Houston Methodist. Leading Medicine

Lower Spine News

Results of Revision Discectomy

In this study, results of a revision (second) discectomy at the same location in the spine are reported. Microdiscectomy to remove just the damaged disc material was done in the first operation. No one had a radical discectomy removing the entire disc.

Patient symptoms and satisfaction after the primary (first) discectomy were compared to results after the revision discectomy. Measures of outcome were patient-based. For example, the patient's ability to get dressed, sit, stand, sleep, and travel were assessed. Even social, sexual, and recreational activities were included.

The Musculoskeletal Outcomes Data Evaluation and Management System (MODEMS) instrument tool was used to assess patient satisfaction, function, and general quality of life. Improvement and satisfaction after primary and revision discectomy were the same for all ages. Results were satisfactory in about 85 percent of the patients. The authors conclude the majority of patients are improved after revision discectomy.

Elias C. Papadopoulos, MD, et al. Outcome of Revision Discectomies Following Recurrent Lumbar Disc Herniation. In Spine. June 1, 2006. Vol. 31. No. 13. Pp. 1473-1476.


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