Recurrent lumbar disc herniation

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Recurrent lumbar disc herniation is a common disease process. It has been noted to occur in 5 to 15% of cases surgically treated for primary lumbar disc herniation. Outcomes in one series approached those after the initial operations, although this is not the case in the experience of most surgeons.

The removal of recurrent lumbar disc herniations requires meticulous surgical technique. Great care is taken to identify the osseous margins of the previous surgical site. Identification and dissection of scar from the dura mater is greatly aided with the use of a microscope.

Abbreviation used in this paper: MR = magnetic resonance.

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Article Information

Address reprint requests to: Gregory R. Trost, M.D., Department of Neurological Surgery, University of Wisconsin Hospital and Clinics, 600 Highland Avenue, Madison, Wisconsin 53792. email: trost@neurosurg.wisc.edu.

© AANS, except where prohibited by US copyright law.

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