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European Spine Journal

, Volume 22, Issue 12, pp 2915–2917 | Cite as

Microdiscectomy for recurrent L5–S1 disc herniation

  • Pedro BerjanoEmail author
  • Matteo Pejrona
  • Marco Damilano
Open Operating Theatre (OOT)

Learning targets

  • Watch surgery online Open image in new window To discuss the surgical indications for recurrent disc herniation.

  • To understand how to safely perform a microdiscectomy in the presence of scar tissue.

Introduction

Recurrent lumbar disc herniation (RLDH) is a complication in the surgery for lumbar disc herniation (LDH). In different cohorts, a range between 0.5 [3] and 25 % [5] of patients primarily operated for LDH suffered from RLDH (symptomatic or asymptomatic). Many of them needed repeat surgery. Risk factors for RLDH seem to include obesity, smoking and persistence of weight lifting after first surgery [2, 4, 5, 6]. Male patients who undergo surgery when still young carry a higher risk of recurrence [3]. Surgical management and decisions are variable, and they depend on many aspects: patient age, level of discopathy, foraminal stenosis and segmental instability. There is good common agreement about the indication of selective excision of the prolapsed disc in cases...

Keywords

Disc herniation Recurrent disc herniation Microdiscectomy Herniectomy 

Notes

Conflict of interest

None.

Supplementary material

Supplementary material 1 (WMV 207533 kb)

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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  1. 1.IVth Spine DivisionIRCCS Istituto Ortopedico GaleazziMilanItaly

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