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The debate on most ideal technique for managing recurrent lumbar disc herniation: a short review.

Publication Type : Journal Article

Thematic Areas : Medical Sciences

Publisher : Br J Neurosurg

Source : Br J Neurosurg, Volume 31, Issue 6, p.701-708 (2017)

Keywords : Diskectomy, Humans, Intervertebral Disc Displacement, Lumbar Vertebrae, Neurosurgical Procedures, Recurrence, Spinal Fusion

Campus : Kochi

School : School of Medicine

Department : Neurosurgery

Year : 2017

Abstract : BACKGROUND: /bThough different techniques have been successfully employed in the treatment of recurrent lumbar disc herniation, the one which should be considered most ideal has remained a controversy, particularly since there are currently no generally accepted guidelines for surgical care./ppbOBJECTIVE: /bTo review previous publications comparing the available operative options, with the aim of determining if any of the available interventions gives better outcomes compared to others./ppbMETHODS: /bA systematic literature review of previous publications comparing various techniques employed in the surgical treatment of recurrent disc herniation./ppbRESULTS: /bAll publications investigated in this review clearly demonstrated quite comparable outcomes, with no superiority of one method over the other./ppbCONCLUSION: /bIn view of the currently available data and evidence, minimally invasive techniques for revision of recurrent disc herniation do not really appear to be superior to the conventional open surgical approaches and vice-versa. We suggest the management strategy for surgical treatment of each case of recurrence to be simply based on the experience of the surgeon, the available facilities and equipment. Fusion should not be undertaken in all recurrences but should only be considered as an option for revision when spinal instability, spinal deformity or associated radiculopathy is present.

Cite this Research Publication : C. U. Onyia and Menon, S. K., “The debate on most ideal technique for managing recurrent lumbar disc herniation: a short review.”, Br J Neurosurg, vol. 31, no. 6, pp. 701-708, 2017.

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