Lumbar discectomy prognosis

• Percutaneous transforaminal endoscopic discectomy in patients with lumbar disc herniation: a meta-analysis
• Adolescent lumbar disc herniation: etiology, diagnosis, and treatment options
• Guiding significance of the autophagy intensity of lumbar intervertebral discs and the Charlson Comorbidity Index in predicting the postoperative curative effect of patients with single-level lumbar disc herniation
• Comparison and evaluation of percutaneous transforaminal endoscopic discectomy treatment efficacy in patients with lumbar disc herniation of different age groups
• The usefulness and utilisation of Lu's retractor for unilateral biportal endoscopic discectomy: a retrospective cohort study
• Dynamic Stabilization: A Game-Changer in Disc Herniation Surgery
• Unilateral biportal endoscopic versus microscopic discectomy in degenerative lumbar spinal stenosis: A prospective cohort study
• Early versus delayed surgery for sciatica: A single-center observational study

More than 10% of these patients report persistent pain after surgery.

Quality of Life (QOL), pain and disability, and psychosocial outcomes improved after primary and revision discectomy, but the improvement diminished after revision discectomy ¹⁾.

From 371 abstracts, 85 full-text articles were reviewed, of which 21 studies were included. Visual analogue scales indicated that surgery helped the majority of patients experience significantly less pain. Recovery from disc surgery mainly occurred within the short-term period and later changes of pain intensity were minor. Postsurgical back and leg pain was predominantly associated with depression and disability. Preliminary positive evidence was found for somatization and mental well-being.

Patients scheduled for lumbar disc surgery should be selected carefully and need to be treated in a multimodal setting including psychological support ²⁾.

see Lumbar discectomy in obesity