Study of Risk Factors Effects Recurrence of Lumbar Disc Herniation (LDH) after Open Spine Surgery
Novelty in Biomedicine,
Vol. 10 No. 1 (2022),
31 Bahman 2022
,
Page 12-16
https://doi.org/10.22037/nbm.v10i1.34872
Abstract
Background: Low back pain is one of the most common diseases worldwide. Factors such as occupational,
personal, and environmental causes affect low back pain development and spread. Lumbar Disc Herniation
(LDH) is one of the main causes of low back pain. This study aimed to investigate the risk factors for LDH.
Materials and Methods: This descriptive cross-sectional study examined the recurrence of LDH among 301
patients after lumbar surgery over three years. Demographic and medical information of individuals were
obtained using individuals' medical records. People were interviewed for the job and other information. Based
on LDH recurrence, individuals were divided into two groups with/without recurrence. SPSS Ver.17 software
and appropriate statistical tests were used to analyze the data.
Results: The incidence of LDH recurrence was 28 (9.3%) in the samples. In this study, the number of male
samples was 154 (51.2%) with a recurrence of 9.7% and 147 female samples (48.8%) with recurrence of 8.8%,
and the mean age of the samples was 48.62 (13.35), with a range of Changes 15-79 years. Based on the results
of statistical tests, there was no statistically significant relationship between risk factors and recurrence of
LDH.
Conclusion: Factors such as gender, age, smoking, physical characteristics, and occupational conditions cause
or accelerate the recurrence of LDH in patients. The low volume of the group with LDH recurrence in this study
caused no significant relationship between recurrence and risk factors.
- LDH, Recurrence, Spine surgery, BMI
How to Cite
References
Papić M, Papić V, Kresoja M, Munteanu V, Mikov I, Cigić T. Relation between grades of intervertebral disc degeneration and occupational activities of patients with lumbar disc herniation. Vojnosanitetski pregled. 2017;74(12):1121-7.
Freemont A. The cellular pathobiology of the degenerate intervertebral disc and discogenic back pain. Rheumatology. 2009;48(1):5-10.
Withanage N, Perera S, Peiris H, Prathapan S. Development of a regression model using socio-demographic, behavioural and occupational risk factors for lumbar disc herniation (LDH) and lumbar disc degeneration (LDHD)-A case control study. 2020.
Shayan K RS, Sedigh zadeh Tabasi S. Evaluation of risk factors for lumbar disc herniation recurrence in patients referred to hospitals affiliated to Mashhad Azad University during the years 2005-2012. Journal of Medical Sciences. 2014;4(2):1-13.
Urban JP, Roberts S. Degeneration of the intervertebral disc. Arthritis Res Ther. 2003;5(3):1-11.
Lotfy M. Recurrent lumbar disc prolapse review of thirty-two cases. Egypt J Neurol Surg (EJNS). 2006;21(1):75-88.
Scuderi GJ, Brusovanik GV, Golish SR, DeMeo R, Hyde J, Hallab N, et al. A critical evaluation of discography in patients with lumbar intervertebral disc disease. The Spine Journal. 2008;8(4):624-9.
Mashhadi Nezhad H, Samini F, Mashhadi Nezhad S. Comparison of clinical findings and results of open surgury in treatment of primary and recurrent lumbosacral disc herniation. Journal of Birjand University of Medical Sciences. 2011;17(4):288-95.
Jacobs WC, Arts MP, van Tulder MW, Rubinstein SM, van Middelkoop M, Ostelo RW, et al. Surgical techniques for sciatica due to herniated disc, a systematic review. European Spine Journal. 2012;21(11):2232-51.
Takegami K, Thonar EJ, An HS, Kamada H, Masuda K. Osteogenic protein-1 enhances matrix replenishment by intervertebral disc cells previously exposed to interleukin-1. Spine. 2002;27(12):1318-25.
Ovcharov ME, Valkov IV, Mladenovski MN, Vasilev NV. Recurrence Rate of Lumbar Disc Herniation After Standard Discectomy and Microdiscectomy: A 5-Year Study. Journal of Biomedical and Clinical Research. 2019;12(2):139-46.
Kim J-H, van Rijn RM, van Tulder MW, Koes BW, de Boer MR, Ginai AZ, et al. Diagnostic accuracy of diagnostic imaging for lumbar disc herniation in adults with low back pain or sciatica is unknown; a systematic review. Chiropractic & manual therapies. 2018;26(1):1-14.
Kim MS, Park K-W, Hwang C, Lee Y-K, Koo KH, Chang B-S, et al. Recurrence rate of lumbar disc herniation after open discectomy in active young men. Spine. 2009;34(1):24-9.
Proietti L, Scaramuzzo L, Schiro GR, Sessa S, Logroscino CA. Complications in lumbar spine surgery: a retrospective analysis. Indian journal of orthopaedics. 2013;47(4):340-5.
Deyo RA, Mirza SK, Martin BI, Kreuter W, Goodman DC, Jarvik JG. Trends, major medical complications, and charges associated with surgery for lumbar spinal stenosis in older adults. Jama. 2010;303(13):1259-65.
McGirt MJ, Bydon M, Archer KR, Devin CJ, Chotai S, Parker SL, et al. An analysis from the Quality Outcomes Database, Part 1. Disability, quality of life, and pain outcomes following lumbar spine surgery: predicting likely individual patient outcomes for shared decision-making. Journal of Neurosurgery: Spine. 2017;27(4):357-69.
Aalto TJ, Malmivaara A, Kovacs F, Herno A, Alen M, Salmi L, et al. Preoperative predictors for postoperative clinical outcome in lumbar spinal stenosis: systematic review. Spine. 2006;31(18):E648-E63.
Suk K-S, Lee H-M, Moon S-H, Kim N-H. Recurrent lumbar disc herniation: results of operative management. Spine. 2001;26(6):672-6.
Shimia M, Babaei-Ghazani A, Sadat BE, Habibi B, Habibzadeh A. Risk factors of recurrent lumbar disk herniation. Asian journal of neurosurgery. 2013;8(2):93.
Oh JT, Park KS, Jung SS, Chung SY, Kim SM, Park MS, et al. Surgical results and risk factors for recurrence of lumbar disc herniation. Korean Journal of Spine. 2012;9(3):170.
Sanjoy SS, Ahsan GU, Nabi H, Joy ZF, Hossain A. Occupational factors and low back pain: a cross-sectional study of Bangladeshi female nurses. BMC research notes. 2017;10(1):1-6.
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