Ashley Rogerson1, Jessica Aidlen2, Louis G Jenis3,4. 1. Department of Orthopaedic Surgery, Tufts Medical Center, Boston, MA, 02111, USA. 2. Department of Orthopedic Surgery, Division of Spine Surgery, Newton Wellesley Hospital, Newton, MA, 02462, USA. 3. Department of Orthopedic Surgery, Division of Spine Surgery, Newton Wellesley Hospital, Newton, MA, 02462, USA. ljenis@partners.org. 4. Newton Wellesley Hospital, 2014 Washington Street, Newton, MA, 02458, USA. ljenis@partners.org.
Abstract
PURPOSE: Lumbar disc surgery is a common procedure in the USA. It is frequently performed with good or excellent results in most patients. This article reviews common causes of persistent radiculopathy after surgical intervention. METHODS: We performed an extensive review of the literature as well as applying our own experience. RESULTS: Common causes of persistent leg pain following operative intervention include re-herniation, epidural fibrosis, biochemical/physiologic changes in the nerve root, and psychosocial issues. CONCLUSIONS: Patients with persistent leg pain after surgical treatment of lumbar disc herniation can pose a challenging clinical problem. Summary of these topics and available treatment options are reviewed.
PURPOSE: Lumbar disc surgery is a common procedure in the USA. It is frequently performed with good or excellent results in most patients. This article reviews common causes of persistent radiculopathy after surgical intervention. METHODS: We performed an extensive review of the literature as well as applying our own experience. RESULTS: Common causes of persistent leg pain following operative intervention include re-herniation, epidural fibrosis, biochemical/physiologic changes in the nerve root, and psychosocial issues. CONCLUSIONS:Patients with persistent leg pain after surgical treatment of lumbar disc herniation can pose a challenging clinical problem. Summary of these topics and available treatment options are reviewed.
Authors: G A Loupasis; K Stamos; P G Katonis; G Sapkas; D S Korres; G Hartofilakidis Journal: Spine (Phila Pa 1976) Date: 1999-11-15 Impact factor: 3.468
Authors: Robin Srour; Amira El Arbi; Ahmed Rahmouni; Hani Aljohani; Daniel Orenstein; Xavier Hoarau; Mustapha Ali Benali; Jihad Mortada; François Sellal Journal: J Orthop Date: 2021-05-07