Is fusion the most suitable treatment option for recurrent lumbar disc herniation? A systematic review
| العنوان: | Is fusion the most suitable treatment option for recurrent lumbar disc herniation? A systematic review |
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| المؤلفون: | Zarina Brady, Shahswar Arif, Yavor Enchev, Nikolay Peev |
| المصدر: | Neurological Research. 42:1034-1042 |
| بيانات النشر: | Informa UK Limited, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Adult, Male, Reoperation, 0301 basic medicine, medicine.medical_specialty, medicine.medical_treatment, Operative Time, Pain, Intervertebral Disc Degeneration, 03 medical and health sciences, 0302 clinical medicine, Discectomy, Humans, Severe pain, Medicine, Lumbar Vertebrae, business.industry, food and beverages, Treatment options, General Medicine, Middle Aged, Surgery, Endoscopic discectomy, Spinal Fusion, 030104 developmental biology, Neurology, Female, Neurology (clinical), Lumbar disc herniation, business, Intervertebral Disc Displacement, 030217 neurology & neurosurgery, Diskectomy |
| الوصف: | Recurrent lumbar disc herniation (rLDH) is a common issue after primary discectomy and can cause severe pain, morbidity, and reoperation. The purpose of this systematic review was to evaluate the surgical management of recurrent lumbar disc herniation.A systematic literature search was conducted using Pubmed and Embase databases on 18Sixteen studies, (comprising of seven prospective and nine retrospective) met the inclusion criteria. Ten studies evaluated discectomy only; four analysed fusion, and two analysed both discectomy only and fusion approaches. Fusion approaches recorded a superior success rate (8.3 % higher, p0.05); postoperative VAS back score improvement (5 % higher, p0.05) than discectomy alone. However, discectomy alone approaches recorded a more favourable postoperative VAS leg score improvement (4.2 % higher p0.05), and complication rate (3.2% lower, p0.05) than fusion techniques.There is significant heterogeneity in clinical outcomes reported for studies after surgical intervention in rLDH patients. Neither discectomy nor fusion's superiority was statistically significant. Despite fusion yielding longer operative times, and length of stay (adding to the expense), it is superior in minimising mechanical instability and recurrence. Finally, we conclude that both approaches are equally efficacious in rLDH cases, and choice should be based on a case by case basis. |
| تدمد: | 1743-1328 0161-6412 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::412abcc6813034b93d17241611875a58 https://doi.org/10.1080/01616412.2020.1787661 |
| رقم الأكسشن: | edsair.doi.dedup.....412abcc6813034b93d17241611875a58 |
| قاعدة البيانات: | OpenAIRE |
PDF full text from Publisher | تدمد: | 17431328 01616412 |
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