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Risk Factors of Recurrent Lumbar Disc Herniation: A Single Center Study and Review of the Literature.
MedLine Citation:
PMID:  23249886     Owner:  NLM     Status:  Publisher    
BACKGROUND:: The recurrence of lumbar disc herniation (LDH) is a major problem in the treatment of LDH. The purpose of this study was to investigate the risk factors for recurrent LDH. METHODS:: Between April, 2005 and March, 2008, 298 patients with LDH, who underwent surgical treatment, were enrolled in this study. The patients were divided into a non-recurrent group (N group) and a recurrent group (R group). We compared their clinical parameters including age, gender, body-mass index (BMI), smoking, alcohol, sports activity, occupational lifting, and occupational driving. The relationships between the variables and recurrent LDH were evaluated by univariate analysis and multiple logistic regression analysis. RESULTS:: The N group had 266 patients (89.3%) and the R group had 32 patients (10.7%). Univariate analysis showed that current smoking (P<0.001) and occupational lifting (P=0.02) significantly correlated with recurrent LDH. Multivariate analysis showed that current smoking significantly related with recurrent LDH (OR=3.47, 95% CI: 1.55-7.80, P=0.003). CONCLUSIONS:: Our study suggests that smoking cessation and restraining from lifting may significantly decrease the incidence of recurrent LDH.
Shinji Miwa; Akio Yokogawa; Tadayoshi Kobayashi; Tatsuya Nishimura; Kentaro Igarashi; Hiroyuki Inatani; Hiroyuki Tsuchiya
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-12-14
Journal Detail:
Title:  Journal of spinal disorders & techniques     Volume:  -     ISSN:  1539-2465     ISO Abbreviation:  J Spinal Disord Tech     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-12-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101140323     Medline TA:  J Spinal Disord Tech     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
*Department of Orthopedic Surgery, Saiseikai Kanazawa Hospital, Japan Ni-13-6 Akatsuchi-machi, Kanazawa, 920-0353, Japan †Department of Orthopedic Surgery, Kanazawa University, Kanazawa, Japan 13-1 Takara-machi, Kanazawa, Ishikawa, Japan, 920-8640.
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