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Recurrent or junctional lumbar foraminal herniated disc in patients operated with trans pars microscopic approach

This is a retrospective monocentric study. The aim of this study is to analyze the incidence of recurrent or junctional lumbar foraminal herniated disc, in patients treated with trans pars microsurgical approach. Foraminal lumbar disc herniation represents a challenging pathology for the spinal surg...

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Autores principales: Monticelli, Matteo, Gelmi, Clarissa Ann Elisabeth, Scerrati, Alba, Cavallo, Michele Alessandro, De Bonis, Pasquale
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10465375/
https://www.ncbi.nlm.nih.gov/pubmed/37642794
http://dx.doi.org/10.1007/s10143-023-02109-x
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author Monticelli, Matteo
Gelmi, Clarissa Ann Elisabeth
Scerrati, Alba
Cavallo, Michele Alessandro
De Bonis, Pasquale
author_facet Monticelli, Matteo
Gelmi, Clarissa Ann Elisabeth
Scerrati, Alba
Cavallo, Michele Alessandro
De Bonis, Pasquale
author_sort Monticelli, Matteo
collection PubMed
description This is a retrospective monocentric study. The aim of this study is to analyze the incidence of recurrent or junctional lumbar foraminal herniated disc, in patients treated with trans pars microsurgical approach. Foraminal lumbar disc herniation represents a challenging pathology for the spinal surgeon. The appropriate surgical approach still represents a matter of debate. Several open and minimally-invasive techniques have been developed, in order to allow a proper tissue exposure and preserving the vertebral stability. The trans pars approach has already been described as a possible alternative, allowing excellent exposure of the herniated fragment with minimum bone removal. While few studies have analyzed the very low rate of post-operative instability, no articles deal with the incidence of post-operative herniated disc recurrence or junctional disc herniation in patients treated with this technique. We enrolled 160 patients operated at our institution. A univariate and multivariate analysis of possible factors influencing outcome (age, sex, level and BMI) was performed. Outcome variables were recurrent or junctional herniated disc. At the end, 135 patients were analyzed. Of the 135 patients, six presented recurrent herniated disc (4.4%) and other three developed a junctional herniation (2.2%). The occurrence of junctional herniated disc or recurrent herniated disc was not influenced by the analyzed variables, both at univariate and at multivariate analyses. The trans pars approach presents a low rate of recurrence and junctional herniation. Age, sex, level, and BMI do not influence the recurrence rate, both at same level and at junctional level. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s10143-023-02109-x.
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spelling pubmed-104653752023-08-31 Recurrent or junctional lumbar foraminal herniated disc in patients operated with trans pars microscopic approach Monticelli, Matteo Gelmi, Clarissa Ann Elisabeth Scerrati, Alba Cavallo, Michele Alessandro De Bonis, Pasquale Neurosurg Rev Research This is a retrospective monocentric study. The aim of this study is to analyze the incidence of recurrent or junctional lumbar foraminal herniated disc, in patients treated with trans pars microsurgical approach. Foraminal lumbar disc herniation represents a challenging pathology for the spinal surgeon. The appropriate surgical approach still represents a matter of debate. Several open and minimally-invasive techniques have been developed, in order to allow a proper tissue exposure and preserving the vertebral stability. The trans pars approach has already been described as a possible alternative, allowing excellent exposure of the herniated fragment with minimum bone removal. While few studies have analyzed the very low rate of post-operative instability, no articles deal with the incidence of post-operative herniated disc recurrence or junctional disc herniation in patients treated with this technique. We enrolled 160 patients operated at our institution. A univariate and multivariate analysis of possible factors influencing outcome (age, sex, level and BMI) was performed. Outcome variables were recurrent or junctional herniated disc. At the end, 135 patients were analyzed. Of the 135 patients, six presented recurrent herniated disc (4.4%) and other three developed a junctional herniation (2.2%). The occurrence of junctional herniated disc or recurrent herniated disc was not influenced by the analyzed variables, both at univariate and at multivariate analyses. The trans pars approach presents a low rate of recurrence and junctional herniation. Age, sex, level, and BMI do not influence the recurrence rate, both at same level and at junctional level. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s10143-023-02109-x. Springer Berlin Heidelberg 2023-08-29 2023 /pmc/articles/PMC10465375/ /pubmed/37642794 http://dx.doi.org/10.1007/s10143-023-02109-x Text en © The Author(s) 2023, corrected publication 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Research
Monticelli, Matteo
Gelmi, Clarissa Ann Elisabeth
Scerrati, Alba
Cavallo, Michele Alessandro
De Bonis, Pasquale
Recurrent or junctional lumbar foraminal herniated disc in patients operated with trans pars microscopic approach
title Recurrent or junctional lumbar foraminal herniated disc in patients operated with trans pars microscopic approach
title_full Recurrent or junctional lumbar foraminal herniated disc in patients operated with trans pars microscopic approach
title_fullStr Recurrent or junctional lumbar foraminal herniated disc in patients operated with trans pars microscopic approach
title_full_unstemmed Recurrent or junctional lumbar foraminal herniated disc in patients operated with trans pars microscopic approach
title_short Recurrent or junctional lumbar foraminal herniated disc in patients operated with trans pars microscopic approach
title_sort recurrent or junctional lumbar foraminal herniated disc in patients operated with trans pars microscopic approach
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10465375/
https://www.ncbi.nlm.nih.gov/pubmed/37642794
http://dx.doi.org/10.1007/s10143-023-02109-x
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