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Recurrence after SurgeryIn Lumbar Disc Protrusions | ||
| Al-Kindy College Medical Journal | ||
| Article 1, Volume 3, Issue 1, 2006, Pages 67-74 | ||
| Author | ||
| Abdullah Y Al-Mihyawi | ||
| Abstract | ||
| Background: Persistent symptoms after operationfor lumbar disc protrusions may be due to: (1) discprolapse at another level; (2) residual disc material inthe spinal canal; (3) nerve root pressure by ahypertrophic facet joint or a narrow lateral recess(‘root canal stenosis’). After careful investigation, anyof these may call for re-operation; but secondprocedures don’t have a high success rate.Objective: This study is designed to verify thepossible causes of recurrence after surgery for lumbardisc prolapse and their appropriate treatmentregarding re-exploration.Methods: A follow-up and result of treatment in100 cases operated upon for lumbar disc prolapse ispresented. Clinical & radiological assessmentsincluding myelography and magnetic resonanceimaging were done post-operatively in persistentsymptoms including backache or sciatica.Results: In this series, twelve patients required reexploration,9 patients had only one re-explorationand 3 patients had two explorations each. One patienthad one re-exploration was subjected to sacro-iliacfusion, which improved his symptoms.Conclusion: In the majority of patients the causesof persistence of symptoms are beyond the control ofthe surgeon. Removal of disc prolapse is effective inmost instances in relieving the pain in lower extremitybut a large number of patients continue to suffer fromfurther backache and a few from further leg pain ofvarying intensity. Re-exploration carries a badprognosis but if a disc prolapse is found at reexplorationthen the result is much more favorableKeywords: Sciatica, recurrent lumbar disc, reexploration. | ||
| Keywords | ||
| Sciatica; recurrent lumbar disc; reexploration | ||
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