Our Summary
This research paper compares two types of surgeries that are often used to treat reoccurring lower back pain caused by a herniated disc. The two surgeries are called “repeat discectomy” and “spinal fusion.” Previous research hasn’t clearly shown if one surgery leads to more follow-up surgeries than the other. This study tried to answer that question by looking at results from past studies.
The researchers found four previous studies that met their criteria. They discovered that patients who had the repeat discectomy surgery were more likely to need a second surgery (9.09%) compared to those who had the spinal fusion surgery (2.00%). However, this difference wasn’t statistically significant, meaning it could have happened by chance.
The main reason people needed a second surgery after the repeat discectomy was because their herniated disc problem came back. For the spinal fusion surgery, patients typically needed a second surgery because of degeneration in the area next to the fusion or because they needed to have the implant removed.
The researchers also found that the repeat discectomy surgery took less time and patients stayed in the hospital for a shorter period after the surgery compared to the spinal fusion. However, both surgeries had similar rates of patient improvement and complications.
In conclusion, the researchers didn’t find a significant difference in the number of people needing a second surgery between the two types of surgeries. Both surgeries led to similar improvements and complications for patients.
FAQs
- What is the main reason people needed a second surgery after undergoing a repeat discectomy?
- How do the repeat discectomy and spinal fusion surgeries compare in terms of recovery time and complication rates?
- Did the research find a significant difference in the number of patients requiring a second surgery between repeat discectomy and spinal fusion?
Doctor’s Tip
A doctor might tell a patient considering a discectomy that while repeat discectomy may have a slightly higher risk of needing a second surgery compared to spinal fusion, both surgeries have similar rates of improvement and complications. It is important to discuss the risks and benefits of each surgery with your doctor to determine the best option for your individual situation. Additionally, it is important to follow your doctor’s post-operative instructions and attend follow-up appointments to ensure a successful recovery.
Suitable For
Overall, patients who are recommended for discectomy surgery are typically those who have reoccurring lower back pain caused by a herniated disc that has not responded to conservative treatments such as physical therapy or medication. These patients may experience symptoms such as leg pain, numbness, weakness, or difficulty walking due to nerve compression from the herniated disc.
It is important for patients to discuss their options with their healthcare provider to determine the best course of treatment for their specific condition. Factors such as the location and severity of the herniated disc, overall health, and lifestyle goals should be taken into consideration when deciding on the most appropriate surgical intervention.
Ultimately, the decision to undergo discectomy surgery should be made in collaboration with a healthcare provider to ensure the best possible outcome for the patient’s individual needs and circumstances.
Timeline
Before the discectomy surgery, a patient typically experiences symptoms of lower back pain, sciatica, and weakness or numbness in the legs. They may have tried conservative treatments such as physical therapy, medication, and injections without success. The patient will undergo imaging tests such as MRI or CT scans to confirm the diagnosis of a herniated disc and determine if surgery is necessary.
After the discectomy surgery, the patient can expect a period of recovery and rehabilitation. They may experience some pain and discomfort at the surgical site, which can be managed with medication. Physical therapy will be recommended to help strengthen the muscles surrounding the spine and improve flexibility. The patient will gradually increase their activity level and return to normal daily activities as tolerated.
Overall, the goal of the discectomy surgery is to relieve the symptoms caused by the herniated disc and improve the patient’s quality of life. With proper care and rehabilitation, most patients are able to return to their normal activities and experience long-term relief from their lower back pain.
What to Ask Your Doctor
Some questions a patient should ask their doctor about discectomy include:
- What are the potential risks and complications associated with the discectomy surgery?
- How long is the recovery period and what can I expect in terms of pain and limitations during that time?
- Will I need physical therapy or rehabilitation after the surgery?
- What are the chances that my herniated disc problem will come back after the surgery?
- Are there any alternative treatments or therapies that I should consider before opting for surgery?
- How experienced are you in performing discectomy surgeries, and what is your success rate?
- What can I do to improve the chances of a successful outcome from the surgery?
- Will I need any additional surgeries or treatments in the future if I choose to have the discectomy?
- How will the surgery affect my daily activities, work, and overall quality of life?
- Are there any specific precautions or lifestyle changes I should make after the surgery to prevent future back issues?
Reference
Authors: Tanavalee C, Limthongkul W, Yingsakmongkol W, Luksanapruksa P, Singhatanadgige W. Journal: J Clin Neurosci. 2019 Aug;66:202-208. doi: 10.1016/j.jocn.2019.05.004. Epub 2019 May 27. PMID: 31147231