title: Outcome after Surgical Treatment for Late Recurrent Lumbar Disc Herniations in Standard Open Microsurgery.
abstract: OBJECTIVE
  There is a lack of studies highlighting the outcome by different scores or parameters after surgery for recurrent disc herniations of the lumbar spine at the initial herniation site. This study assessed the quality of life after surgical treatment of recurrent herniations with different standardized validated outcome instruments.
  
  
  METHODS
  During a 24-month period, 64 patients underwent (microscope assisted) surgery for recurrent disc herniations of the lumbar spine. The postoperative quality of life was tested with Short Form-36, the Oswestry Disability Index, the EuroQol health status 5D, and Prolo questionnaires. Leg and back pain before and after surgery was assessed.
  
  
  RESULTS
  The patients showed a good overall outcome, but still not satisfying enough compared with the very good surgical results reported in the literature, for the surgical treatment of primary disc herniations.
  
  
  CONCLUSIONS
  Patients have to be informed carefully before surgery of recurrent lumbar disc herniations because of the less-promising outcome than after first time surgery for a lumbar disc herniation.
authors.affiliation: Department of Neurosurgery, Klinikum rechts der Isar, Technische Universität München, München, Germany.
authors.forename: Niels
authors.initials: N
authors.lastname: Buchmann
authors.affiliation: Department of Neurosurgery, Klinikum rechts der Isar, Technische Universität München, München, Germany.
authors.forename: Alexander
authors.initials: A
authors.lastname: Preuß
authors.affiliation: Department of Neurosurgery, Klinikum rechts der Isar, Technische Universität München, München, Germany.
authors.forename: Jens
authors.initials: J
authors.lastname: Gempt
authors.affiliation: Department of Neurosurgery, Klinikum rechts der Isar, Technische Universität München, München, Germany.
authors.forename: Yu-Mi
authors.initials: YM
authors.lastname: Ryang
authors.affiliation: Department of Neurosurgery, Klinikum rechts der Isar, Technische Universität München, München, Germany.
authors.forename: Martin
authors.initials: M
authors.lastname: Vazan
authors.affiliation: Department of Neurosurgery, Helios Klinikum Krefeld, Krefeld, Germany.
authors.forename: Michael
authors.initials: M
authors.lastname: Stoffel
authors.affiliation: Department of Neurosurgery, Klinikum rechts der Isar, Technische Universität München, München, Germany.
authors.forename: Bernhard
authors.initials: B
authors.lastname: Meyer
authors.affiliation: Department of Neurosurgery, Klinikum rechts der Isar, Technische Universität München, München, Germany. Electronic address: florian.ringel@lrz.tum.de.
authors.forename: Florian
authors.initials: F
authors.lastname: Ringel
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001416:Back Pain / Q000209:etiology / Q000601:surgery; D004185:Disability Evaluation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000150:complications / Q000601:surgery*; D008159:Lumbar Vertebrae / Q000601:surgery*; D008297:Male; D008866:Microsurgery; D008875:Middle Aged; D010147:Pain Measurement; D017060:Patient Satisfaction; D011788:Quality of Life; D012008:Recurrence; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D055815:Young Adult
keywords: Lumbar spine outcome; Quality of life; Recurrent disc herniation; Revision surgery