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Full-Endoscopic Isolation Zone Technique for the Treatment of Lumbar Disc Herniation
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Recurrent lumbar disc herniation: Is there a correlation with the surgical technique? A multivariate analysis
Alessandro Landi1, Giovanni Grasso2, Cristina Mancarella1
1Department of Neurology and Psychiatry, Division of Neurosurgery, "Sapienza" University of Rome, Rome, Italy.
Journal of Craniovertebral Junction & Spine
|February 22, 2019
Summary
Recurrent lumbar disc herniation (LDH) is a common complication. This study found no significant difference in recurrence rates between discectomy and herniectomy for LDH treatment, but "other" techniques showed higher recurrence risks.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Spinal Surgery
Background:
- Recurrent lumbar disc herniation (LDH) is a frequent cause of unfavorable outcomes after initial lumbar discectomy.
- Identifying surgical techniques that minimize recurrence risk is crucial for improving patient prognoses.
Purpose of the Study:
- To investigate the relationship between surgical techniques for primary LDH and the incidence of recurrent LDH.
- To determine the optimal surgical approach for treating recurrent LDH to prevent subsequent recurrences.
Main Methods:
- A retrospective analysis of 979 patients undergoing surgery for LDH.
- Multivariate analysis to correlate surgical techniques (discectomy, herniectomy, other) with primary and recurrent LDH rates.
- Pearson's Chi-square test used for statistical significance.
Main Results:
- Overall recurrence rate was 11.2% (110 patients).
- Discectomy (9.45%) and herniectomy (11.8%) showed similar recurrence rates for primary LDH.
- Procedures categorized as "other" had a significantly higher recurrence rate (62.5%) and second recurrence rate (P < 0.05).
Conclusions:
- Current data suggest no significant difference in LDH recurrence risk between standard discectomy and herniectomy.
- Surgical techniques other than discectomy or herniectomy are associated with a higher risk of recurrent LDH and subsequent recurrences.
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