Recurrent Lumbar Disk Herniation With or Without Posterolateral Fusion

    loading  Checking for direct PDF access through Ovid


Study Design:

A prospective study assessing the outcomes of repeat surgery for recurrent lumbar disc herniation.


To evaluate the results of repeat surgery for recurrent disc herniation, and compare the results of disc excision with and without posterolateral fusion.


The study included 39 patients who underwent disc excision with or without posterolateral fusion, with an average follow-up of 66.7 months (range, 24-116 months). Clinical symptoms were assessed based on the Japanese Orthopedic Association Back Scores. Medical and surgical data were examined and analyzed, including pain-free interval, intraoperative blood loss, length of surgery, and postoperative hospital stay.


Clinical outcome was excellent or good in 84.6% of patients, including 83.3% of patients undergoing a discectomy alone, and 84.6% of patients with posterolateral fusion. The recovery rate was 84.4%, and the difference between the fusion and nonfusion groups was insignificant (P=0.725). The difference in the postoperative back pain score was also insignificant (P=0.821). These two groups were not different in terms of age, pain-free interval, and follow-up duration. Intraoperative blood loss, length of surgery, and length of hospitalization were significantly less in patients undergoing discectomy alone than in patients with fusion.


Repeat surgery for recurrent sciatica is effective in cases of true recurrent disc herniation. Disc excision alone is recommended for managing recurrent disc herniation.

Related Topics

    loading  Loading Related Articles