Analysis of risk factors and postoperative predictors for recurrent lumbar disc herniation

M Dobran; Davide Nasi; R Paracino; M Gladi; M Della Costanza; A Marini; S Lattanzi; M Iacoangeli

doi:10.25259/SNI-22-2019

Analysis of risk factors and postoperative predictors for recurrent lumbar disc herniation

Surg Neurol Int. 2019 Mar 26:10:36. doi: 10.25259/SNI-22-2019. eCollection 2019.

Authors

M Dobran¹, Davide Nasi¹, R Paracino¹, M Gladi¹, M Della Costanza¹, A Marini¹, S Lattanzi¹, M Iacoangeli¹

Affiliation

¹ Department of Neurosurgery, Umberto I General Hospital, Università Politecnica delle Marche, Ancona, Italy.

Abstract

Background: This study identified risk factors and postoperative indicators for recurrent lumbar disc herniations (rLDH) following microdiscectomy.

Methods: We retrospectively reviewed the 1-year recurrence rate for LDH in 209 consecutive patients undergoing microdiscectomy (2013-2018).

Results: Utilizing a multivariate analysis, higher body mass index (BMI) and postsurgery Oswestry disability index (ODI) were significantly associated with an increased risk of rLDH.

Conclusion: Elevated postsurgery ODI and higher BMI were significantly associated with increased risk of rLDH.

Keywords: Discectomy; lumbar disc herniation; lumbar microdiscectomy; recurrent disc herniation.