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Analysis of risk factors and postoperative predictors for recurrent lumbar disc herniation

M Dobran1, Davide Nasi1, R Paracino1

  • 1Department of Neurosurgery, Umberto I General Hospital, Università Politecnica delle Marche, Ancona, Italy.

Surgical Neurology International
|September 19, 2019
PubMed
Abstract

Insights

Higher body mass index (BMI) and postsurgery Oswestry disability index (ODI) predict recurrent lumbar disc herniation (rLDH) after microdiscectomy. These factors are key indicators for increased rLDH risk in patients.

Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Spinal Surgery

Background:

  • Identifying risk factors for recurrent lumbar disc herniation (rLDH) post-microdiscectomy is crucial for patient outcomes.
  • Understanding postoperative indicators can help predict rLDH development.

Purpose of the Study:

  • To identify significant risk factors for rLDH following microdiscectomy.
  • To determine postoperative indicators associated with rLDH.

Main Methods:

  • Retrospective review of 209 patients undergoing microdiscectomy between 2013 and 2018.
  • Analysis of 1-year recurrence rate for lumbar disc herniation (LDH).
  • Multivariate analysis to assess risk factors and indicators.

Main Results:

  • Higher body mass index (BMI) was significantly associated with an increased risk of rLDH.
  • Elevated postsurgery Oswestry disability index (ODI) was also significantly linked to a higher risk of rLDH.

Conclusions:

  • Postsurgery ODI and BMI are significant predictors of rLDH after microdiscectomy.
  • These findings highlight the importance of weight management and functional recovery in preventing recurrent disc herniation.
Keywords:
Discectomylumbar disc herniationlumbar microdiscectomyrecurrent disc herniation

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