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Background: Percutaneous endoscopic lumbar discectomy (PELD) has become a feasible alternative to the conventional open surgery for the treatment of lumbar disc herniation (LDH), but PELD is associated with a certain rate of recurrence. Therefore, a good choice of surgical approach for recurrent lumbar disc herniation (rLDH) is important. The purpose of this study was to compare the outcomes between PELD and minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) for revision surgery for the rLDH after primary PELD surgery.Methods: This study retrospectively assessed 46 patients who suffered from rLDH after PELD surgery in Peking University First Hospital from January 2015 to June 2019, and patients were divided into two groups, PELD group (n=24) and MIS-TLIF group (n=22), according to different revision surgical methods. Preoperative data, perioperative conditions, complications, recurrence condition, and clinical outcomes were compared between these two groups.Results: Compared with the MIS-TLIF group, the PELD group was associated with shorter operative time, less intraoperative hemorrhage, and shorter post-operative hospitalization, but higher recurrence rate. Complication rates were comparable between two groups. Both the two groups could provide patients with satisfactory clinical outcomes at the 12-month follow-up after revision surgery. Compared with MIS-TLIF, PELD was associated with visual Analog Scale (VAS) scores of back pain, and Oswestry disability index (ODI) at the 1-month follow-up, whereas this effect was equalized after 6 months postoperatively.Conclusions: Either PELD or MIS-TLIF surgery could provide satisfactory clinical outcomes for revision surgery for the rLDH after primary PELD. PELD brought advantages in shorter operative time, less intraoperative hemorrhage, and shorter post-operative hospitalization over MIS-TLIF, however, higher postoperative recurrence rate of PELD couldn’t be ignored. Surgeons must weigh advantages against disadvantages of these surgical methods and fully informed patients preoperatively.

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“…Moreover, the most common cause of poor outcome following lumbar disc surgery is recurrent herniation. Recurrence has been noted in 5% to 15% of patients with surgically treated LIDH (9). Conservative treatments of LIDH have been reported to have unique advantages, with the clinical symptoms of most patients diminished or even completely gone within a few weeks (10).…”

Section: Introductionmentioning

confidence: 99%

A narrative review of non-operative treatment, especially traditional Chinese medicine therapy, for lumbar intervertebral disc herniation

Zhang

Wang

et al. 2017

BST

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Factors that influence recurrent lumbar disc herniation

Cited by 49 publications

References 24 publications

Relationship between biomechanical and biochemical parameters of spinal motion segments and recurrent lumbar disc herniation

Relationship between biomechanical and biochemical parameters of spinal motion segments and recurrent lumbar disc herniation

Comparison of Percutaneous Endoscopic Lumbar Discectomy and Minimally Invasive Transforaminal Lumbar Interbody Fusion for Revision Surgery for the Recurrent Lumbar Disc Herniation After Percutaneous Endoscopic Lumbar Discectomy

A narrative review of non-operative treatment, especially traditional Chinese medicine therapy, for lumbar intervertebral disc herniation

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