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Recurrence of lumbar disk herniation after microdiscectomy: a two-center retrospective analysis of 1214 cases and identification of risk factors.
Gülensoy, Bülent; Güzel, Ebru; Kuzu Kumcu, Müge; Karasu, Hüseyin; Simsek, Serkan; Güzel, Aslan.
Afiliación
  • Gülensoy B; Department of Neurosurgery, Lokman Hekim University, Ankara, Turkiye.
  • Güzel E; Department of Radiology, Medical Point Hospital, Gaziantep, Turkiye.
  • Kuzu Kumcu M; Department of Neurology, Lokman Hekim University, Ankara, Turkiye.
  • Karasu H; Department of Neurosurgery, Medical Point Hospital, Gaziantep, Turkiye.
  • Simsek S; Department of Neurosurgery, Lokman Hekim University, Ankara, Turkiye.
  • Güzel A; Department of Neurosurgery, Medical Point Hospital, Gaziantep, Turkiye.
Turk J Med Sci ; 53(5): 1254-1261, 2023.
Article en En | MEDLINE | ID: mdl-38813020
ABSTRACT
Background/

aim:

To present the incidence of recurrent lumbar disc herniation (RLDH) and to identify radiological and patient-related risk factors that lead to recurrence after lumbar disc herniation (LDH) treatment with microdiscectomy. Materials and

methods:

Between January 2013 and December 2021, 1214 patients who had undergone microdiscectomy for LDH were included in this retrospective study. Patients were divided into two groups, the recurrent group and the non-recurrent group, and their demographic, clinical and radiologic characteristics were recorded. The association between the variables and RLDH was assessed by univariate and multivariable logistic regression analyses.

Results:

Mean ages were similar in the recurrent (51.48 ± 13.63) and non-recurrent(50.38 ± 14.53) groups (p=0.232). Males represented 59.6% of the recurrent group and 49.8% of the non-recurrent group (p=0.002). Multivariable logistic regression revealed that being a male (p=0.009), diabetes mellitus (p=0.038), smoking (p<0.001), grade 4&5 disc degeneration (p<0.001), and having protruded (p=0.002), extruded LDH (p<0.001), paracentral (p=0.008) and foraminal LDH (p=0.008) were independently associated with recurrence.

Conclusion:

To reduce RLDH frequency and need for revision surgery, modifiable risk factors should be minimized before and after the initial surgery. Also, in patients with unmodifiable risk factors, patients should be clearly informed about the risk for recurrence and possible alternative treatment methods should be considered.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Recurrencia / Discectomía / Desplazamiento del Disco Intervertebral / Vértebras Lumbares Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Turk J Med Sci Año: 2023 Tipo del documento: Article Pais de publicación: Turquía
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Recurrencia / Discectomía / Desplazamiento del Disco Intervertebral / Vértebras Lumbares Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Turk J Med Sci Año: 2023 Tipo del documento: Article Pais de publicación: Turquía