Evaluation of the effectiveness of surgical methods for the treatment of recurrent lumbar disc herniation: a cohort retrospective study
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), microsur...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan"
2021-03-01
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| Series: | Хирургия позвоночника |
| Subjects: | |
| Online Access: | https://www.spinesurgery.ru/jour/article/view/1800/1796 |
| _version_ | 1797705259916722176 |
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| author | Maksim N. Kravtsov Ivan A. Kruglov Saidmirze Dz. Mirzametov Aleksandr S. Seleznev Nina Petrovna Alekseyeva Vadim A. Manukovskiy Boris V. Gaidar Dmitry V. Svistov |
| author_facet | Maksim N. Kravtsov Ivan A. Kruglov Saidmirze Dz. Mirzametov Aleksandr S. Seleznev Nina Petrovna Alekseyeva Vadim A. Manukovskiy Boris V. Gaidar Dmitry V. Svistov |
| author_sort | Maksim N. Kravtsov |
| collection | DOAJ |
| description | 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) differences in favor of total intervertebral disc replacement. Excellent and good outcomes after arthroplasty according to MacNab criteria were noted in all patients in this group. Similar outcomes were reported in 77.5 % (31/40) of patients in the TLIF group, in 75.1 % (24/32) of patients in the percutaneous endoscopic discectomy group and in 72.6 % (45/62) of patients in the microdiscectomy group. The operation time and length of hospital stay were shorter in the endoscopic and microsurgical discectomy groups (p < 0.001). However, the lower incidence of complications and reoperations was observed in groups of posterior interbody fusion and arthroplasty (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. |
| first_indexed | 2024-03-12T05:33:29Z |
| format | Article |
| id | doaj.art-7494152c8aa34121b0f4f5a0d72536d5 |
| institution | Directory Open Access Journal |
| issn | 1810-8997 2313-1497 |
| language | English |
| last_indexed | 2024-03-12T05:33:29Z |
| publishDate | 2021-03-01 |
| publisher | Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan" |
| record_format | Article |
| series | Хирургия позвоночника |
| spelling | doaj.art-7494152c8aa34121b0f4f5a0d72536d52023-09-03T06:37:18ZengMinistry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan"Хирургия позвоночника1810-89972313-14972021-03-01182344310.14531/ss2021.2.34-43Evaluation of the effectiveness of surgical methods for the treatment of recurrent lumbar disc herniation: a cohort retrospective studyMaksim N. Kravtsov0https://orcid.org/0000-0003-2486-6995Ivan A. Kruglov1https://orcid.org/0000-0002-0569-2291Saidmirze Dz. Mirzametov2https://orcid.org/0000-0002-1890-7546Aleksandr S. Seleznev3https://orcid.org/0000-0003-2866-5576Nina Petrovna Alekseyeva4https://orcid.org/0000-0001-8837-6739Vadim A. Manukovskiy5https://orcid.org/0000-0003-0319-814XBoris V. Gaidar6https://orcid.org/0000-0003-2430-1927Dmitry V. Svistov7https://orcid.org/0000-0002-3922-9887S.M. Kirov Military Medical Academy, St. Petersburg, Russia; North-Western State University n.a. I.I. Mechnikov, St. Petersburg, Russia1586 Military Clinical Hospital, Podolsk, Moscow region, RussiaS.M. Kirov Military Medical Academy, St. Petersburg, Russia 1586 Military Clinical Hospital, Podolsk, Moscow region, RussiaSt. Petersburg State University, St. Petersburg, Russia; Pavlov First St. Petersburg State Medical University, St. Petersburg, RussiaSt. Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine, St. Petersburg, Russia; North-Western State University n.a. I.I. Mechnikov, St. Petersburg, RussiaS.M. Kirov Military Medical Academy, St. Petersburg, RussiaS.M. Kirov Military Medical Academy, St. Petersburg, RussiaObjective. 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) differences in favor of total intervertebral disc replacement. Excellent and good outcomes after arthroplasty according to MacNab criteria were noted in all patients in this group. Similar outcomes were reported in 77.5 % (31/40) of patients in the TLIF group, in 75.1 % (24/32) of patients in the percutaneous endoscopic discectomy group and in 72.6 % (45/62) of patients in the microdiscectomy group. The operation time and length of hospital stay were shorter in the endoscopic and microsurgical discectomy groups (p < 0.001). However, the lower incidence of complications and reoperations was observed in groups of posterior interbody fusion and arthroplasty (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.https://www.spinesurgery.ru/jour/article/view/1800/1796recurrent lumbar disc herniationfull-endoscopic lumbar discectomymicrodiscectomytransforaminal lumbar interbody fusiontotal disc replacementarthroplasty |
| spellingShingle | Maksim N. Kravtsov Ivan A. Kruglov Saidmirze Dz. Mirzametov Aleksandr S. Seleznev Nina Petrovna Alekseyeva Vadim A. Manukovskiy Boris V. Gaidar Dmitry V. Svistov Evaluation of the effectiveness of surgical methods for the treatment of recurrent lumbar disc herniation: a cohort retrospective study Хирургия позвоночника recurrent lumbar disc herniation full-endoscopic lumbar discectomy microdiscectomy transforaminal lumbar interbody fusion total disc replacement arthroplasty |
| title | Evaluation of the effectiveness of surgical methods for the treatment of recurrent lumbar disc herniation: a cohort retrospective study |
| title_full | Evaluation of the effectiveness of surgical methods for the treatment of recurrent lumbar disc herniation: a cohort retrospective study |
| title_fullStr | Evaluation of the effectiveness of surgical methods for the treatment of recurrent lumbar disc herniation: a cohort retrospective study |
| title_full_unstemmed | Evaluation of the effectiveness of surgical methods for the treatment of recurrent lumbar disc herniation: a cohort retrospective study |
| title_short | Evaluation of the effectiveness of surgical methods for the treatment of recurrent lumbar disc herniation: a cohort retrospective study |
| title_sort | evaluation of the effectiveness of surgical methods for the treatment of recurrent lumbar disc herniation a cohort retrospective study |
| topic | recurrent lumbar disc herniation full-endoscopic lumbar discectomy microdiscectomy transforaminal lumbar interbody fusion total disc replacement arthroplasty |
| url | https://www.spinesurgery.ru/jour/article/view/1800/1796 |
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