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Persistent radiculopathy after surgical treatment for lumbar disc herniation: causes and treatment options

  • Ashley Rogerson
  • Jessica Aidlen
  • Louis G. JenisEmail author
Original Paper
  • 65 Downloads

Abstract

Purpose

Lumbar disc surgery is a common procedure in the USA. It is frequently performed with good or excellent results in most patients. This article reviews common causes of persistent radiculopathy after surgical intervention.

Methods

We performed an extensive review of the literature as well as applying our own experience.

Results

Common causes of persistent leg pain following operative intervention include re-herniation, epidural fibrosis, biochemical/physiologic changes in the nerve root, and psychosocial issues.

Conclusions

Patients with persistent leg pain after surgical treatment of lumbar disc herniation can pose a challenging clinical problem. Summary of these topics and available treatment options are reviewed.

Keywords

Chronic radiculopathy Lumbar disc herniation Prevalence 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

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Copyright information

© SICOT aisbl 2018

Authors and Affiliations

  • Ashley Rogerson
    • 1
  • Jessica Aidlen
    • 2
  • Louis G. Jenis
    • 2
    • 3
    Email author
  1. 1.Department of Orthopaedic SurgeryTufts Medical CenterBostonUSA
  2. 2.Department of Orthopedic Surgery, Division of Spine SurgeryNewton Wellesley HospitalNewtonUSA
  3. 3.Newton Wellesley HospitalNewtonUSA

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