Recurrent lumbar disc herniation

Neurosurg Focus. 2003 Sep 15;15(3):E10. doi: 10.3171/foc.2003.15.3.10.

Abstract

Recurrent lumbar disc herniation is a common disease process. It has been noted to occur in 5 to 15% of cases surgically treated for primary lumbar disc herniation. Outcomes in one series approached those after the initial operations, although this is not the case in the experience of most surgeons. The removal of recurrent lumbar disc herniations requires meticulous surgical technique. Great care is taken to identify the osseous margins of the previous surgical site. Identification and dissection of scar from the dura mater is greatly aided with the use of a microscope.

Publication types

  • Review

MeSH terms

  • Cicatrix / diagnostic imaging
  • Cicatrix / surgery
  • Curettage
  • Diabetes Complications / surgery
  • Diagnosis, Differential
  • Diskectomy / methods*
  • Humans
  • Intervertebral Disc Displacement / complications
  • Intervertebral Disc Displacement / diagnostic imaging
  • Intervertebral Disc Displacement / pathology
  • Intervertebral Disc Displacement / prevention & control
  • Intervertebral Disc Displacement / surgery*
  • Laminectomy / methods*
  • Lumbar Vertebrae / diagnostic imaging
  • Lumbar Vertebrae / pathology
  • Lumbar Vertebrae / surgery*
  • Magnetic Resonance Imaging
  • Microscopy
  • Nerve Compression Syndromes / etiology
  • Postoperative Complications / diagnostic imaging
  • Postoperative Complications / pathology
  • Postoperative Complications / prevention & control
  • Postoperative Complications / surgery*
  • Radiography
  • Recurrence
  • Reoperation
  • Risk Factors
  • Spinal Nerve Roots