Early Outcome of Sciatica after Redo Surgeries for Recurrent Lumbar Disc Herniation

Background Data: Result of redo discectomies varies widely in the literature. This may be due to variability in inclusion criteria and associated pathologies which may alter results. We tried to evaluate the early outcome of recurrent sciatica after redo discectomies in highly selected cases and ris...

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Autores principales:	Hazem Alkosha, Ashraf Zidan
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2014
Materias:	lumbar disc prolapsed Surgery recurrent Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/39d53c83144649d092aaf5c5d3796b4a
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spelling	oai:doaj.org-article:39d53c83144649d092aaf5c5d3796b4a2021-12-02T00:23:40ZEarly Outcome of Sciatica after Redo Surgeries for Recurrent Lumbar Disc HerniationDOI:10.21608/ESJ.2014.38672314-89502314-8969https://doaj.org/article/39d53c83144649d092aaf5c5d3796b4a2014-01-01T00:00:00Zhttp://www.esj.journals.ekb.eg/article_3867.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: Result of redo discectomies varies widely in the literature. This may be due to variability in inclusion criteria and associated pathologies which may alter results. We tried to evaluate the early outcome of recurrent sciatica after redo discectomies in highly selected cases and risk factors for poor outcome. Purpose: to assess the rate of success of redo lumbar discectomy in patients with recurrent sciatica. Study Design: A retrospective clinical case study Patients and Methods: A retrospective study including 30 cases with recurrent sciatica caused by true recurrent disc herniation over a period of 8 years. Clinical and radiological data were analyzed for proper selection and to exclude cases with associated pathologies. A Visual Analogue Scale was used to score pain severity before and after surgeries. Complications following redo surgeries were classified as minor and major. The outcome depended on pain relief and complications. Probable risk factors were recorded to detect those that might have contributed for unsatisfactory results. Results: Outcome was satisfactory in 20 cases, accepted in 6 cases and unsatisfactory in 4 cases. The overall improvement in sciatic pain after redo surgeries was comparable with that following primary surgery. We found diabetes the major risk factor for unsatisfactory results. Conclusion: Redo discectomy for recurrent sciatica proved to be of value and high rate of success when attempted in well-selected cases. (2014ESJ065)Hazem Alkosha Ashraf ZidanEgyptian Spine Associationarticlelumbar disc prolapsedSurgeryrecurrentNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 9, Iss 1, Pp 19-26 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	lumbar disc prolapsed Surgery recurrent Neurology. Diseases of the nervous system RC346-429
spellingShingle	lumbar disc prolapsed Surgery recurrent Neurology. Diseases of the nervous system RC346-429 Hazem Alkosha Ashraf Zidan Early Outcome of Sciatica after Redo Surgeries for Recurrent Lumbar Disc Herniation
description	Background Data: Result of redo discectomies varies widely in the literature. This may be due to variability in inclusion criteria and associated pathologies which may alter results. We tried to evaluate the early outcome of recurrent sciatica after redo discectomies in highly selected cases and risk factors for poor outcome. Purpose: to assess the rate of success of redo lumbar discectomy in patients with recurrent sciatica. Study Design: A retrospective clinical case study Patients and Methods: A retrospective study including 30 cases with recurrent sciatica caused by true recurrent disc herniation over a period of 8 years. Clinical and radiological data were analyzed for proper selection and to exclude cases with associated pathologies. A Visual Analogue Scale was used to score pain severity before and after surgeries. Complications following redo surgeries were classified as minor and major. The outcome depended on pain relief and complications. Probable risk factors were recorded to detect those that might have contributed for unsatisfactory results. Results: Outcome was satisfactory in 20 cases, accepted in 6 cases and unsatisfactory in 4 cases. The overall improvement in sciatic pain after redo surgeries was comparable with that following primary surgery. We found diabetes the major risk factor for unsatisfactory results. Conclusion: Redo discectomy for recurrent sciatica proved to be of value and high rate of success when attempted in well-selected cases. (2014ESJ065)
format	article
author	Hazem Alkosha Ashraf Zidan
author_facet	Hazem Alkosha Ashraf Zidan
author_sort	Hazem Alkosha
title	Early Outcome of Sciatica after Redo Surgeries for Recurrent Lumbar Disc Herniation
title_short	Early Outcome of Sciatica after Redo Surgeries for Recurrent Lumbar Disc Herniation
title_full	Early Outcome of Sciatica after Redo Surgeries for Recurrent Lumbar Disc Herniation
title_fullStr	Early Outcome of Sciatica after Redo Surgeries for Recurrent Lumbar Disc Herniation
title_full_unstemmed	Early Outcome of Sciatica after Redo Surgeries for Recurrent Lumbar Disc Herniation
title_sort	early outcome of sciatica after redo surgeries for recurrent lumbar disc herniation
publisher	Egyptian Spine Association
publishDate	2014
url	https://doaj.org/article/39d53c83144649d092aaf5c5d3796b4a
work_keys_str_mv	AT hazemalkosha earlyoutcomeofsciaticaafterredosurgeriesforrecurrentlumbardischerniation AT ashrafzidan earlyoutcomeofsciaticaafterredosurgeriesforrecurrentlumbardischerniation
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Early Outcome of Sciatica after Redo Surgeries for Recurrent Lumbar Disc Herniation

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