J Korean Orthop Assoc.  2017 Feb;52(1):59-64. 10.4055/jkoa.2017.52.1.59.

The Result of Repeat Discectomy for Ipsilateral Recurrent Lumbar Disc Herniation

• Kim WS
• Na HY
• Oh SH
• Park SR
• Son EY

• KMID: 2369572
• DOI: http://doi.org/10.4055/jkoa.2017.52.1.59

Abstract

PURPOSE
To analyze the result of a repeat discectomy for ipsilateral recurrent lumbar disc herniation and to investigate the potential factors that influenced the outcomes for this surgery.
MATERIALS AND METHODS
Fifty-nine patients, who underwent reoperation after lumbar discectomy with a minimum follow-up period of 2 years, were reviewed. The surgical outcome was assessed using the visual analogue scale (VAS) and Macnab classification, and the recovery rate was calculated in accordance with VAS. A statistical analysis was carried out by SPSS to evaluate the possible factors that may have influenced the outcomes of the reoperation.
RESULTS
The rate of reoperation after lumbar disc surgery due to the recurrent disc herniation was 6.0% (59/983 cases). The average recovery rate of VAS from the 1st operation was approximately 77%, and from the 2nd operation was 71%. According to the Macnab criteria, the results were "excellent" or "good" in 96% of cases. Statistical analysis revealed that there was no difference of the average recovery rate (p<0.05). There is no additional instability after repeat discectomy. Factors, such as smoking, precipitating traumatic events, and diabetes mellitus did not have much influence on the average recovery rate after repeat discectomy for ipsilateral recurrent lumbar disc herniation.
CONCLUSION
The outcomes of repeat discectomy were satisfactory. Moreover, factors, smoking, trauma history and diabetic mellitus, only had a minor impact on the outcomes of a repeat discectomy.

Keyword

ipsilateral recurrent lumbar disc herniation; repeat discectomy

MeSH Terms

Classification
Diabetes Mellitus
Diskectomy*
Follow-Up Studies
Humans
Reoperation
Smoke
Smoking
Smoke

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