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Updated: Jan 4, 2026

Full-Endoscopic Transforaminal Approach for Lumbar Discectomy
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Revision after failed discectomy.

Christoph Mehren1,2, Lorenz Wanke-Jellinek3,4, Andreas Korge3,4

  • 1Spine Center, Schön Klinik München Harlaching, Harlachinger Strasse 51, 81547, Munich, Germany. cmehren@schoen-kliniken.de.

European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
|October 31, 2019
PubMed
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This summary is machine-generated.

Revision surgery for recurrent lumbar disc herniation is challenging but effective. Microsurgical re-discectomy offers significant pain relief and functional improvement, though outcomes are slightly less favorable than primary surgeries.

Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Spinal Surgery

Background:

  • Recurrent lumbar disc herniation is a common complication post-discectomy.
  • Altered anatomy and scar tissue make surgical revision challenging.

Purpose of the Study:

  • To describe the microsurgical revision technique for recurrent lumbar disc herniation.
  • To evaluate clinical outcomes of revision surgery compared to primary lumbar disc surgery.

Main Methods:

  • Retrospective analysis of clinical data from 2576 primary discectomies (PD) and 592 revision discectomies (RD).
  • Evaluation of 894 PD and 117 RD cases with 12- and 24-month follow-up.
  • Recording of intraoperative dura lesion rates between 2016-2018.

Main Results:

Keywords:
Clinical results after lumbar discectomy and re-discectomyOperative strategies in lumbar revisionRecurrent lumbar disc herniation

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  • Both PD and RD groups showed significant improvement in Oswestry Disability Index (ODI) and Visual Analog Scale (VAS) for pain.
  • ODI improved to 12.6 (PD) and 22.9 (RD) at 24 months.
  • VAS scores for back and leg pain decreased significantly in both groups, with slightly better outcomes in the PD group.

Conclusions:

  • No clear guidelines exist for recurrent disc herniation surgery.
  • Microsurgical re-discectomy is often sufficient, safe, and effective.
  • Revision surgery yields good results, albeit slightly inferior to primary procedures.