Our Summary

This study was conducted to investigate the long-term results of a specific kind of spine surgery called microdiscectomy, in patients with a condition known as lumbosacral radicular syndrome. The study involved 88 patients who had undergone a second microdiscectomy between 2007 and 2010. The participants filled out questionnaires to rate their recovery, leg pain, and back pain. The researchers also recorded any further surgeries the patients had to undergo.

The results showed that after 10 years, 40% of patients reported a good recovery, while 45% reported less leg pain and 41% reported less back pain. However, patients who didn’t have a positive outcome had higher pain scores. Importantly, 35% of patients had to undergo another surgery, but whether or not they had another operation didn’t make a significant difference to their recovery.

In conclusion, most patients who underwent a second microdiscectomy didn’t have a positive outcome and had a high chance of needing more surgery. Despite these results and disappointing outcomes from other treatments, the researchers suggest that a second microdiscectomy is still a valid treatment option for this syndrome. These findings could help patients make more informed decisions about their treatment options.

FAQs

  1. What are the long-term results for patients who underwent a second microdiscectomy?
  2. Does undergoing another surgery after a second microdiscectomy significantly affect the recovery process?
  3. Is a second microdiscectomy still considered a valid treatment option for lumbosacral radicular syndrome despite the study’s results?

Doctor’s Tip

A helpful tip a doctor might tell a patient about microdiscectomy is to carefully consider the potential risks and benefits of undergoing a second surgery. It is important to have realistic expectations about the outcome and to discuss any concerns or questions with your healthcare provider. Additionally, following post-operative instructions, such as physical therapy and activity restrictions, can help improve recovery and reduce the risk of needing additional surgeries in the future.

Suitable For

Patients who are typically recommended for microdiscectomy are those with lumbosacral radicular syndrome, also known as sciatica. This condition is characterized by pain, numbness, or weakness that radiates down the leg due to compression of a nerve root in the lower back. Patients who have not found relief from conservative treatments such as physical therapy, medications, or injections may be candidates for microdiscectomy. Additionally, patients who have a herniated disc that is causing severe symptoms and affecting their quality of life may also be recommended for this surgery. It is important for patients to discuss their specific symptoms and medical history with their healthcare provider to determine if microdiscectomy is the right treatment option for them.

Timeline

Before microdiscectomy:

  1. Patient experiences symptoms of lumbosacral radicular syndrome, such as leg pain, back pain, and numbness.
  2. Patient undergoes diagnostic tests, such as MRI or CT scan, to confirm the diagnosis.
  3. Patient undergoes conservative treatments, such as physical therapy, medication, and epidural injections, to manage symptoms.
  4. If conservative treatments do not provide relief, patient and their healthcare provider may consider surgical options, such as microdiscectomy.

After microdiscectomy:

  1. Patient undergoes microdiscectomy surgery to remove part of the herniated disc causing pressure on the spinal nerves.
  2. Patient may experience some pain and discomfort immediately following the surgery.
  3. Patient begins physical therapy and rehabilitation to strengthen the back muscles and improve mobility.
  4. Over time, patient may experience improvement in leg pain and back pain, with some patients reporting significant relief.
  5. Some patients may require additional surgeries or treatments if symptoms persist or recur.
  6. Long-term outcomes of microdiscectomy vary, with some patients reporting good recovery and others experiencing ongoing pain and disability.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with microdiscectomy surgery?
  2. What is the success rate of microdiscectomy surgery for patients with my specific condition?
  3. What is the typical recovery time and rehabilitation process following microdiscectomy surgery?
  4. Are there any alternative treatments or therapies that I should consider before opting for surgery?
  5. What are the chances of needing additional surgeries in the future after undergoing microdiscectomy?
  6. What can I do to improve my chances of a successful outcome from microdiscectomy surgery?
  7. How long have you been performing microdiscectomy surgeries and what is your success rate with this procedure?
  8. Are there any lifestyle changes or modifications I should make post-surgery to prevent further injury or complications?
  9. Will I need physical therapy or other forms of rehabilitation after the surgery, and if so, what will that entail?
  10. What is the expected long-term prognosis for my condition following microdiscectomy surgery?

Reference

Authors: Lequin MB, Verbaan D, Schuurman PR, Tasche S, Peul WC, Vandertop WP, Bouma GJ. Journal: Eur Spine J. 2024 Jun;33(6):2206-2212. doi: 10.1007/s00586-024-08199-5. Epub 2024 Mar 21. PMID: 38512504