International Orthopaedics

, Volume 43, Issue 4, pp 963–967 | Cite as

Risk factors for recurrent lumbar disc herniation after discectomy

  • Eun-Ho Shin
  • Kyu-Jung ChoEmail author
  • Young-Tae Kim
  • Myung-Hoon Park
Original Paper



There are many reports about the risk factors for recurrence after lumbar disc surgery.

However, there are none about whether lumbosacral transitional vertebrae (LSTV) are associated with recurrent lumbar disc herniation (LDH). We investigated various risk factors for recurrent LDH after discectomy including LSTV.


A total of 119 patients who had undergone a discectomy for L4–5 disc herniation were evaluated with a minimum follow-up of two years. Clinical parameters including age, gender, body mass index (BMI), and smoking status, and radiological parameters including type of herniated disc, degree of disc degeneration, LSTV, and sagittal range of motion (SROM) in flexion-extension radiography were evaluated. SROM was measured by the difference of the lordotic angle between the flexion and extension view.


Recurrent disc herniation at L4–5 developed in 21 (17.6%) of the 119 patients. The mean period between primary surgery and recurrence was 17.6 ± 21.1 months. LSTV was found in 11 (52.4%) of the 21 patients who had recurrence and seven (7.1%) of the 98 patients in the non-recurrent group. SROM at L4–5 was 11.68 ± 4.24° in the recurrent group and 9.04 ± 3.65° in the non-recurrent group with a significant difference (p = 0.004). Multiple logistic regression analyses confirmed that LSTV and a larger SROM were significant risk factors for recurrent disc herniation at L4–5.


Lumbosacral transitional vertebrae and a hypermobile disc in flexion-extension radiography were found to be risk factors for recurrent lumbar disc herniation.


Discectomy Lumbar disc herniation Sagittal range of motion 


Funding information

This work was supported by an INHA University Research Grant.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© SICOT aisbl 2018

Authors and Affiliations

  1. 1.Department of Orthopedic Surgery, School of MedicineInha UniversityIncheonSouth Korea

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