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Related Experiment Videos

Repeat surgery after disc excision.

J Cauchoix, C Ficat, B Girard

    Spine
    |September 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

    Repeat surgery after lumbar disc excision is necessary for 5.9% of patients, often due to recurrent sciatica from fibrosis or re-herniation. Recurrent herniation shows the best outcomes with repeat surgical intervention.

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    Area of Science:

    • Neurosurgery
    • Orthopedic Surgery
    • Spinal Surgery

    Background:

    • Lumbar disc excision is a common procedure for sciatica.
    • Repeat surgery may be required for persistent or recurrent symptoms.
    • Understanding reasons for repeat surgery and outcomes is crucial for patient management.

    Purpose of the Study:

    • To review outcomes of repeat surgery after initial lumbar disc excision.
    • To identify common causes for repeat lumbar spine surgery.
    • To evaluate patient response to revision surgery based on pathology.

    Main Methods:

    • Retrospective review of 60 patients undergoing repeat surgery after lumbar disc excision.
    • Analysis of initial surgical history and reasons for re-operation.

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  • Categorization of pathologies leading to repeat surgery and assessment of outcomes.

    • Main Results:

    • Repeat surgery was performed on 5.9% of patients following initial laminectomy for sciatica.
    • Recurrent radicular pain (49 patients) and back pain (20 patients) were primary indications.
    • Perineural fibrosis and recurrent herniation were most common causes of recurrent sciatica.
    • Patients with recurrent herniation demonstrated the most favorable response to repeat surgery.
    • Secondary spinal fusion was required in only 9 out of 520 initial disc excision patients.

    Conclusions:

    • Repeat surgery after lumbar disc excision is infrequent but necessary for specific complications.
    • Recurrent disc herniation is a primary indication for revision surgery with good outcomes.
    • Perineural fibrosis is another significant cause of persistent radicular pain post-discectomy.
    • The need for secondary fusion after primary disc excision is low.