Evaluation of the effectiveness of surgical methods for the treatment of recurrent lumbar disc herniation: a cohort retrospective study

Abstract

Objective. To compare the effectiveness of surgical methods for treating patients with recurrent lumbar disc herniation. Material and Methods. The sample consisted of 160 patients operated on in 2014–2019 for recurrent lumbar disc herniation by percutaneous endoscopic discectomy (Group 1), microsurgical discectomy (Group 2), single-level transforaminal interbody fusion (Group 3) and single-level total intervertebral disc replacement (Group 4). The effectiveness of surgical treatment was evaluated using the NRS-11, ODI, and MacNab questionnaires. Results. Assessment of the pain syndrome severity and the vital activity level of patients revealed significant (p 0.05). Conclusion. Arthroplasty with the M6-L implant expands the possibilities of surgery for recurrent lumbar disc herniation. Total intervertebral disc replacement and posterior interbody fusion for recurrent lumbar disc herniation are more effective in comparison with decompressive operations, which is reflected in the improvement of clinical treatment outcomes, reduction of perioperative complications and frequency of repeated interventions.

Keywords

• recurrent lumbar disc herniation
• full-endoscopic lumbar discectomy
• microdiscectomy
• transforaminal lumbar interbody fusion
• total disc replacement
• arthroplasty