Risk factors of secondary lumbar discectomy of a herniated lumbar disc after lumbar discectomy

Joo Yul Beack, Hyoung Joon Chun, Koang Hum Bak, Kyu Sun Choi, In Suk Bae, Kee D. Kim

Research output: Contribution to journalArticle

Abstract

Objective: To study risk factors of secondary lumbar discectomy (LD) for recurrent herniated lumbar disc (HLD) and identify methods to lower the rate of recurrence. Methods: Data from 160 patients who underwent primary LD were collected retrospectively. Demographic features, radiologic findings including Pfirrmann disc degeneration, and surgical information were analyzed to compare risks between revision and non-revision patients. Results: The revision rate was 15% (24 patients), and the mean follow-up was 28.3 months. HLD recurrence was not related to any demographic characteristics. Primary and secondary LD were most common at the L4–5 level, but the level of operation was not significantly associated with revision. Primary LD most commonly had a Pfirrmann disc degeneration grade of 3, followed by 4. For recurrent HLD, Pfirrmann grade 4 was most common and was statistically significant (p<0.05). A body mass index (BMI) over 30 was considered obese and was significantly related with HLD revision (p<0.05). Conclusion: Patients with high BMI or severe disc degeneration should be informed of HLD revision.

Original languageEnglish (US)
Pages (from-to)586-593
Number of pages8
JournalJournal of Korean Neurosurgical Society
Volume62
Issue number5
DOIs
StatePublished - Sep 2019

Keywords

  • Body mass index
  • Diskectomy
  • Recurrence
  • Reoperation

ASJC Scopus subject areas

  • Surgery
  • Neuroscience(all)
  • Clinical Neurology

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