PulseExploreJournal ClubDebatesTrendingResearchersJournals
Instagram
HomeExploreJournal ClubTrending
Synapse
⌘+K
Synapse
April 11, 2026Frontiers in Surgery2 citationsOpen Access

Comprehensive identification of risk factors for recurrence after percutaneous endoscopic lumbar discectomy: a systematic review and meta-analysis

AHAbuduwupuer HaibierYWYì WángWLWei Liu

Key Points

  • This analysis aims to identify factors contributing to recurrence following percutaneous endoscopic lumbar discectomy (PELD) for lumbar disc herniation (LDH).
  • Conducted a systematic review of literature on PELD for LDH
  • Included patient-related and surgical risk factors for recurrence
  • Performed a meta-analysis to derive pooled results
  • Advanced age, higher BMI, and smoking are significant patient-related risk factors for recurrence
  • Intraoperative annulus fibrosus rupture increases recurrence risk considerably
  • Engaging in high-intensity activities soon after surgery and greater lumbar spine range of motion also elevate recurrence probabilities.

Abstract

The results of this meta-analysis indicate that recurrence after PELD for LDH is associated with a range of factors. Significant independent patient-related risk factors include advanced age, higher BMI, smoking, diabetes, and the presence of Modic changes (especially type II). Regarding surgical factors, intraoperative annulus fibrosus rupture significantly increases the risk of recurrence. Postoperatively, engaging in high-intensity activities too early or having a greater lumbar SROM also markedly elevates the probability of recurrence.

Ask AI
Helpful
Bookmark
Share
View Full Paper

Cite This Study

Haibier et al. (2026) studied this question.

synapsesocial.com/papers/69d9e47378050d08c1b7502ahttps://doi.org/10.3389/fsurg.2026.1733796
Ask AI
Helpful
Bookmark
Share
View Full Paper