Recurrent lumbar disk herniation

Joseph K. Lee, Louis Amorosa, Samuel K. Cho, Mark Weidenbaum, Yongjung Kim

Research output: Contribution to journalReview article

39 Scopus citations

Abstract

Recurrent lumbar disk herniation is the most common complication following primary open diskectomy. It is defined as recurrent back and/or leg pain after a definite pain-free period lasting at least 6 months from initial surgery. Careful neurologic examination is critical, and laboratory tests should be ordered to evaluate for infection. Imaging demonstrates disk herniation at the previously operated level. It is important to differentiate recurrent disk herniation from postoperative epidural scar because the latter may not benefit from reoperation. Treatment of recurrent lumbar disk herniation includes aggressive medical management and surgical intervention. Surgical techniques include conventional open diskectomy, minimally invasive open diskectomy, and open diskectomy with fusion. Fusion is necessary In the presence of concomitant segmental instability or significant foraminal stenosis resulting from disk space collapse.

Original languageEnglish (US)
Pages (from-to)327-337
Number of pages11
JournalJournal of the American Academy of Orthopaedic Surgeons
Volume18
Issue number6
DOIs
Publication statusPublished - Jun 2010

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ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Lee, J. K., Amorosa, L., Cho, S. K., Weidenbaum, M., & Kim, Y. (2010). Recurrent lumbar disk herniation. Journal of the American Academy of Orthopaedic Surgeons, 18(6), 327-337. https://doi.org/10.5435/00124635-201006000-00005