Retrospective Analysis of Reoperation Rate After Standard Lumbar Discectomy and Microdiscectomy - Single Center Experience
| Autor: | Vojin Kovacevic, Nemanja Jovanovic |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
030222 orthopedics
medicine.medical_specialty standard discectomy business.industry Lumbar discectomy reoperation General Medicine Single Center microdiscectomy Surgery 03 medical and health sciences 0302 clinical medicine hernia lumbar discus medicine Retrospective analysis Medicine business 030217 neurology & neurosurgery |
| Zdroj: | Serbian Journal of Experimental and Clinical Research, Vol 22, Iss 3, Pp 205-211 (2021) |
| ISSN: | 1820-8665 |
| Popis: | Discectomy is a surgical procedure in the treatment of lumbar disc herniation (LDH) if sciatica or neurological deficits occur and still persist after a course of conservative therapy. Standard discectomy (SD) and microdiscectomy (MD) are still equal in curent clinical practice. Many retrospective and prospective studies have shown that there is no clinically significant difference in the functional outcome after two treatment modalities. The aim of our study was to determine whether there are differences in the incidence of reoperation after performing SD and MD. The research included 545 patients with average period of postoperative follow-up of approximately 5.75 years. Standard discectomy was performed in 393 patients (72.11%), and micro-discectomy in 152 (27.8%) patients. The total number of reoperated patients was 37/545, or 6.78%. In the SD group, the number of reoperated patients was 33/393 (8.39%) and in the MD group 4/152 or 2.63%. Statistically significant difference (p Although it has been proven that both SD and MD give good endpoints of treatment and similar functional recovery, the advantage is given to microdiscectomy due to statistically significantly lower rates of recurrent herniation. This result is attributed to better visualization of neural structures and pathological substrates, as well as their mutual relationship. |
| Databáze: | OpenAIRE |
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