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Related Experiment Video

Updated: Jan 26, 2026

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

Nicholas Shepard1, Woojin Cho2,3

  • 1New York University Hospital for Joint Diseases, New York, NY USA.

Global Spine Journal
|April 16, 2019
PubMed
Summary
This summary is machine-generated.

Recurrent lumbar disc herniation is influenced by factors like smoking and obesity. Surgical management varies, often involving revision discectomies or fusion using open or minimally invasive approaches.

Keywords:
discectomyfusionlumbar disc herniationmicrodiscectomyrecurrent herniation

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Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Spinal Surgery

Background:

  • Recurrent lumbar disc herniation presents a significant challenge in spinal surgery.
  • Identifying predisposing factors and optimizing surgical strategies are crucial for improving patient outcomes.

Purpose of the Study:

  • To systematically review risk factors associated with recurrent lumbar disc herniation.
  • To evaluate the current evidence on surgical management options for recurrent lumbar disc herniation.

Main Methods:

  • A comprehensive literature search was performed across major databases (PubMed, MEDLINE, OVID, Cochrane Library).
  • Articles with evidence levels I to IV were selected, and data on risk factors and surgical techniques were extracted and synthesized.

Main Results:

  • Intermediate evidence (Levels III-IV) exists for perioperative risk factors.
  • Optimal surgical techniques for recurrent lumbar disc herniations are detailed, showing significant variation.

Conclusions:

  • Risk factors for recurrent disc disease include smoking, diabetes mellitus, obesity, intraoperative technique, and biomechanical factors.
  • Surgical management is diverse, encompassing revision discectomies with or without fusion, utilizing both open and minimally invasive techniques.