Reoperations After First Lumbar Disk Herniation Surgery with or without Implantation of Mechanical Annular Closure Device

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1 Citazioni (Scopus)

Abstract

Lumbar diskectomy is a widely performed surgical procedure in patients affected by lumbar disk herniation (LDH). Such a surgical procedure is considered to be safe and able to provide a consistent symptomatic relief in most patients. However, perioperative complications have been reported, ranging from 13% to 15%, and pose a considerable financial burden among patients, hospitals, and national health care agencies. The most common perioperative complication following lumbar diskectomy for disk herniation is the recurrence. Although the recurrence rate of LDH has been reported to be 5%−15%, its exact incidence may be underestimated. Recurrent lumbar disk herniation (rLDH) is defined as disk herniation at the same level, regardless of ipsilateral or contralateral herniation, in a patient who has experienced a pain-free interval of at least 6 months after surgery. In this regard, a great deal of controversy exists about the risk factors for rLDH because many clinical and complicated biomechanical parameters can be taken into account. There have been many studies aimed at assessing the recurrence of LDH and the related risk factors suggesting the possible role of disk degeneration, trauma, age, smoking, gender, and obesity. Furthermore, radiologic factors, such as disk degeneration, disk height, and sagittal range of motion have been shown to be related to spinal instability and consequently to rLDH.
Lingua originaleEnglish
pagine (da-a)217-219
Numero di pagine3
RivistaWorld Neurosurgery
Volume131
Stato di pubblicazionePublished - 2019

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

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