Journal of Korean Neurosurgical Society

  • 제62권5호
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  • Pages.586-593
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  • 2019
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Risk Factors of Secondary Lumbar Discectomy of a Herniated Lumbar Disc after Lumbar Discectomy

  • Beack, Joo Yul (Department of Neurosurgery, Hanyang University Medical Center) ;
  • Chun, Hyoung Joon (Department of Neurosurgery, Hanyang University Medical Center) ;
  • Bak, Koang Hum (Department of Neurosurgery, Hanyang University Medical Center) ;
  • Choi, Kyu-Sun (Department of Neurosurgery, Hanyang University Medical Center) ;
  • Bae, In-Suk (Department of Neurosurgery, Hanyang University Medical Center) ;
  • Kim, Kee D. (Department of Neurological Surgery, University of California)
  • 투고 : 2019.04.04
  • 심사 : 2019.05.30
  • 발행 : 2019.09.01
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초록

Objective : To study risk factors of secondary lumbar discectomy (LD) for recurrent herniated lumbar disc (HLD) and identify methods to lower the rate of recurrence. Methods : Data from 160 patients who underwent primary LD were collected retrospectively. Demographic features, radiologic findings including Pfirrmann disc degeneration, and surgical information were analyzed to compare risks between revision and non-revision patients. Results : The revision rate was 15% (24 patients), and the mean follow-up was 28.3 months. HLD recurrence was not related to any demographic characteristics. Primary and secondary LD were most common at the L4-5 level, but the level of operation was not significantly associated with revision. Primary LD most commonly had a Pfirrmann disc degeneration grade of 3, followed by 4. For recurrent HLD, Pfirrmann grade 4 was most common and was statistically significant (p<0.05). A body mass index (BMI) over 30 was considered obese and was significantly related with HLD revision (p<0.05). Conclusion : Patients with high BMI or severe disc degeneration should be informed of HLD revision.

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참고문헌

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