Evidence map›Paper›PMID 37025530›Full record

ReviewSurgical neurology international2023

Repeat discectomy for recurrent same level disc herniation: A literature review of the past 5 years.

Gerald Musa, Rossi E C Barrientos, Serik K Makirov, Gennady E Chmutin, Gennady I Antonov, Alexander V Kim, Olzhas Otarov

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Surgical neurology international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. [Digital three-dimensional assisted unilateral biportal endoscopy in treatment of highly isolated lumbar disc herniation with translaminar approach].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Gerald MusaDepartment of Neurological Diseases and Neurosurgery, Peoples Friendship University of Russia, Moscow, Russia.
Rossi E C BarrientosDepartment of Neurological Diseases and Neurosurgery, Peoples Friendship University of Russia, Moscow, Russia.
Serik K MakirovDepartment of Traumatology and Orthopedics, Spinal Surgery, Scientific and Technical Center, Family Clinic, Moscow, Russia.
Gennady E ChmutinDepartment of Neurological Diseases and Neurosurgery, Peoples Friendship University of Russia, Moscow, Russia.
Gennady I Antonov3 Central Military Clinical Hospital named after A.A Vishnevsky, of the Ministry of Defense of the Russian Federation, Moscow, Russia.
Alexander V KimDepartment of Neurosurgery, City Clinical Hospital 68 Named after Demihov, Moscow, Russia.
Olzhas OtarovDepartment of Orthopedics and Traumatology, Scientific and Technical Center, Family Clinic, Moscow, Russia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Recurrent disc herniations remain a challenge in spinal surgery. Although some authors recommend a repeat discectomy, others offer more invasive secondary fusions. Here, we reviewed the literature (2017-2022) regarding the safety/efficacy of treating recurrent disc herniations with repeated discectomy alone. Methods: Our literature search of recurrent lumbar disc herniations included; Medline, PubMed, Google scholar, and the Cochrane database. We focused on the types of discectomy performed, perioperative morbidity, costs, length of surgery, pain scores, and incidence of secondary dural tears. Results: We identified 769 cases that included 126 microdiscectomies, and 643 endoscopic discectomies. Rates of disc recurrence ranged from 1% to 25% with accompanying secondary durotomy varying from 2% to 15%. In addition, operative times were relatively short, ranging from 29.2 min to 125 min, with a relatively small average estimated blood loss (i.e., minimal to maximally 150 mls). Conclusion: Repeated discectomy was the most commonly performed treatment for same-level recurrent disc herniations. Despite minimal intraoperative blood loss and short operating times, there was a significant risk of durotomy. Notably, patients must be informed that more extensive bone removal for treating recurrent disc increases the risk for instability warranting subsequent fusion.

Indexed as

Degenerative disc diseaseDisc herniationRecurrent herniationSpinal instability

Identifiers

PMID37025530
PMCPMC10070263

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.