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Related Experiment Video

Updated: Feb 19, 2026

Full-Endoscopic Isolation Zone Technique for the Treatment of Lumbar Disc Herniation
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Treatment for Recurrent Lumbar Disc Herniation.

Randall J Hlubek1,2,3, Gregory M Mundis4,5

  • 1Scripps Clinic, 10666 N. Torrey Pines Rd, La Jolla, CA, 92037, USA.

Current Reviews in Musculoskeletal Medicine
|November 6, 2017
PubMed
Summary

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Altered myogenic and lipid metabolism gene expression in paraspinal muscles of patients with adult spinal deformity who develop proximal junctional failure.

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Determinants of cost-effectiveness in minimally invasive surgery for adult spinal deformity correction.

Journal of neurosurgery. Spine·2026

Recurrent lumbar disc herniation (RLDH) affects 5-18% of patients. While revision surgery offers improvement, outcomes are less than primary discectomy, with repeat discectomy being more cost-effective than fusion.

Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Spinal Surgery

Background:

  • Recurrent lumbar disc herniation (RLDH) is a common reason for reoperation after initial lumbar discectomy.
  • Understanding RLDH is crucial for optimizing patient outcomes and surgical decision-making.

Purpose of the Study:

  • To review the incidence, risk factors, and treatment options for recurrent lumbar disc herniation (RLDH).
  • To compare the effectiveness and outcomes of different surgical interventions for RLDH.

Main Methods:

  • Literature review of studies on recurrent lumbar disc herniation.
  • Analysis of incidence rates, identified risk factors, and treatment outcomes.

Main Results:

  • RLDH incidence ranges from 5% to 18%.
Keywords:
Lumbar discectomyLumbar fusionLumbar radiculopathyLumbar spondylosisRecurrent lumbar disc herniation

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  • Risk factors include younger age, absence of neurological deficits, and higher Oswestry Disability Index (ODI) scores.
  • Both repeat discectomy and instrumented fusion yield comparable clinical outcomes, but repeat discectomy offers shorter operative times, reduced hospital stays, and lower costs.

    • Conclusions:

    • Revision surgery for RLDH leads to significant improvement, though less than primary discectomy.
    • Repeat discectomy is a cost-effective treatment option for RLDH compared to instrumented fusion.
    • Nonoperative management may be effective for some patients, while surgical options provide similar outcomes and complication rates.