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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 113 - 121 (9page)
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초록· 키워드
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We aim to present the current evidence on various risk factors and surgical treatment modalities for recurrent lumbar disc herniation (rLDH). Using PubMed, a literature search was performed using the Mesh terms “recurrent disc prolapse,” “herniated lumbar disc,” “risk factors,” and “treatment.” Articles that were published between January 2010 and May 2017 were selected for further screening. A search conducted through PubMed identified 213 articles that met the initial screening criteria. Detailed analyses showed that 34 articles were eligible for inclusion in this review. Sixteen articles reported the risk factors associated with rLDH. Decompression alone as a treatment option was studied in seven articles, while 11 articles focused on different types of fusion surgery (anterior lumbar interbody fusion, posterior lumbar interbody fusion, open transforaminal lumbar interbody fusion [TLIF], and minimally invasive surgery-TLIF). Management of the rLDH requires consideration of the possible risk factors present in individual patients before primary and at the time of second surgery. Both, minimally invasive and conventional open procedures are comparably effective in relieving leg pain, and minimally invasive techniques offer advantage over the other technique in terms of tissue sparing. Non-fusion surgeries involve the risk of lumbar disc herniation re-recurrence, and the patient may require a third (fusion) surgery.
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참고문헌 (40)
참고문헌 신청
Aizawa T / 2012 / Reoperation for recurrent lumbar disc herniation : a study over a 20-year period in a Japanese population / J Orthop Sci 17:107~113
Lebow RL / 2011 / Asymptomatic same-site recurrent disc herniation after lumbar discectomy : results of a prospective longitudinal study with 2-year serial imaging / Spine 36:2147~2151
Yurac R / 2016 / Risk factors for the need of surgical treatment of a first recurrent lumbar disc herniation / Eur Spine J 25:1403~1408
Chang HK / 2016 / Scoliosis may increase the risk of recurrence of lumbar disc herniation after microdiscectomy / J Neurosurg Spine 24:586~591
Shimia M / 2013 / Risk factors of recurrent lumbar disk herniation / Asian J Neurosurg 8:93~96
Lebow RL / 2011 / Asymptomatic same-site recurrent disc herniation after lumbar discectomy : results of a prospective longitudinal study with 2-year serial imaging / Spine 36:2147~2151
Yurac R / 2016 / Risk factors for the need of surgical treatment of a first recurrent lumbar disc herniation / Eur Spine J 25:1403~1408
Chang HK / 2016 / Scoliosis may increase the risk of recurrence of lumbar disc herniation after microdiscectomy / J Neurosurg Spine 24:586~591
Shimia M / 2013 / Risk factors of recurrent lumbar disk herniation / Asian J Neurosurg 8:93~96
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