Türk Nöroşirürji Dergisi 2018 , Vol 28 , Num 2
Recurrent Lumbar Disc Herniations; How do They Develop and How are They Treated?
1Ordu Üniversitesi, Tıp Fakültesi, Beyin ve Sinir Cerrahisi Anabilim Dalı, Ordu, Türkiye
2Özel Lokman Hekim Hastanesi, Beyin ve Sinir Cerrahisi Kliniği, Ankara, Türkiye
Lumbar disc surgery is the most common surgical procedure in neurosurgery practice. Regardless of the surgical technique and center, the success rate for patients who underwent surgical intervention for the first time are reported in the literature as 80-85%. Failure of patients after the lumbar discectomy is defined as "Surgically treated waist syndrome". Recurrent disc herniation is the most common postoperative cause of this clinical condition and has been reported to occur in up to 7% to 26% of cases. Recurrent disc herniation has been defined as the presence of a herniated disc at the same level, ipsilateral or contralateral, in a patient who has experienced a pain-free interval of at least 6 months since surgery. Although multiple factors are responsible for the development of recurrent lumbar disc, it is known that the surgical technique used is most responsible for the development of recurrence. Age, gender, smoking habits, obesity, alcohol consumption, sports activities and heavy lifting have been reported to increase the risk of recurrence. Although various numbers are reported, it can be said that 10% of the patients who have undergone lumbar discectomy go to revision surgery in the long-term and there is no consensus for which approach is better in the literature. Anahtar Kelimeler : Discectomy, Fusion, Lumbar disc herniation, Radiculopathy, Recurrent disc herniation