Risk factors for recurrency of disc herniations after lumbar microdiscectomy in adults. Literature review
Abstract
Lumbar microdiscectomy is one of the most common spine surgeries in the world. The problem of relapses of pain and neurological syndromes after such operations remains relevant. Relapses of pain syndromes can be caused by the occurrence of repeated hernia of the operated disc.
OBJECTIVE: To determine the risk factors for recurrent disc herniation in the lumbar spine after microdiscectomy.
Methods: To achieve this goal, a literature review was carried out using the PubMed and MEDLINE databases. The materials requested were “recurrent lumbar disc herniation” and “risk factors”.
FINDINGS: There is evidence (intermediate level II to IV) detailing perioperative risk factors for recurrent lumbar disc herniation. Risk factors were identified (such as the type of hernia, the type of surgery, smoking, the patient’s lifestyle, his physical activity in the postoperative period, age, gender, obesity, diabetes mellitus, biomechanical factors, changes in the Modic type), which may cause recurrence of disc herniation in the lumbar spine.
CONCLUSIONS: Multiple risk factors, including the type of hernia, the type of surgery, smoking, the patient’s lifestyle, his physical activity in the postoperative period, age, gender, the presence of obesity, diabetes mellitus, biomechanical factors, changes in the Modic type can contribute to the recurrence of disc herniation. The level of evidence for none of the investigated risk factors for recurrent disc herniation after microdiscectomy reaches class I. Additional studies are needed to provide a definitive answer on the influence of various factors on recurrent disc herniation.
About the Authors
S. V. Lyulin
Federal State Budgetary Educational Institution of Higher Education “Ural State Medical University” of the Ministry of Health of the Russian Federation; State Autonomous Healthcare Institution of the Sverdlovsk Region
“City Clinical Hospital №40”
Russian Federation
Russian Federation
Lyulin Sergei Vladimirovich
Yekaterinburg
D. V. Efimov
State Autonomous Healthcare Institution of the Sverdlovsk Region “City Clinical Hospital №40”
Russian Federation
Russian Federation
Efimov Dmitrii Viktorovich
Yekaterinburg
V. S. Kolotvinov
Federal State Budgetary Educational Institution of Higher Education “Ural State Medical University” of the Ministry of Health of the Russian Federation; State Autonomous Healthcare Institution of the Sverdlovsk Region
“City Clinical Hospital №40”
Russian Federation
Russian Federation
Kolotvinov Vladimir Sergeevich
Yekaterinburg
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For citations:
Lyulin S.V., Efimov D.V., Kolotvinov V.S. Risk factors for recurrency of disc herniations after lumbar microdiscectomy in adults. Literature review. Russian Neurosurgical Journal named after Professor A. L. Polenov. 2021;13(3):72-78. (In Russ.)
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