Risk factors for the need of surgical treatment of a first recurrent lumbar disc herniation

2015 ◽  
Vol 25 (5) ◽  
pp. 1403-1408 ◽  
Author(s):  
Ratko Yurac ◽  
Juan J. Zamorano ◽  
Fernando Lira ◽  
Diego Valiente ◽  
Vicente Ballesteros ◽  
...  
Keyword(s):  
Risk Factors ◽  
Surgical Treatment ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Recurrent Lumbar Disc Herniation

Risk factors for recurrent lumbar disc herniation after discectomy

2018 ◽  
Vol 43 (4) ◽  
pp. 963-967 ◽  
Author(s):  
Eun-Ho Shin ◽  
Kyu-Jung Cho ◽  
Young-Tae Kim ◽  
Myung-Hoon Park
Keyword(s):  
Risk Factors ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Recurrent Lumbar Disc Herniation

scholarly journals Recurrent Lumbar Disc Herniation: A Review

2017 ◽  
Vol 9 (2) ◽  
pp. 202-209 ◽  
Author(s):  
Nicholas Shepard ◽  
Woojin Cho
Keyword(s):  
Risk Factors ◽  
Surgical Management ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Cochrane Library ◽  
Disc Disease ◽  
Disc Herniations ◽  
Invasive Techniques ◽  
Recurrent Lumbar Disc Herniation

Study Design: Narrative review. Objectives: To identify the risk factors and surgical management for recurrent lumbar disc herniation using a systematic review of available evidence. Methods: We conducted a review of PubMed, MEDLINE, OVID, and Cochrane Library databases using search terms identifying recurrent lumbar disc herniation and risk factors or surgical management. Abstracts of all identified articles were reviewed. Detailed information from articles with levels I to IV evidence was extracted and synthesized. Results: There is intermediate levels III to IV evidence detailing perioperative risk factors and the optimal surgical technique for recurrent lumbar disc herniations. Conclusions: Multiple risk factors including smoking, diabetes mellitus, obesity, intraoperative technique, and biomechanical factors may contribute to the development of recurrent disc disease. There is widespread variation regarding optimal surgical management for recurrent herniation, which often include revision discectomies with or without fusion via open and minimally invasive techniques.

scholarly journals Risk Factors for Recurrent Lumbar Disc Herniation

Medicine ◽  
2016 ◽  
Vol 95 (2) ◽  
pp. e2378 ◽  
Author(s):  
Weimin Huang ◽  
Zhiwei Han ◽  
Jiang Liu ◽  
Lili Yu ◽  
Xiuchun Yu
Keyword(s):  
Risk Factors ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Recurrent Lumbar Disc Herniation

scholarly journals Recurrent Lumbar Disc Herniation: A Narrative Review

2020 ◽  
Vol 1 (1) ◽  
Keyword(s):  
Risk Factors ◽  
Operative Treatment ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Narrative Review ◽  
Leg Pain ◽  
Epidural Fibrosis ◽  
Fusion Procedure ◽  
Recurrent Lumbar Disc Herniation

This narrative review aimed to identify various risk factors of recurrent lumbar disc herniation (rLDH) post-discectomy and its management. The rLDH has remained a challenging problem for spine surgeons. The incidence of rLDH is reported widely from 1% to 21%. Many possible patient-related, disc-related, and surgery-related risk factors may predispose the patient to rLDH. Moreover, the clinical and radiological diagnosis of rLDH can be challenging. Once the diagnosis is confirmed, and alternative diagnoses for leg pain have been ruled out, a course of initial non-operative treatment can be attempted. Compared to primary LDH, non-operative treatment is less likely to succeed in rLDH, possibly due to the associated epidural fibrosis and scarring. Various surgical options can be considered, including revision discectomy and fusion. Revision discectomy is usually the primary choice of surgery for the first recurrence. A fusion procedure can be chosen for those who have repeated reherniations or significant associated back pain. Precise patient selection is a must to achieve excellent surgical outcomes. Keywords: Lumbar disc herniation, recurrent herniation, discectomy, risk factor, Epidural fibrosis, narrative review.

Differences in the surgical treatment of recurrent lumbar disc herniation among spine surgeons in the United States

2014 ◽  
Vol 14 (10) ◽  
pp. 2334-2343 ◽  
Author(s):  
Thomas E. Mroz ◽  
Daniel Lubelski ◽  
Seth K. Williams ◽  
Colin O'Rourke ◽  
Nancy A. Obuchowski ◽  
...  
Keyword(s):  
United States ◽  
Surgical Treatment ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
The United States ◽  
Recurrent Lumbar Disc Herniation

Disc Height and Segmental Motion as Risk Factors for Recurrent Lumbar Disc Herniation

Spine ◽  
2009 ◽  
Vol 34 (24) ◽  
pp. 2674-2678 ◽  
Author(s):  
Kyoung-Tae Kim ◽  
Seung-Won Park ◽  
Young-Baeg Kim
Keyword(s):  
Risk Factors ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Disc Height ◽  
Segmental Motion ◽  
Recurrent Lumbar Disc Herniation

scholarly journals Postoperative Clinical Outcome and Risk Factors for Poor Outcome of Foraminal and Extraforaminal Lumbar Disc Herniation

2016 ◽  
Vol 59 (2) ◽  
pp. 143 ◽  
Author(s):  
Jung Sik Bae ◽  
Kyung Hee Kang ◽  
Jeong Hyun Park ◽  
Jae Hyeon Lim ◽  
Il Tae Jang
Keyword(s):  
Risk Factors ◽  
Clinical Outcome ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Poor Outcome
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