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...

BACKGROUND Minimally invasive surgery (MIS) spine procedures were developed to limit operative time, the extent of dissection, and reduce perioperative morbidity. Here, we asked what are the "learning curves" for these MIS spine procedures? METHODS We reviewed studies in the literature that discussed the "learning curves" attributed to performing different MIS spine surgical procedures. Of in...

STUDY DESIGN Technique report and case series. OBJECTIVE The aim of this study was to develop a new surgical technique for anterior reduction in management of unilateral/bilateral facet dislocations and to report the results of 8 patients with successful outcomes associated with this approach. SUMMARY OF BACKGROUND DATA The anterior-only surgical procedure, including discectomy, open reduct...

STUDY DESIGN Non-concurrent prospective study. PURPOSE To determine the functional outcome after open 'fragment' discectomy for recurrent lumbar disc herniation, and to analyze the factors that may affect the outcome. OVERVIEW OF LITERATURE Literature search revealed only four studies where the factors affecting the outcome of a revision surgery for recurrent disc herniation have been evalu...

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...