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89770

Double Consecutive Lumbar Discectomy: Is Fixation a Rule?

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Last updated: 01 Jan 2025

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Abstract

Abstract Background: Lumbar Disc Prolapse (LDP) represents less than 5% of all low back problems. Most of cases treated with conservative management. Surgery is needed in only 10% of cases. We will evaluate the need for hardware fixation after double consecutive lumbar discectomies. Aim of Study: Our study aims to answer the question of whether decompression-only surgery is sufficient for patients with double consecutive lumbar disc prolapse or they neces-sarily require spinal fixation and fusion. Patients and Methods: Our work was conducted on 30 patients with double consecutive LDP from January, 2016 to December, 2017 at Fayoum University Hospital. Double consecutive lumbar discectomy was done in all patients. Regular follow-up was done up to 6 months. Results: All cases had no instability 6 months after surgery. Four patients experienced mechanical low back pain 3 months postoperatively. MR images revealed facet joint arthropathy in two cases improved by medical treatment and the others required facet joint injection. Conclusion: Double consecutive lumbar discectomy is not considered a risk of instability but larger studies might be needed.

DOI

10.21608/mjcu.2019.89770

Keywords

Consecutive, prolapse, Discectomy

Authors

First Name

MOHAMED GABER ABDEL TAWAB, M.D.;

Last Name

MOSTAFA A. LATIF, M.D.

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Affiliation

The Department of Neurosurgery, Faculty of Medicine, Fayoum University, Egypt

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Volume

87

Article Issue

December

Related Issue

11480

Issue Date

2019-12-01

Receive Date

2019-05-15

Publish Date

2019-12-01

Page Start

5,275

Page End

5,281

Print ISSN

0045-3803

Online ISSN

2536-9806

Link

https://mjcu.journals.ekb.eg/article_89770.html

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https://mjcu.journals.ekb.eg/service?article_code=89770

Order

151

Type

Original Article

Type Code

263

Publication Type

Journal

Publication Title

The Medical Journal of Cairo University

Publication Link

https://mjcu.journals.ekb.eg/

MainTitle

Double Consecutive Lumbar Discectomy: Is Fixation a Rule?

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Article

Created At

22 Jan 2023