Background Data: Recurrence of LDH has been reported in 5%–11% patients after conventional discectomy, and most these are usually treated with repeated discectomy through the same initial approach. Tubular microdiscectomy is an increasingly popular surgery for lumbar disc prolapse replaced open last decade. However, it requires more experience a steep learning curve, especially revision cases.

OBJECTIVE Lumbar disc herniation (LDH) recurrence necessitating reoperation can pose problems following spinal surgery, with an overall reported incidence of approximately (3-13%). The purpose of this study is to identify the rate of recurrent disc herniation, to discuss the radiologic indications for herniotomy and to analyze clinical outcomes compared with conventional discectomy. METHODS T...

STUDY DESIGN An updated Cochrane Review. OBJECTIVES To assess the effects of surgical interventions for the treatment of lumbar disc prolapse. SUMMARY OF BACKGROUND DATA Disc prolapse accounts for 5% of low back disorders yet is one of the most common reasons for surgery. There is still little scientific evidence supporting some interventions. METHODS Use of standard Cochrane review metho...

All iatrogenic vascular injury occurring during discectomy is a rare complication, but fatal if not immediately diagnosed. When a vascular injury is highly suspected during discectomy, immediate vascular evaluation is needed even vital signs are stable during and immediately after the operation. We describe a case of iatrogenic abdominal aortic injury that occurred during discectomy in a spondy...

The aim of this study is to compare patients undergoing one level anterior cervical discectomy without fusion versus anterior cervical discectomy with fusion. The study included forty-eight patients operated at either C5-C6 level or at the C6-C7 level: a group of anterior cervical microdiscectomy without fusion performed at one level on 24 consecutive patients was matched to a second group of 2...

BACKGROUND Lumbar discectomy is usually a successful operation with a relatively low cost. Potential adjunctive procedures, such as repairing the anulus fibrosus or nucleus replacements, necessitate a cost-benefit analysis. PURPOSE This economic analysis was performed to understand the potential value of advanced implantable technologies designed to improve outcomes after discectomy. STUDY ...

conclusions lumbar discectomy improves both the physical and mental health subscale of the quality of life in patients with chronic disc herniation. results physical and mental health scores of patients significantly improved after 6 and 12 months of lumbar discectomy. the mean improvement in physical health scores was significantly higher in female patients than in male patients. however, the ...

STUDY DESIGN An in vivo biomechanical anterior cervical discectomy and instrumented fusion (ACDFI) model employing a calibrated distractor and a subminiature load cell used to intraoperatively measure distractive force across the discectomy site and subsequent compressive force across the interbody load cell following distractor removal. OBJECTIVE To determine the relationship between the dis...

Background: Revision discectomy is the principal procedure for recurrent lumbar disk herniation (RLDH). The clinicaloutcomes after this procedure are as good as or slightly poorer than those produced by primary discectomy. In thisstudy, the clinical outcomes of patients treated with microsurgical discectomy for RLDH were analyzed.Methods: We examined 179 patients undergoing lumbar microdiscecto...

OBJECTIVE Recurrent herniation following disc excision has been reported in 5-15% of patients. There have been numerous studies of recurrent disc herniation, but these have analyzed mixed patient populations. We designed this study to analyze the factors that influencing the clinical results, and efficiency of repeat discectomy for recurrent lumbar disc herniation occurring at the same level an...