ArticleInternational orthopaedics2019
Risk factors for recurrent lumbar disc herniation after discectomy.
Article in International orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled it.
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Who cites it
46 citing papers in PubMed, 1 synthesis or guideline pooled it, 70 citations in OpenAlex.
- Thunder-fire moxibustion for lumbar disc herniation: A systematic review and meta-analysis.Medicine · 2022Pooled it
- A single-source preoperative prediction model for recurrent lumbar disc herniation after primary discectomy: Development and internal validation in the SPORT registry.North American Spine Society journal · 2026Article
- Risk factors for recurrent lumbar disc herniation after percutaneous endoscopic lumbar discectomy: the role of spinopelvic parameters and facet joint degeneration.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- Preoperative Clinical and Radiographic Risk Factors for Recurrent Lumbar Disc Herniation: Systematic Review and Meta-analysis.Neurospine · 2026Article
- Mechanical and Biological Treatments for Annulus Fibrosus Repair and Closure: A Review of Clinical Studies.Neurospine · 2026Review
- Development and validation of a clinical predictive model for the risk of recurrence after unilateral biportal endoscopic diskectomy.Frontiers in surgery · 2026Article
- Comprehensive identification of risk factors for recurrence after percutaneous endoscopic lumbar discectomy: a systematic review and meta-analysis.Frontiers in surgery · 2026Review
- The value of contrast-enhanced MRI in the selection of surgical approaches for recurrent lumbar disc herniation in full-endoscopic surgery.Neurosurgical review · 2025Article
- Development and validation of a nomogram for predicting postoperative recurrent lumbar disc herniation after unilateral biportal endoscopic discectomy.Scientific reports · 2025Article
- Minimally invasive treatment of far lateral lumbar disc herniation: Selective nerve root block with percutaneous transforaminal endoscopic discectomy.World journal of orthopedics · 2025Article
- Unilateral Biportal Endoscopic Discectomy (UBE) Versus Percutaneous Endoscopic Lumbar Discectomy (PELD) for Treating Lumbar Disc Herniation in Obese Patients: A Retrospective Study.Medical science monitor : international medical journal of experimental and clinical research · 2025Article
- Patient Factors Associated with Recurrent Herniation and Revision Surgery following Lumbar Microdiscectomy.Spine surgery and related research · 2025Article
- Prevalence, diagnosis, and clinical significance of lumbosacral transitional vertebrae: A systematic review and narrative analysis.Brain & spine · 2025Review
- Machine Learning Prediction Model and Risk Factor Analysis of Reoperation in Recurrent Lumbar Disc Herniation Patients After Percutaneous Endoscopic Lumbar Discectomy.Global spine journal · 2024Article
- Article
- The Three-Step Approach for Lumbar Disk Herniation with Anatomical Insights Tailored for the Next Generation of Young Spine Surgeons.Journal of clinical medicine · 2024Article
- Associations of recurrent lumbar disc herniation after percutaneous endoscopic lumbar discectomy with age, body mass index, modic change, disc degeneration and sacral slope: A quantitative review.Experimental and therapeutic medicine · 2024Article
- Lumbar lordosis and sacral slope do not differ in two types of postoperative lumbar disc re-herniation: a cross-sectional observational study.BMC musculoskeletal disorders · 2024Observational
- Lumbar disc herniation: Prevention and treatment of recurrence: WFNS spine committee recommendations.World neurosurgery: X · 2024Review
- Changes in Disc Height as a Prognostic Factor in Patients Undergoing Microscopic Discectomy.Journal of Korean Neurosurgical Society · 2024Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThere are many reports about the risk factors for recurrence after lumbar disc surgery. However, there are none about whether lumbosacral transitional vertebrae (LSTV) are associated with recurrent lumbar disc herniation (LDH). We investigated various risk factors for recurrent LDH after discectomy including LSTV.
methodsA total of 119 patients who had undergone a discectomy for L4-5 disc herniation were evaluated with a minimum follow-up of two years. Clinical parameters including age, gender, body mass index (BMI), and smoking status, and radiological parameters including type of herniated disc, degree of disc degeneration, LSTV, and sagittal range of motion (SROM) in flexion-extension radiography were evaluated. SROM was measured by the difference of the lordotic angle between the flexion and extension view.
resultsRecurrent disc herniation at L4-5 developed in 21 (17.6%) of the 119 patients. The mean period between primary surgery and recurrence was 17.6 ± 21.1 months. LSTV was found in 11 (52.4%) of the 21 patients who had recurrence and seven (7.1%) of the 98 patients in the non-recurrent group. SROM at L4-5 was 11.68 ± 4.24° in the recurrent group and 9.04 ± 3.65° in the non-recurrent group with a significant difference (p = 0.004). Multiple logistic regression analyses confirmed that LSTV and a larger SROM were significant risk factors for recurrent disc herniation at L4-5.
conclusionsLumbosacral transitional vertebrae and a hypermobile disc in flexion-extension radiography were found to be risk factors for recurrent lumbar disc herniation.
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