1. Factors that influence recurrent lumbar disc herniation
- Author
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Mesut Emre Yaman, Ferhat Baş, Atilla Kazancı, Giyas Ayberk, and Nur Dikmen Yaman
- Subjects
Adult ,Male ,Reoperation ,musculoskeletal diseases ,medicine.medical_specialty ,Turkey ,Intervertebral Disc Degeneration ,Lumbar vertebrae ,Body Mass Index ,03 medical and health sciences ,0302 clinical medicine ,Recurrence ,Risk Factors ,Lumbar disc surgery ,Humans ,Medicine ,Diskectomy ,Prospective cohort study ,Aged ,Retrospective Studies ,030222 orthopedics ,Lumbar Vertebrae ,business.industry ,Intervertebral disc ,General Medicine ,Middle Aged ,Surgery ,medicine.anatomical_structure ,Female ,Lumbar disc herniation ,Neurosurgery ,business ,Body mass index ,Intervertebral Disc Displacement ,030217 neurology & neurosurgery - Abstract
INTRODUCTION 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 primary lumbar disc herniation. There have been many studies designed to determine the risk factors for recurrent lumbar disc herniation. In this study, we retrospectively analysed the influence of disc degeneration, endplate changes, surgical technique, and patient's clinical characteristics on recurrent lumbar disc herniation. METHODS Patients who underwent primary single-level L4-L5 lumbar discectomy and who were reoperated on for recurrent L4-L5 disc herniation were retrospectively reviewed. All these operations were performed between August 2004 and September 2009 at the Neurosurgery Department of Ataturk Education and Research Hospital in Ankara, Turkey. RESULTS During the study period, 126 patients were reviewed, with 101 patients underwent primary single-level L4-L5 lumbar discectomy and 25 patients were reoperated on for recurrent L4-L5 disc herniation. Preoperative higher intervertebral disc height (P
- Published
- 2017