Standard Single Level discectomy; Evaluation of the Risk Factors for Recurrence

Background Data: Various surgical options exist for lumbar disc herniation. In patients who do not respond to conservative treatment, open discectomy still remains a standard method and it has been reported to have diverse outcomes. Despite a high early success rate with lumbar discectomy procedures...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Ehab El Gamal, Ashraf Farid
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2013
Materias:	lumbar disc disease recurrent disc sequestrated contained protruded herniation Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/f12413f5115f4c86adbe2b3ea1b5deff
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:f12413f5115f4c86adbe2b3ea1b5deff
record_format	dspace
spelling	oai:doaj.org-article:f12413f5115f4c86adbe2b3ea1b5deff2021-12-02T02:25:34ZStandard Single Level discectomy; Evaluation of the Risk Factors for RecurrenceDOI:10.21608/ESJ.2013.38162314-89502314-8969https://doaj.org/article/f12413f5115f4c86adbe2b3ea1b5deff2013-04-01T00:00:00Zhttp://esj.journals.ekb.eg/article_3816.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: Various surgical options exist for lumbar disc herniation. In patients who do not respond to conservative treatment, open discectomy still remains a standard method and it has been reported to have diverse outcomes. Despite a high early success rate with lumbar discectomy procedures, variable long-term results and worsening or recurrence of the patient’s condition overtime have been reported. Purpose: To evaluate the risk factors for recurrence of disc disease in relation to disc pathology, age, and activities. Study Design: A retrospective clinical Case review. Patients and Methods: One hundred twenty patients who had undergone standard discectomy for lumbar disc herniation were studied. All had single level disc herniation. Patients with spondylolysis, spondylolisthesis, or spinal stenosis were excluded. Indications of surgery were severe radiculopathy of at least two month duration, unresponsive to conservative treatment or neural deficit. A preoperative diagnosis of lumbar disc herniation was based on symptoms, physical examination and MRI findings. A total of 7 patients (6%) were confirmed as having recurrence of disc herniation. Results: All of our 7 patients were in age group of 20-40 years. The recurrence occurred in 2 patients out of 7 through the 1st 5 years after surgery. Most of recurrent patients (5 patients, 71%) had originally a contained disc herniation, 2 patients (29%) had originally a protruded discs and none had originally a sequestrated discs. Recurrence in L4-5 level was in 5 patients (71%) while in L5- S1 in 2 cases (29%). Conclusion: The risk of recurrence of disc herniation after open discectomy was higher in young, active men. The recurrence rate of disc herniation increased with time after surgery. Recurrence rate was higher for patients with contained herniation than other types. (2013ESJ043)Ehab El Gamal Ashraf FaridEgyptian Spine Associationarticlelumbar disc diseaserecurrent discsequestratedcontainedprotruded herniationNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 6, Iss 1, Pp 25-29 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	lumbar disc disease recurrent disc sequestrated contained protruded herniation Neurology. Diseases of the nervous system RC346-429
spellingShingle	lumbar disc disease recurrent disc sequestrated contained protruded herniation Neurology. Diseases of the nervous system RC346-429 Ehab El Gamal Ashraf Farid Standard Single Level discectomy; Evaluation of the Risk Factors for Recurrence
description	Background Data: Various surgical options exist for lumbar disc herniation. In patients who do not respond to conservative treatment, open discectomy still remains a standard method and it has been reported to have diverse outcomes. Despite a high early success rate with lumbar discectomy procedures, variable long-term results and worsening or recurrence of the patient’s condition overtime have been reported. Purpose: To evaluate the risk factors for recurrence of disc disease in relation to disc pathology, age, and activities. Study Design: A retrospective clinical Case review. Patients and Methods: One hundred twenty patients who had undergone standard discectomy for lumbar disc herniation were studied. All had single level disc herniation. Patients with spondylolysis, spondylolisthesis, or spinal stenosis were excluded. Indications of surgery were severe radiculopathy of at least two month duration, unresponsive to conservative treatment or neural deficit. A preoperative diagnosis of lumbar disc herniation was based on symptoms, physical examination and MRI findings. A total of 7 patients (6%) were confirmed as having recurrence of disc herniation. Results: All of our 7 patients were in age group of 20-40 years. The recurrence occurred in 2 patients out of 7 through the 1st 5 years after surgery. Most of recurrent patients (5 patients, 71%) had originally a contained disc herniation, 2 patients (29%) had originally a protruded discs and none had originally a sequestrated discs. Recurrence in L4-5 level was in 5 patients (71%) while in L5- S1 in 2 cases (29%). Conclusion: The risk of recurrence of disc herniation after open discectomy was higher in young, active men. The recurrence rate of disc herniation increased with time after surgery. Recurrence rate was higher for patients with contained herniation than other types. (2013ESJ043)
format	article
author	Ehab El Gamal Ashraf Farid
author_facet	Ehab El Gamal Ashraf Farid
author_sort	Ehab El Gamal
title	Standard Single Level discectomy; Evaluation of the Risk Factors for Recurrence
title_short	Standard Single Level discectomy; Evaluation of the Risk Factors for Recurrence
title_full	Standard Single Level discectomy; Evaluation of the Risk Factors for Recurrence
title_fullStr	Standard Single Level discectomy; Evaluation of the Risk Factors for Recurrence
title_full_unstemmed	Standard Single Level discectomy; Evaluation of the Risk Factors for Recurrence
title_sort	standard single level discectomy; evaluation of the risk factors for recurrence
publisher	Egyptian Spine Association
publishDate	2013
url	https://doaj.org/article/f12413f5115f4c86adbe2b3ea1b5deff
work_keys_str_mv	AT ehabelgamal standardsingleleveldiscectomyevaluationoftheriskfactorsforrecurrence AT ashraffarid standardsingleleveldiscectomyevaluationoftheriskfactorsforrecurrence
_version_	1718402504792735744

Standard Single Level discectomy; Evaluation of the Risk Factors for Recurrence

Ejemplares similares