Repeated microendoscopic discectomy for recurrent lumbar disk herniation

Clinics
Tianyong HouJianzhong Xu

Abstract

To explore the microendoscopic discectomy technique and inclusion criteria for the treatment of recurrent lumbar disc herniation and to supply feasible criteria and technical notes to avoid complications and to increase the therapeutic effect. A consecutive series of 25 patients who underwent posterior microendoscopic discectomy for recurrent lumbar disc herniation were included. The inclusion criteria were as follows: no severe pain in the lumbar region, no lumbar instability observed by flexion-extension radiography and no intervertebral discitis or endplate damage observed by magnetic resonance imaging. All patients were diagnosed by clinical manifestations and imaging examinations. Follow-up visits were carried out in all cases. Complications, such as nerve injuries, were not observed. The follow-up outcomes were graded using the MacNab criteria. A grade of excellent was given to 12 patients, good to 12 patients and fair to 1 patient. A grade of excellent or good occurred in 96% of cases. One patient relapsed 3 months after surgery and then underwent lumbar interbody fusion and inner fixation. The numerical rating scale of preoperative leg pain was 7.4 ± 1.5, whereas it decreased to 2.1 ± 0.8 at 7 days after surgery. The pr...Continue Reading

Citations

Sep 2, 2016·Clinics in Orthopedic Surgery·Dae-Jung ChoiBang Yoo
Aug 24, 2017·British Journal of Neurosurgery·Chiazor U Onyia, Sajesh K Menon
Jul 14, 2018·Journal of Neurosurgery. Spine·Sanjeev Ariyandath SreenivasanShashank Sharad Kale

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X-ray
dissection
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SPSS

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