Shin Byung-Joon
Department of Orthopaedic Surgery, Spine Center, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea.
Asian Spine J. 2014 Apr;8(2):211-5. doi: 10.4184/asj.2014.8.2.211. Epub 2014 Apr 8.
The most common complication after lumbar discectomy is reherniation. As the first step in reducing the rate of recurrence, many studies have been conducted to find out the factors that may increase the reherniation risk. Some reported factors are age, sex, the type of lumbar disc herniation, the amount of fragments removed, smoking, alcohol consumption and the length of restricted activities. In this review, the factors studied thus far are summarized, excepting factors which cannot be chosen or changed, such as age or sex. Apart from the factors shown here, many other risk factors such as diabetes, family history, history of external injury, duration of illness and body mass index are considered. Few are agreed upon by all. The reason for the diverse opinions may be that many clinical and biomechanical variables are involved in the prognosis following operation. For the investigation of risk factors in recurrent lumbar disc herniation, large-scale multicenter prospective studies will be required in the future.
腰椎间盘切除术后最常见的并发症是椎间盘再突出。作为降低复发率的第一步，人们进行了许多研究以找出可能增加再突出风险的因素。一些已报道的因素包括年龄、性别、腰椎间盘突出的类型、摘除的碎骨量、吸烟、饮酒以及限制活动的时长。在本综述中，除了年龄或性别等无法选择或改变的因素外，对迄今所研究的因素进行了总结。除了此处所示的因素外，还考虑了许多其他风险因素，如糖尿病、家族史、外伤史、病程以及体重指数。很少有因素能得到所有人的认同。观点多样的原因可能是手术预后涉及许多临床和生物力学变量。对于复发性腰椎间盘突出症风险因素的研究，未来将需要大规模的多中心前瞻性研究。
