Risk Factors of Secondary Lumbar Discectomy of a Herniated Lumbar Disc after Lumbar Discectomy
Journal of Korean Neurosurgical Society
;
: 586-593, 2019.
Article
in English
| WPRIM
| ID: wpr-788803
ABSTRACT
OBJECTIVE:
To study risk factors of secondary lumbar discectomy (LD) for recurrent herniated lumbar disc (HLD) and identify methods to lower the rate of recurrence.METHODS:
Data from 160 patients who underwent primary LD were collected retrospectively. Demographic features, radiologic findings including Pfirrmann disc degeneration, and surgical information were analyzed to compare risks between revision and non-revision patients.RESULTS:
The revision rate was 15% (24 patients), and the mean follow-up was 28.3 months. HLD recurrence was not related to any demographic characteristics. Primary and secondary LD were most common at the L4–5 level, but the level of operation was not significantly associated with revision. Primary LD most commonly had a Pfirrmann disc degeneration grade of 3, followed by 4. For recurrent HLD, Pfirrmann grade 4 was most common and was statistically significant (p<0.05). A body mass index (BMI) over 30 was considered obese and was significantly related with HLD revision (p<0.05).CONCLUSION:
Patients with high BMI or severe disc degeneration should be informed of HLD revision.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Recurrence
/
Reoperation
/
Body Mass Index
/
Retrospective Studies
/
Risk Factors
/
Follow-Up Studies
/
Diskectomy
/
Intervertebral Disc Degeneration
Type of study:
Etiology study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Humans
Language:
English
Journal:
Journal of Korean Neurosurgical Society
Year:
2019
Type:
Article
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