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.

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

Herniated Lumbar Disc: Excerpt from the New AMA Guides to the Evaluation of Disease and Injury Causation, Second Edition

2013 ◽  
Vol 18 (4) ◽  
pp. 1-5
Keyword(s):  
Risk Factors ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Scientific Evidence ◽  
Minor Trauma ◽  
Cross Sectional ◽  
Disc Herniations ◽  
Cross Sectional Design ◽  
Injury Causation

Abstract This article presents the current science regarding the causation for herniated lumbar discs, taken from the second edition of the AMA Guides to the Evaluation of Disease and Injury Causation. Sciatica is a relatively common disorder; point prevalence population estimates range from 2% to 5%. People with sciatica may or may not have lumbar disc herniations (lumbar herniated nucleus pulposus). Sciatica is described by a variety of terms, including radiculopathy, lumbosacral radicular syndrome, and nerve root irritation. Different definitions of sciatica have been used in epidemiologic surveys, and studies concerning sciatic pain or sciatica generally have used self-reported risk factors in a cross-sectional design—these studies have drawn contradictory conclusions regarding the risk factors associated with lumber radiculopathy. Insufficient scientific evidence exists to justify attributing the cause of lumbar disc herniation to any minor trauma event or ergonomic risk factor; supposed “post hoc ergo propter hoc” (after this, therefore because of this) associations show only association, not causation. The article includes several tables, including risk factors for lumbar disc herniation, risk factors for sciatica, and a summary of evidence for low back pain.

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.

Surgical management of recurrent lumbar disc herniation and the role of fusion

2016 ◽  
Vol 23 ◽  
pp. 44-50 ◽  
Author(s):  
Ashraf Dower ◽  
Robindro Chatterji ◽  
Alexander Swart ◽  
Mark J. Winder
Keyword(s):  
Surgical Management ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Recurrent Lumbar Disc Herniation

scholarly journals Clinical outcomes after minimal-access surgery for recurrent lumbar disc herniation

2003 ◽  
Vol 15 (3) ◽  
pp. 1-4 ◽  
Author(s):  
Hoang Le ◽  
Faheem A. Sandhu ◽  
Richard G. Fessler
Keyword(s):  
Clinical Outcomes ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Length Of Hospital Stay ◽  
Surgical Approaches ◽  
Published Data ◽  
Minimal Access ◽  
Disc Herniations ◽  
Recurrent Lumbar Disc Herniation

Object Experience with minimal-access surgical approaches for revision lumbar surgery has not been previously reported. Methods During a 7-month period, 10 consecutive patients with recurrent disc herniations underwent revision operations in which microendoscopic discectomy (MED) was performed. Perioperative data and clinical outcomes (according to Macnab criteria) were compared with those obtained in 25 consecutive patients who underwent routine single-level MED as well as with previously published data. Overall, outcome of the MED-treated revision group was excellent or good in 90% during a mean follow-up period of 18.5 months (minimum 12 months). Operative blood loss, duration, complications, and length of hospital stay were not significantly different between the revision and primary MED-treated groups. Conclusions Analysis of these early data suggests equivalent or superior results are obtained when performing MED compared with historical controls in which conventional surgery was conducted for recurrent disc surgery. The procedure appears to be a safe and effective alternative in cases in which recurrent lumbar disc herniation causes radiculopathy.

scholarly journals The Effectiveness of Moxibustion for Treating of Lumbar Disc Herniation(LDH): A Protocol for Systematic Review and Meta-ananlysis

2020 ◽  
Author(s):  
Zenan Wu ◽  
Jun Xiong ◽  
Guixing Xu ◽  
Zhengyun Zuo ◽  
Yi Yang ◽  
...  
Keyword(s):  
Systematic Review ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Clinical Symptoms ◽  
Lumbar Disc ◽  
Cauda Equina ◽  
The Body ◽  
Lumbar Pain ◽  
Cochrane Library ◽  
Disc Herniations

Abstract Background: Lumbar disc herniation (LDH) refers to lumbar disc degeneration or external pressure, resulting in annulus fibrosus rupture, nucleus pulposus protrusion or bulging, compression of nerve roots, cauda equina nerve, and then some clinical symptoms of a clinical syndrome, clinical symptoms are often manifested as unilateral or bilateral lumbar pain, leg numbness. L3/L4,L4/L5, and L5/S1 intervertebral disc herniations are common in the lesion sites of lumbar disc herniations, and the incidence rate is as high as 90%. Typical manifestations are tenderness at the corresponding surface of the body. This disease is a common and frequently-occurring disease in the department of rehabilitation and acupuncture of the hospital, and is a common cause of lumbago and leg pain. At present, the common external treatment for LDH includes many methods,mostly acupuncture and moxibustionMethods: We're going to use systematic electronic search, including PubMed,MEDLINE, Cochrane library, SinoMed,CNKI,WF,VIPand checked references of retrieved articles. Randomized controlled trials (RCTs) on acupotomy treatment in LDH patients will be searched for independently by 2 reviewers in the databases from their inception to August 2020. We will combine data from clinically homogenous studies in a fixed effect meta-analysis using RevManV.5.3.5, and the evidence level will be assessed by using the method for Grading of Recommendations Assessment, Development, and Evaluation (GRADE).Discussion: The results of this review will provide reliable evidence for effectiveness and safety of moxibustion for treating LDH.Systematic review registration: CRD42020187626

scholarly journals Analysis of risk factors and postoperative predictors for recurrent lumbar disc herniation

2019 ◽  
Vol 10 ◽  
pp. 36 ◽  
Author(s):  
M. Dobran ◽  
Davide Nasi ◽  
R. Paracino ◽  
M. Gladi ◽  
M. Della Costanza ◽  
...  
Keyword(s):  
Risk Factors ◽  
Body Mass Index ◽  
Multivariate Analysis ◽  
Recurrence Rate ◽  
Lumbar Disc Herniation ◽  
Oswestry Disability Index ◽  
Lumbar Disc ◽  
Increased Risk ◽  
Disc Herniations ◽  
Recurrent Lumbar Disc Herniation

Background: This study identified risk factors and postoperative indicators for recurrent lumbar disc herniations (rLDH) following microdiscectomy. Methods: We retrospectively reviewed the 1-year recurrence rate for LDH in 209 consecutive patients undergoing microdiscectomy (2013–2018). Results: Utilizing a multivariate analysis, higher body mass index (BMI) and postsurgery Oswestry disability index (ODI) were significantly associated with an increased risk of rLDH. Conclusion: Elevated postsurgery ODI and higher BMI were significantly associated with increased risk of rLDH.

Sign in / Sign up

Export Citation Format

Share Document