ABSTRACT

Aim:

Reherniation is the experience of another lumbar disc herniation (LDH) at the same level and same side after a pain-free period. In this study, socioeconomic factors affecting reherniation after discectomy prospectively have been investigated.

Material and Methods:

816 patients were underwent discectomy surgery at Neurosurgery department of BRSHH between the years 2014 and 2015, the patients who followed up at least 36-month and appropriate to our study criteria were included. The patients’ demographic characteristics such as age, gender, job, BMI, clinical presentations were recorded. The patients were divided into who had recurrent LDH (RLDH) and others (control group) and the comparison had been performed between both groups using all above parameters prospectively.

Results:

816 (430 women, 386 men) patients were underwent discectomy for LDH. 842 disc levels were operated. The mean age was 46.9 (17-82). The mean follow-up period was 47.8 (36-61) months. The mean of preoperative leg and back VAS score were 8.9 and 3.1, respectively. The mean of 12th and 24th month postoperative leg and back VAS score were 1.9, 1.64, 1.9, and 1.82, respectively. The mean of preoperative ODI, 12th and 24th month postoperative ODI were 73.3, 15, and 18.2, respectively. Gender, age, symptom’s duration, surgery condition and period, trauma, comorbidities, smoking, and early returning to duties are not related to recurrence of LDH in our patients.

Conclusion:

Motor deficits on presentation may reduce RLDH risk. Intact neurologic examination may increase the RLDH risk. Select the correct patient may lead to reduce the risk of RLDH.