RECURRENT LUMBAR DISK HERNIATIONS: THE EFFICACY OF RE-OPERATION
Journal of Turkish Spinal Surgery, cilt.34, sa.3, ss.87-93, 2023 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 34 Sayı: 3
- Basım Tarihi: 2023
- Doi Numarası: 10.4274/jtss.galenos.2023.21939
- Dergi Adı: Journal of Turkish Spinal Surgery
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.87-93
- Anahtar Kelimeler: complication, Lumbar disk herniation, re-operation, recurrence
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: Lumbar disk herniations (LDH) are common in neurosurgical practice. However, recurrence is a fearful complication of LDH surgery and the re-operation technique is always on debate. The aim of this study was to analyze the efficacy of re-operation in patients with recurrent LDH. Materials and Methods: The data of patients who underwent re-operation for treating recurrent LDH were retrospectively reviewed. The demographic, clinical, and radiological features of patients were analyzed, and visual analog scale (VAS) and straight leg raising (SLR) test results were compared. Results: A total of 60 patients underwent re-operation between 2019 and 2022. The mean age was 48.3 years and the body mass index was between 30 and 35 in 28 (47%) patients. Patients who underwent simple discectomy had less early low back pain and patients who underwent posterior segmental instrumentation had lower lumbar and radicular leg pain VAS at the postoperative 1st year follow-ups. VAS scores and SLR tests were significantly improved after the re-operation in both groups. Dura defect occurred in 6 patients (10%) and was repaired successfully in all patients. No mortality was observed. Conclusion: Re-operation is a feasible option for the treatment of recurrent LDH. VAS scores and SLR tests are improved after re-operation. However, appropriate patient selection is crucial for better clinical outcomes.