Risk Factors and Post-Operative Predictors for Recurrent Lumbar Disc Herniation: A Long-term Follow-up Study
1 Paracino R.
1 Mancini F.
2 Lattanzi S.
1 Dobran M.
1 Department of Neurosurgery, Università Politecnica delle
Marche – Ospedali Riuniti, Ancona, Italy.
2 Department of Neurology, Università Politecnica delle
Marche – Ospedali Riuniti, Ancona, Italy
The purpose of this study is to identify some risk factors and post-operative predictors for recurrent lumbar disc hernia (rLDH) during a long-term follow-up in patients treated with microdiscectomy.
Aim of the paper: This study analyzes some risk factors and postoperative predictors for recurrent lumbar disc hernia (rLDH) during a long-term follow-up in patients treated with microdiscectomy.
Material and methods. We analyzed retrospectively a consecutive series of patients who underwent lumbar spinal microdiscectomy for lumbar disc herniation (LDH) from January 2013 to June 2018 at our Institute. The rate of rLDH during long-term follow-up was analyzed and correlated with baseline and post-operative data.
Results. A total of 263 patients were included with a median follow-up time of 24 months (from 13 to 43 months). Most of the patients had rLDH within the first 36 months after surgery. At multivariate analysis, recurrence of LDH was associated with higher pre-operative body mass index (BMI) and higher post-operative Oswentry disability index (ODI) with statistical significance.
Conclusions. Baseline BMI and post-surgery ODI could
predict rLDH after surgery during a long-term follow-up.
Keywords: recurrent disc herniation, lumbar disc herniation, lumbar microdiscectomy, discectomy.