J Korean Soc Spine Surg.  2005 Sep;12(3):200-205. 10.4184/jkss.2005.12.3.200.

Influence of No Smoking and Rehabilitation after Microscopic Discectomy in Lumbar Disc Herniation: A Minimum of 10-Years Follow Up

Affiliations
  • 1Department of Orthopaedics Surgery, Wonkwang University Hospital, Iksan, Korea. ospjy1222@empas.com

Abstract

STUDY DESIGN: A retrospective analysis study of the long term clinical results of microscopic discectomy.
OBJECTIVES
To evaluate clinical outcome of microscopic lumbar discectomy at the 10 year postoperative follow up SUMMARY OF LITERATURE REVIEW: There have been frequent reports of short term follow up studies for microscopic lumbar discectomies, but in there have been few long term follow-up studies reported in the literature. (Please confirm the highlighted section; before it was incomplete, so I have tried to complete for you.)
MATERIALS AND METHODS
A ten year follow-up study was possible in 40 out of the 101 patients diagnosed with a lumbar disc herniation and treated with a microscopic discectomy between January 1992 and December 1993. Recurrent HIVD (Define?), followed by a microscopic discectomy, was evaluated using Kim's criteria. Also, the effects of smok0ing prohibition and rehabilitation exercise programs on recurrence were investigated.
RESULTS
Among the 101 patients having undergone an operation, 5 and 10 year follow ups were performed in 83 (82.2%) and 40 cases (39.6%), respectively. Loss to follow-up was mostly due to changes of address and in the contact-list. 33 cases (84.6%) showed more than fair recovery after 5 years, with 33 cases (82.5%) showing similar results after 10 years. Postoperative smoking prohibition and exercise programs for the prevention of a recurrence were carried out on 32 cases (80%), with 2 of these cases (6.3%) showing recurrence compared with 5 cases (62.5%) in the non-control group.
CONCLUSION
Postoperative smoking prohibition and rehabilitation exercise programs were useful and are recommended for lumbar disc herniation patient following a microscopic discectomy. Also, early return of the patient to their previous work could decrease the potential recurrence rate.

Keyword

Lumbar disc herniation; Microscopic discectomy

MeSH Terms

Diskectomy*
Follow-Up Studies*
Humans
Recurrence
Rehabilitation*
Retrospective Studies
Smoke*
Smoking*
Smoke

Figure

  • Fig. 1. Follow-up paper of patients.


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