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Lumbar disk herniation: an analysis of 175 surgically treated cases
1Back Treatment Center, Deaconess Hospital, Associated with the University of Cincinnati, College of Engineering, Ohio, USA.
Journal of Spinal Disorders
|January 23, 1998
Summary
Open lumbar discectomy offers a high success rate for relieving leg pain, with 91% of patients experiencing good to excellent outcomes. Few complications and a low recurrence rate of 4.6% were observed in this study.
Area of Science:
- Neurosurgery
- Orthopedics
- Spinal Surgery
Background:
- Lumbar disc herniation is a common cause of leg pain.
- Open discectomy is a surgical option for managing this condition.
- Assessing the long-term outcomes and predictors of success is crucial.
Purpose of the Study:
- To evaluate the effectiveness and safety of open lumbar discectomy.
- To determine the rate of good-to-excellent outcomes.
- To identify factors influencing the relief of leg pain.
Main Methods:
- Retrospective review of 175 consecutive open lumbar discectomy cases.
- Minimum follow-up of 1 year, with an average of 54 months.
- Multiple linear regression analysis was used to explore predictive factors.
Main Results:
- 91.0% of patients reported good-to-excellent outcomes.
- A low complication rate was observed.
- The overall recurrence rate was 4.6%.
- No single factor reliably predicted leg pain relief.
Conclusions:
- Open lumbar discectomy is an effective procedure for lumbar disc herniation.
- The surgery demonstrates a high success rate and low recurrence.
- Predicting individual patient outcomes remains challenging.