Anterior discectomy and total disc replacement for three patients with multiple recurrent lumbar dis

Publication year: 2011
Source: The Spine Journal, In Press, Corrected Proof, Available online 9 September 2011
Jamieson S., Glenn , Joseph, Yaker , Richard D., Guyer , Donna D., Ohnmeiss
Background context: Although results of primary discectomy are generally excellent with relief of leg pain, recurrent lumbar disc herniation is relatively common ranging from 5% to 25%. Patients with recurrent herniation may undergo revision surgery; however, this carries with it increased risks and lower success rates. Many surgeons will advocate a fusion in addition to repeat discectomy after the third recurrent herniated disc. With the approval of lumbar total disc arthroplasty, there now exists another option for the patient with three or more recurrent disc herniations to preserve motion, theoretically decrease the rate of adjacent-level disease, and ameliorate the patient’s symptoms. Purpose: The…

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Júlio Leonardo B. Pereira
http://www.neurocirurgiabr.com
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