الفهرس 
Title : Surgical Management of Recurrent Lumbar Disc Herniation with or without Fusion: Comparative Study
ContentsOnly 14 pages are availabe for public view
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Abstract
A recent survey conducted by Mroz et al. (3) demonstrated the heterogeneity
of treatment recommendations for recurrent disc herniation among 445 spine
surgeons. Overall, there was a 22% and 69% probability of disagreement on the
surgical treatment of first and second time recurrent disc herniation, respectively.
Revision surgical treatment options include, revision micro- discectomy alone
versus microdiscectomy with posterior fusion ± lumbar interbody fusion.
Despite positive results with revision discectomy procedures, the
optimal procedure for recurrent LDH remains controversial. When
compared with microdiscectomy, lumbar fusion for primary LDH has
not been shown to decrease reoperation rates at five or eleven years.
Opponents of revision discectomy believe microdiscectomy with fusion
offers a better solution for recurrent LDH,