Tubular Microdiscectomy for Recurrent Disc Prolapse Following Two Rounds of Open Laminectomy and Discectomy: A Case Report and Literature Review
Advanced Spine Journal, Vol: 41, Issue: 1
2022
- 297Usage
Metric Options: Counts1 Year3 YearSelecting the 1-year or 3-year option will change the metrics count to percentiles, illustrating how an article or review compares to other articles or reviews within the selected time period in the same journal. Selecting the 1-year option compares the metrics against other articles/reviews that were also published in the same calendar year. Selecting the 3-year option compares the metrics against other articles/reviews that were also published in the same calendar year plus the two years prior.
Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
Citation Benchmarking is provided by Scopus and SciVal and is different from the metrics context provided by PlumX Metrics.
Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
Citation Benchmarking is provided by Scopus and SciVal and is different from the metrics context provided by PlumX Metrics.
Metrics Details
- Usage297
- Downloads149
- Abstract Views148
Article Description
Background Data: Recurrence of LDH has been reported in 5%–11% of patients after conventional discectomy, and most of these patients are usually treated with repeated discectomy through the same initial approach. Tubular microdiscectomy is an increasingly popular surgery for lumbar disc prolapse and has replaced conventional open surgery in the last decade. However, it requires more experience and has a steep learning curve, especially in revision cases.Purpose: We present the findings of a tubular lumbar microdiscectomy performed after two conventional open laminectomies and discectomies, explaining the challenges and difficulties in such cases and leading the way for the use of minimally invasive spine surgeries after multiple open surgeries.Study Design: Case report and literature review.Patients and Methods: A middle-aged man who had undergone two open laminectomies and discectomies several years ago at L5-S1 and fenestrated laminectomy at L4-L5 presented with new radiculopathy over the S1 nerve root dermatome to which a new tubular microdiscectomy was performed.Results: The patient ran a smooth postoperative course, and his symptoms improved.Conclusion: Tubular microdiscectomy achieves the goal of fixation, is cost-effective, and goes with the patient preference. A successful tubular microdiscectomy is tough to accomplish after two spinal surgeries around and near the same involved spinal nerve. Despite that, this case report shows the good outcomes that this type of surgery can achieve, hinting that minimally invasive spine surgery (MISS) application is not limited to primary cases but can include redo surgeries for such conditions. However, it should be borne in mind that a successful redo surgery requires proper preoperative clinical and radiological assessment. (2021ESJ252)
Bibliographic Details
https://www.advancedspinej.org/journal/vol41/iss1/7; https://esj.researchcommons.org/egyspinej/vol41/iss1/7
https://www.advancedspinej.org/journal/vol41/iss1/7; http://dx.doi.org/10.57055/2314-8969.1006; https://www.advancedspinej.org/cgi/viewcontent.cgi?article=1006&context=journal; https://esj.researchcommons.org/egyspinej/vol41/iss1/7; https://esj.researchcommons.org/cgi/viewcontent.cgi?article=1006&context=egyspinej; https://dx.doi.org/10.57055/2314-8969.1006; https://www.advancedspinej.org/journal/vol41/iss1/7/
Egyptian Spine Association
Provide Feedback
Have ideas for a new metric? Would you like to see something else here?Let us know