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Related Experiment Video

Updated: Mar 6, 2026

Full-Endoscopic Isolation Zone Technique for the Treatment of Lumbar Disc Herniation
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Factors that influence recurrent lumbar disc herniation.

M E Yaman1, A Kazancı2, N D Yaman3

  • 1Department of Neurosurgery, Memorial Ankara Hospital, Ankara, Turkey.

Hong Kong Medical Journal = Xianggang Yi Xue Za Zhi
|March 3, 2017
PubMed
Summary
This summary is machine-generated.

Recurrent lumbar disc herniation is common after surgery. Higher disc height, body mass index, and Modic endplate changes may increase the risk of recurrence, necessitating further research for prevention.

Keywords:
DiskectomyLumbar vertebraeRecurrence

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Area of Science:

  • Neurosurgery
  • Orthopedics
  • Spinal Surgery

Background:

  • Recurrent lumbar disc herniation affects 5-15% of patients post-surgery.
  • Identifying risk factors for recurrence is crucial for improving patient outcomes.
  • Previous studies have explored various factors influencing recurrent disc herniation.

Purpose of the Study:

  • To retrospectively analyze risk factors for recurrent lumbar disc herniation.
  • Investigate the influence of disc degeneration, endplate changes, surgical technique, and patient characteristics on recurrence.

Main Methods:

  • Retrospective review of patients undergoing primary single-level L4-L5 lumbar discectomy.
  • Analysis of patients reoperated for recurrent L4-L5 disc herniation.
  • Data collected from August 2004 to September 2009 at Ataturk Education and Research Hospital.

Main Results:

  • 126 patients reviewed; 101 primary discectomy, 25 recurrent herniation.
  • Higher preoperative intervertebral disc height (P<0.001) and body mass index (P=0.042) linked to recurrence.
  • Modic endplate changes were significantly greater in the recurrent group (P=0.032).

Conclusions:

  • Preoperative higher disc height and body mass index are potential risk factors for recurrence.
  • Modic endplate changes show a higher tendency for recurrent lumbar disc herniation.
  • Large-scale prospective studies are needed to confirm findings and develop preventive strategies.