Influence of No Smoking and Rehabilitation after Microscopic Discectomy in Lumbar Disc Herniation: A Minimum of 10-Years Follow Up.
10.4184/jkss.2005.12.3.200
- Author:
Dae Moo SHIM
1
;
Jin Young PARK
;
Jung Woo KIM
;
Hwan Deok YANG
;
Bong Kyu KIM
Author Information
1. Department of Orthopaedics Surgery, Wonkwang University Hospital, Iksan, Korea. ospjy1222@empas.com
- Publication Type:Original Article
- Keywords:
Lumbar disc herniation;
Microscopic discectomy
- MeSH:
Diskectomy*;
Follow-Up Studies*;
Humans;
Recurrence;
Rehabilitation*;
Retrospective Studies;
Smoke*;
Smoking*
- From:Journal of Korean Society of Spine Surgery
2005;12(3):200-205
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
STUDY DESIGN: A retrospective analysis study of the long term clinical results of microscopic discectomy. OBJECTIVES: To evaluate clinical outcome of microscopic lumbar discectomy at the 10 year postoperative follow up SUMMARY OF LITERATURE REVIEW: There have been frequent reports of short term follow up studies for microscopic lumbar discectomies, but in there have been few long term follow-up studies reported in the literature. (Please confirm the highlighted section; before it was incomplete, so I have tried to complete for you.) MATERIALS AND METHODS: A ten year follow-up study was possible in 40 out of the 101 patients diagnosed with a lumbar disc herniation and treated with a microscopic discectomy between January 1992 and December 1993. Recurrent HIVD (Define?), followed by a microscopic discectomy, was evaluated using Kim's criteria. Also, the effects of smok0ing prohibition and rehabilitation exercise programs on recurrence were investigated. RESULTS: Among the 101 patients having undergone an operation, 5 and 10 year follow ups were performed in 83 (82.2%) and 40 cases (39.6%), respectively. Loss to follow-up was mostly due to changes of address and in the contact-list. 33 cases (84.6%) showed more than fair recovery after 5 years, with 33 cases (82.5%) showing similar results after 10 years. Postoperative smoking prohibition and exercise programs for the prevention of a recurrence were carried out on 32 cases (80%), with 2 of these cases (6.3%) showing recurrence compared with 5 cases (62.5%) in the non-control group. CONCLUSION: Postoperative smoking prohibition and rehabilitation exercise programs were useful and are recommended for lumbar disc herniation patient following a microscopic discectomy. Also, early return of the patient to their previous work could decrease the potential recurrence rate.
