Journal de la colonne vertébrale

Treatment Strategies in Late Recurrent Giant Lumbar Disc Hernia: Two Case Reports

Abstract

Veli Citisli, Muhammet Ä°brahimoglu and Serkan Civlan

For recurrent disc hernia, the aim is to eliminate factors, which lead to pain, achieve decompression with injuring underlying neural tissue, and to stabilize the site, if instability is observed, and finally, to early mobilize the patient.

For cases with recurrent disc hernia, patients can tolerate the condition, since enlargement of disc hernia is slow. Total laminectomy and bilateral discectomy will ensure neurological deficit-free postoperative course, if recurrent disc hernia is located at central zone and the size is giant. Moreover, one should carefully avoid tear of dura, when fibrotic tissue is debrided and giant disc hernia is excised.