PMID: 15347230Sep 7, 2004Paper

Clinical outcomes after minimal-access surgery for recurrent lumbar disc herniation

Neurosurgical Focus
Hoang LeRichard G Fessler

Abstract

Experience with minimal-access surgical approaches for revision lumbar surgery has not been previously reported. During a 7-month period, 10 consecutive patients with recurrent disc herniations underwent revision operations in which microendoscopic discectomy (MED) was performed. Perioperative data and clinical outcomes (according to Macnab criteria) were compared with those obtained in 25 consecutive patients who underwent routine single-level MED as well as with previously published data. Overall, outcome of the MED-treated revision group was excellent or good in 90% during a mean follow-up period of 18.5 months (minimum 12 months). Operative blood loss, duration, complications, and length of hospital stay were not significantly different between the revision and primary MED-treated groups. Analysis of these early data suggests equivalent or superior results are obtained when performing MED compared with historical controls in which conventional surgery was conducted for recurrent disc surgery. The procedure appears to be a safe and effective alternative in cases in which recurrent lumbar disc herniation causes radiculopathy.

References

Jun 1, 1992·Neurosurgery·C T PappasV K Sonntag
Jan 1, 1995·British Journal of Neurosurgery·M M HaglundD Uttley
Oct 1, 1994·Journal of Spinal Disorders·H R SilversD E Clabeaux
Jan 1, 1994·British Journal of Neurosurgery·A J MooreD Uttley
Aug 18, 1999·Journal of Spinal Disorders·S OzgenM N Pamir
Apr 15, 2000·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·M Brayda-Bruno, P Cinnella

❮ Previous
Next ❯

Citations

Aug 11, 2012·Journal of Medical Case Reports·Cort D LawtonRichard G Fessler
Jun 3, 2010·Journal of Neurosurgery. Spine·Jennifer A MoliternoJohn A Boockvar
Jan 26, 2016·International Journal of Surgery·Xinhua LiLijun Li
Oct 10, 2012·World Neurosurgery·Justin S SmithRichard G Fessler
Mar 3, 2012·World Neurosurgery·Alexander TaghvaPatrick C Hsieh
Sep 19, 2015·Journal of Neurosurgery. Spine·Ulrich HubbeEvangelos Kogias
Oct 3, 2006·Neurosurgery Clinics of North America·Richard G FesslerMick J Perez-Cruet
Oct 3, 2006·Neurosurgery Clinics of North America·Sean D Christie, John K Song
Jul 1, 2015·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Evangelos KogiasUlrich Hubbe
Oct 2, 2008·Neurosurgery·Jean-Marc VoyadzisRichard G Fessler
Aug 5, 2010·Clinical Journal of Oncology Nursing·Gabrielle AllenSam Gue
Feb 8, 2006·Clinical Orthopaedics and Related Research·John N Awad, Ronald Moskovich
Mar 24, 2016·Clinical Spine Surgery : a Spine Publication·Hiroyuki YoshiharaThomas J Errico
Jan 7, 2010·Journal of Spinal Disorders & Techniques·Justin S SmithRichard G Fessler
May 5, 2009·Journal of Spinal Disorders & Techniques·Lee A SelznickRobert E Isaacs

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.