Risk Factors of Secondary Lumbar Discectomy of a Herniated Lumbar Disc after Lumbar Discectomy

Beack, Joo Yul; Chun, Hyoung Joon; Bak, Koang Hum; Choi, Kyu-Sun; Bae, In-Suk; Kim, Kee D.

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자료유형: 학술저널

저자정보: Beack, Joo Yul (Department of Neurosurgery, Hanyang University Medical Center) Chun, Hyoung Joon (Department of Neurosurgery, Hanyang University Medical Center) Bak, Koang Hum (Department of Neurosurgery, Hanyang University Medical Center) Choi, Kyu-Sun (Department of Neurosurgery, Hanyang University Medical Center) Bae, In-Suk (Department of Neurosurgery, Hanyang University Medical Center) Kim, Kee D. (Department of Neurological Surgery, University of California)

저널정보: 대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제62권 제5호

발행연도: 2019.1

수록면: 586 - 593 (8page)

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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.

#Body mass index #Diskectomy #Recurrence #Reoperation

참고문헌 (40)

참고문헌 신청

Akyol S / 2010 / Catabolic cytokine expressions in patients with degenerative disc disease / Turk Neurosurg 20:492~499

Callaghan JP / 2001 / Intervertebral disc herniation: studies on a porcine model exposed to highly repetitive flexion/extension motion with compressive force / Clin Biomech (Bristol, Avon) 16:28~37

Carragee EJ / 2003 / Clinical outcomes after lumbar discectomy for sciatica: the effects of fragment type and anular competence / J Bone Joint Surg Am 85:102~108

Cheng J / 2013 / Reoperation after lumbar disc surgery in two hundred and seven patients / Int Orthop 37:1511~1517

Cinotti G / 1998 / Ipsilateral recurrent disc herniation. A prospective, controlled study / J Bone Joint Surg Br 80:825~832

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