Journal of Korean Neurosurgical Society

  • 제44권5호
  • /
  • Pages.320-326
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  • 2008
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Contralateral Reherniation after Open Lumbar Microdiscectomy : A Comparison with Ipsilateral Reherniation

  • Choi, Kyeong-Bo (Department of Neurosurgery, Wooridul Spine Hospital) ;
  • Lee, Dong-Yeob (Department of Neurosurgery, Wooridul Spine Hospital) ;
  • Lee, Sang-Ho (Department of Neurosurgery, Wooridul Spine Hospital)
  • 발행 : 2008.11.28
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초록

Objective : To evaluate the risk factors that may be responsible for the development of contralateral reherniations from ipsilateral ones after open lumbar microdiscectomy (OLM), and to compare surgical outcomes of revision OLM for contralateral reherniations with those for ipsilateral ones. Methods: Seventeen patients who underwent revision OLM for contralateral reherniation were enrolled into Group I, and 35 patients who underwent revision OLM for ipsilateral reherniation were enrolled into Group II. Using medical charts and imaging study results, the differences in the clinical and radiological factors were evaluated between the two groups. Clinical outcomes of each group were compared between the two groups. Results: Significant differences were found in the interval to reherniation from initial surgery (33 months for Group I and 18.6 months for Group II, p=0.009), as well as in the incidences of both protruded disc (35.3% for Group I and 8.6% for Group II, p=0.045) and mild disc degeneration (29.4% for Group I and 5.7% for Group II, p=0.031) at initial surgery. On binary multi-logistic regression analysis, significant differences were found in the interval to reherniation (p=0.027, Odds ratio=1.051) and incidence of mild disc degeneration (p=0.025, Odds ratio= 12.03) between the two groups. There were no significant differences in the improvement of clinical outcomes after revision OLM between the two groups. Conclusion: The interval to reherniation from initial surgery and the grade of disc degeneration at initial surgery were key factors that distinguished the development of contralateral reherniations from ipsilateral ones. Surgical outcomes of revision OLM were similar in both groups.

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참고문헌

  1. Carragee EJ, Han MY, Suen PW, Kim D : Clinical outcomes after lumbar discectomy for sciatica : the effects of fragment type and annular competence. J Bone Joint Surg Am 85 : 102-108, 2003 https://doi.org/10.2106/00004623-200301000-00016
  2. Carreon LY, Puno RM, Dimar JR 2nd, Glassman SD, Johnson JR : Perioperative complications of posterior lumbar decompression and arthrodesis in older adults. J Bone Joint Surg Am 85 : 2089-2092, 2003 https://doi.org/10.2106/00004623-200311000-00004
  3. Cinotti G, Gumina S, Giannicola G, Postacchini F : Contralateral recurrent lumbar disc herniation : results of discectomy compared with those in primary herniation. Spine 24 : 800-806, 1999 https://doi.org/10.1097/00007632-199904150-00012
  4. Cinotti G, Roysam GS, Eisenstein SM, Postacchini F : Ipsilateral recurrent lumbar disc herniation. A prospective, controlled study. J Bone Joint Surg Br 80 : 825-832, 1998 https://doi.org/10.1302/0301-620X.80B5.8540
  5. Dai LY, Zhou Q, Yao WF, Shen L : Recurrent lumbar disc herniation after discectomy : outcome of repeat discectomy. Surg Neurol 64 : 226-231; discussion 231, 2005 https://doi.org/10.1016/j.surneu.2004.11.003
  6. Dora C, Schmid MR, Elfering A, Zanetti M, Hodler J, Boos N : Lumbar disk herniations : do MR imaging findings predict recurrence after surgical diskectomy? Radiology 235 : 562-567, 2005 https://doi.org/10.1148/radiol.2352040624
  7. Ebeling U, Kalbarcyk H, Reulen HJ : Microsurgical reoperation following lumbar disc surgery : timing, surgical findings, and outcome in 92 patients. J Neurosurg 70 : 397-404, 1989 https://doi.org/10.3171/jns.1989.70.3.0397
  8. Epstein JA, Lavine LS, Epstein BS : Recurrent herniation of the lumbar intervertebral disk. Clin Orthop Relat Res 52 : 169-178, 1967 https://doi.org/10.1097/00003086-196700520-00013
  9. Erbayraktar S, Acar F, Tekinsoy B, Acar U, Güner EM : Outcome analysis of reoperations after lumbar discectomies : a report of 22 patients. Kobe J Med Sci 48 : 33-41, 2002
  10. Fairbank JC, Couper J, Davies JB, O'Brien JP : The Oswestry low back pain disability questionnaire. Physiotherapy 66 : 271-273, 1980
  11. Herron L : Recurrent lumbar disc herniation : results of repeat laminectomy and discectomy. J Spinal Disord 7 : 161-166, 1994 https://doi.org/10.1097/00002517-199407020-00010
  12. Jacchia GE, Bardelli M, Barile L, D'arienzo M, Innocenti M : Casistica, risultati e cause di insuccessi di ernie discali operate. Ital J Orthop Traumatol 6 : 5-23, 1980
  13. Le H, Sandhu FA, Fessler RG : Clinical outcomes after minimalaccess surgery for recurrent lumbar disc herniation. Neurosurg Focus 15 : E12, 2003
  14. Lee SH, Chung SE, Ahn Y, Kim TH, Park JY, Shin SW : Comparative radiologic evaluation of percutaneous endoscopic lumbar discectomy and open microdiscectomy. Mt Sinai J Med 73 : 795- 801, 2006
  15. Masaryk TJ, Ross JS, Modic MT, Boumphrey F, Bohlman H, Wilber G : High resolution MR imaging of sequestrated lumbar intervertebral disks. Am J Roentgenol 150 : 1155-1162, 1988 https://doi.org/10.2214/ajr.150.5.1155
  16. Mochida J, Nishimura K, Nomura T : Appropriate procedure of posterior herniotomy and percutaneous nucleotomy in lumbar disc herniation. Rinsho Seikei Geka 29 : 423-430, 1994
  17. Modic MT, Steinberg PM, Ross JS, Masaryk TJ, Carter JR : Degenerative disk disease : assessment of changes in vertebral body marrow with MR imaging. Radiology 166 : 193-199, 1988 https://doi.org/10.1148/radiology.166.1.3336678
  18. O'Sullivan MG, Connolly AF, Buckley TF : Recurrent lumbar disc protrusion. Br J Neurosurg 4 : 319-326, 1990 https://doi.org/10.3109/02688699008992741
  19. Ozgen S, Naderi S, Ozek MM, Pamir MN : Findings and outcome of revision lumbar disc surgery. J Spinal Disord 12 : 287-292, 1999
  20. Papadopoulos EC, Girardi FP, Sandhu HS, Sama AA, Parvataneni HK, O'Leary PF, et al : Outcome of revision discectomies following recurrent lumbar disc herniation. Spine 31 : 1473-1476, 2006 https://doi.org/10.1097/01.brs.0000219872.43318.7a
  21. Pfirrmann CW, Metzdorf A, Zanetti M, Hodler J, Boos N : Magnetic resonance classification of lumbar intervertebral disc degeneration. Spine 26 : 1873-1878, 2001 https://doi.org/10.1097/00007632-200109010-00011
  22. Shim CS, Lee SH, Shin HD, Kang HS, Choi WC, Jung B, et al : CHARITE versus ProDisc : a comparative study of a minimum 3- year follow-up. Spine 32 : 1012-1018, 2007 https://doi.org/10.1097/01.brs.0000260795.57798.a0
  23. Silvers HR, Lewis PJ, Asch HL, Clabeaux DE : Lumbar diskectomy for recurrent disk herniation. J Spinal Disord 7 : 408-419, 1994
  24. Spengler DM : Lumbar discectomy : results of a limited disc excision and selective foraminotomy. Spine 7 : 604-607, 1982 https://doi.org/10.1097/00007632-198211000-00015
  25. Suk KS, Lee HM, Moon SH, Kim NH : Recurrent lumbar disc herniation : results of operative management. Spine 26 : 672-676, 2001 https://doi.org/10.1097/00007632-200103150-00024
  26. Swartz KR, Trost GR : Recurrent lumbar disc herniation. Neurosurg Focus 15 : E10, 2003
  27. Torma T : Post-operative recurrence of lumbar disc herniation. Acta Chir Scand 103 : 213-221, 1952
  28. Tsai CH, Hsu HC, Chen YJ, Lin CJ, Chen HT : Recurrent lumbar disc herniation after discectomy : clinical result of repeated discectomy and analysis of factors affecting surgical outcome. Mid Taiwan J Med 12 : 125-132, 2007
  29. Yorimitsu E, Chiba K, Toyama Y, Hirabayashi K : Long-term outcomes of standard discectomy for lumbar disc herniation : a follow-up study of more than 10 years. Spine 26 : 652-657, 2001 https://doi.org/10.1097/00007632-200103150-00019

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