Akademik Veri Yönetim Sistemi
XVI. Uluslararası Türk Omurga Kongres, Muğla, Türkiye, 22 - 25 Mayıs 2025, ss.163-164, (Özet Bildiri)
Our purpose in this study is to present the experience- of microdiscectomy in a single center with the same surgeon performing the operations. We want to discuss our results and compare them with literature.
Material and Method: 772 patients have been operated for single level lumbar disc herniations(LDH) between 2015-2024. Patients whose physical examination fi ndings and pain didn’t impove after proper medication and physiotherapy with positive single level lumbar disc herniation Magnetic Resonance Images(MRI) are included in the study. All patients are operated under spinal anesthesia.
Findings: The study group consisted of 371 males ( 48%) and 401 females (52 %). The median age was 47 ( between 17-83 ). The levels of LDH and their distribution among genders are shown in table 1. Side of the LDH and levels of the herniations are shown in table 2. Recurrence is observed in 58 patients (7,5%). The high incidence of history of heavy working and obesity in this group was significant. Also, 27 out 43 patients with cephalated herniation had recurrences which was also notable. Dural tear was detected in 3 (0,4%). All dural tears are repaired with primary closure as well as dural patches.
In 5 patients, spondilodiscitis developed after three weeks of the operation. These patients were administered two-agents wide spectrum antibiotics for 6-8 weeks. All symptoms subsequently resolved with the medications. One female patient that was operated for left L3-4 disc herniation has died at the 8th day of the operation due to thoracic aorta rupture.
Result: Our results revealed similar gender distribution amongs genders. Heavy working history and obesity seem to be risk factors for recurrence of lumbar disc herniations. Cephalated disc herniations are prone to instability of the spine. Due to this risk, one should keep in mind that these patients may require stabilisation surgeries in the rest of their lives.