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Long-Term Results of Various Operations for Lumbar Disc Herniation: Analysis of
over 39,000 Patients
#MMPMID25832729
Dohrmann GJ
; Mansour N
Med Princ Pract
2015[]; 24
(3
): 285-90
PMID25832729
show ga
OBJECTIVE: To determine the long-term follow-up of the various operations for
lumbar disc herniation in a large patient population. SUBJECTS AND METHODS:
Patients who had operations for lumbar disc herniation (microdiscectomy,
endoscopic microdiscectomy and the 'classical operation', i.e.
laminectomy/laminotomy with discectomy) were collected from the world literature.
Patients who had follow-ups for at least 2 years were analyzed relative to the
outcome. The outcome was graded by the patients themselves, and the operative
groups were compared to one another. RESULTS: 39,048 patients collected from the
world literature had had lumbar disc operations for disc herniations. The mean
follow-up period was 6.1 years, and 30,809 (78.9%) patients reported
good/excellent results. Microdiscectomy was performed on 3,400 (8.7%) patients.
The mean follow-up was 4.1 years with 2,866 (84.3%) good/excellent results, while
1,101 (3.6%) patients had endoscopic microdiscectomy. There, the mean follow-up
was 2.9 years with 845 (79.5%) good/excellent results. The classical operation
was performed on 34,547 (88.5%) patients with a mean follow-up period of 6.3
years, and 27,050 (78.3%) patients had good/excellent results. These results
mirror those with discectomy and the placement of prosthetic discs. CONCLUSIONS:
The analysis of 39,048 patients with various operations for lumbar disc
herniation revealed the same pattern of long-term results. Patients who had
microdiscectomy, endoscopic microdiscectomy or the classical operation
(laminectomy/laminotomy with discectomy) all had approximately 79% good/excellent
results. None of the operative procedures gave a different outcome. l.