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Risk Factors for Recurrent Disk Herniation After Biportal Endoscopic Diskectomy.

Ju-Eun Kim1, Sung Choi, Chris Michel

  • 1From the Baroseomyeon Hospital, Busan, Korea (Dr. Kim); the Department of Orthopedic Surgery, Daegu Fatima Hospital, Daegu, South Korea (Dr. Choi); the Corewell Health, Southfield, MI (Dr. Michel); and the Midwest Orthopedics at RUSH, Chicago, IL (Dr. Park).

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This summary is machine-generated.

Diabetes, smoking, and contained disc herniation increase recurrence risk after biportal endoscopic lumbar discectomy. This minimally invasive technique offers good outcomes but requires patient counseling for these specific risk factors.

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Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Minimally Invasive Spine Surgery

Background:

  • Biportal endoscopic discectomy is a minimally invasive technique for lumbar disc herniation.
  • Understanding recurrence risk factors is crucial for patient management and surgical planning.

Purpose of the Study:

  • To identify risk factors for recurrent disc herniation following biportal endoscopic discectomy.
  • To evaluate the clinical outcomes and recurrence rates associated with this procedure.

Main Methods:

  • Retrospective review of 237 patients undergoing biportal endoscopic discectomy for lumbar disc herniation.
  • Analysis of clinical and radiographic data from 160 eligible patients.
  • Assessment of preoperative factors including demographics, visual analog scale (VAS), and Oswestry Disability Index (ODI).

Main Results:

  • Significant improvement in VAS and ODI scores post-surgery.
  • A 9.4% symptomatic recurrence rate (15/160 patients), with 5% requiring revision surgery.
  • Identified diabetes, smoking, and contained disc herniation as significant risk factors for recurrence (P < 0.05).

Conclusions:

  • Single-level biportal endoscopic discectomy demonstrates favorable clinical outcomes.
  • Recurrence risk factors are comparable to traditional open and tubular techniques.
  • Patients with diabetes, smoking history, or contained disc herniation require careful counseling due to elevated recurrence risk.