Risk factors and prevention methods for recurrent lumbar disc herniations
Abstract
Review of the literature devoted to the modern view of the risk factors for recurrence of herniation of intervertebral disks after microdiscectomy in the lumbar spine and its prevention methods. There are different views of various authors on the concept of «relapse», methods of examination and treatment of these patients. In this review, the methods of mechanical defects in the fibrous ring closure after removal of the hernia, methods of gene and cell therapy of intervertebral discs are summarized. We describe a method of nonablative laser irradiation of the intervertebral discs, its physical foundations, history and prospects of development as a method of prevention of segmental instability and, thus, hernia recurrence in the postoperative period.
About the Authors
I. A. Drakin
Russian Medical Academy of Postgraduate Education; Scientific Clinical Center of JSC «Russian Railways»
Russian Federation
Russian Federation
V. A. Baskov
Russian Medical Academy of Postgraduate Education; Scientific Clinical Center of JSC «Russian Railways»
Russian Federation
Russian Federation
O. N. Dreval
Russian Medical Academy of Postgraduate Education
Russian Federation
Russian Federation
A. V. Baskov
Russian Medical Academy of Postgraduate Education; Scientific Clinical Center of JSC «Russian Railways»
Russian Federation
Russian Federation
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Drakin I.A., Baskov V.A., Dreval O.N., Baskov A.V. Risk factors and prevention methods for recurrent lumbar disc herniations. Pacific Medical Journal. 2015;(4):11-16. (In Russ.)
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